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COTIVITI, INC. Coder 1 in SOUTH JORDAN, Utah

Coder 1 Job Locations

US-Remote ID

2024-13015

Category Coding  

Position Type Full-Time Overview

Cotiviti drives better healthcare outcomes through data analytics. Our payment accuracy, revenue integrity, risk assessment and stratification, and quality improvement solutions help organizations utilize their data so they can efficiently and cost-effectively succeed in the new era of healthcare. We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions. See what it's like to work as a Coder at Cotiviti: https://www.youtube.com/watch?v=-VgcV09cxCo

Responsibilities

Reviews medical records for accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial and Medicaid risk adjustment from various chart types (physician, facility, and non-facility) * May have special projects that will entail a full coding review * Codes following the ICD-10-CM Official Guidelines for Coding and Reporting, AHA's Coding Clinic and well as Cotiviti and client specific coding guidelines. * Utilizes the 'Dispute Resolution' process when disagreement occurs related to a coding determination * Stays current on coding guidelines necessary for the position by attending all Cotiviti required trainings, workshops, and personal research as appropriate. * Professionally communicates finds, errors, and suggestions to Team Lead to facilitate on-going communications and efficient department operations as part of a continuous improvement process * Complete all responsibilities as outlined in the annual performance review and/or goal setting. Required * Complete all special projects and other duties as assigned. Required * Must be able to perform duties with or without reasonable accommodation. Required This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.  Required

Qualifications

  • Preferred 1-2 years of medical risk adjustment coding experience
  • Nationally certified medical coder as certified by either AAPC or AHIMA (CRC, CPC, CCS, etc.)
  • Maintains professional credential in good standing as required by AAPC and/or AHIMA.
  • Experience in HCC record abstraction and coding requirements.
  • Minimum High School Diploma.
  • Demonstrated high level of quality accuracy and productivity in clinical coding work.
  • Adherence to official coding guidelines, coding clinic determinations, CMS, Client specific guidelines and other regulatory compliance guidelines and mandates.
  • Strong knowledge of medical terminology and anatomy and physiology.
  • Intermediate skills and knowledge of computers with the ability to use the designated. coding platform for coding processes with focus on both production and accuracy.
  • Skills in organization and time management.
  • Ability to read and understand medical record documentation for diagnosis extraction.
  • Comfortable with computers and technology.
  • Must abide by all HIPAA and associated patient confidentiality requirements. Mental Requirements:
  • Excellent written and communication skills with the ability to understand and explain complex information.
  • Ability to regularly and consistently achieve over 95% quality accuracy.
  • Ability to appropriately communicate with management regarding workload, production expectations and deliverables.
  • Quick learner with positive attitude.
  • Must be able to work in a fast-paced envi ronment.
  • Ability to manage and meet deadlines. *... For full info follow application link.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

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