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Medical Coder (Office based - Bridgetowne QC)

Full Time Employee

Job Summary

Analyzes clinical documentation and accurately assigns diagnosis codes to maximize reimbursements for the organization

Job Description

The Medical Coder analyzes clinical documentation and accurately
assigns diagnosis codes to maximize reimbursements for the organization. The employee must
be able to function with a high degree of independence and exercise judgment and discretion.

Responsibilities
  • Review patient’s medical history and physical, perform medication review, and recommend patient care plans.
  • Review documentation and accurately apply diagnosis codes using current ICD coding guidelines.
  • Problem solve and troubleshoot documentation for coding and OASIS discrepancies, logical inconsistencies, errors, and completeness.
  • Collaborate with clinicians and billing staff to resolve diagnosis coding and OASIS issues.
  • Maintain knowledge of OASIS, coding, and clinical practice standards to ensure current knowledge of procedures and national standards.
  • Conduct clinical record audits and provide feedback related to documentation.
  • Identify educational and corrective opportunities for clinical staff. Communicate findings to clinicians and agency management.
  • Meet productivity and quality standards.
  • Work extensively with protected health information and adhere to HIPAA privacy and security regulations and policies.
  • All other duties as assigned.

Qualifications
  • US RN, NCLEX - Open to PHRN license holders or non PHRN license holders
  • Previous home health and hospice coding experience highly desirable.
  • Knowledge of anatomy, physiology, disease processes, and medical terminology. Familiar with operative terms and pharmacology.
  • Hold or be willing to obtain Certified Coding Specialist (CCS), Home Care Coding Specialist-Diagnosis (HCS-D), Home Care Coding Specialist-Hospice (HCD-H), Home Care Clinical Specialist – OASIS (HCS-O), and/or Certificate for OASIS Specialist-Clinical (COS-C) by fulfilling continuing education requirements.
  • Proficiency with the use of a computer and a variety of computer software and applications.
  • Applies professional knowledge and uses critical thinking skills.
  • English language proficiency.
  • High attention to detail and excellent organizational skills
Additional Information
  • Must be willing to work in Outsourced - Zeta Tower ( 7th Floor, Zeta Tower, Bridgetowne, Quezon City 1800
  • Must be willing to work on a grave yard/ night shift schedule / flexible schedule

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