Responsible for coding validation and verification, and for preparing independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements.
- Confirm and verify submitted codes for DRG validation.
- Apply national coding standards and regulations to claims and clinical data.
- Provide subject matter input and support for agency-wide projects.
- Perform other duties as assigned.
Requirements & Qualifications
- Excellent interpersonal and communication skills, both written and verbal.
- Ability to relate effectively with technical, medical, analytical, and administrative personnel.
- Proficiency in EHR applications, office technology, and Microsoft Word, Excel, and PowerPoint.
- Ability to handle sensitive and confidential information.
- Ability to work independently and in a team environment.
- RHIA, RHIT, or CCS/CCS-P certification required.
- Technical knowledge of coding and DRG validation with CPT, HCPCS, and ICD-10 experience required.
- Bachelor's degree in healthcare administration or health information management preferred.
- Minimum of 2 years of experience abstracting and coding outpatient medical records for billing.
- Some experience in utilization reviews preferred.
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$65,000 - $70,000
Remote work allowed
No
Posted
5 months ago
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