Responsible for evaluating Comprehensive Health Risk Assessment (CHRA) forms received from Classicare policyholders and coding the documented clinical information according to established guidelines.

Key responsibilities include:

Coding diagnoses documented in CHRA forms and registering data into the appropriate system.
Identifying areas of opportunity to avoid errors and risks related to coding compliance.
Conducting post-payment audits of claims based on CHRA information.
Generating referrals with providers or billing reps to correct coding or documentation issues.
Processing adjustments received for CHRA corrections.
Collaborating with Claims and Providers departments for claim processing.
Reporting audit results to the supervisor on a weekly, monthly, and quarterly basis.

Qualifications:

Two years of college education or an Associate's Degree.
One year of medical billing experience with ICD-9 and ICD-10 coding, or six months clinical billing and coding experience.
Knowledge of medical billing processes and ICD-9-CM & ICD-10-CM coding.
Medical billing and/or ICD-9/10 certification preferred.
Intermediate proficiency in English and Spanish (writing, reading, comprehension, conversational).

Position Details:

Full-time, permanent.
Schedule: Monday to Friday, rotating shifts from 7:00 am to 6:00 pm, with some Saturdays during peak times.
After 6 months training, possibility to transition to 100% remote.

Compensation:

$15.00 per hour plus benefits.

TPIS is an Equal Opportunity Employer.

Medical Diagnosis Coder