Clinical Quality Coder II
Sutter Health
full-time
Posted on:
Location Type: Remote
Location: California • Louisiana • United States
Visit company websiteExplore more
Salary
💰 $34 - $51 per hour
Job Level
About the role
- Conducts review of outpatient medical records using ICD-10-CM and CPT
- Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures
- Responsible for pre-appointment review of each encounter in scope
- Alerts the physician of potential clinical conditions that may require review
Requirements
- HS Diploma or General Education Diploma (GED)
- CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification (CCS-P, CPC, COC or CPC-P)
- 1 year recent relevant experience
- Advanced knowledge of ICD-10 diagnosis coding conventions and requirements
- Knowledge of Quality Coding Program requirements such as the Medicare Advantage Coding Program/HCC
- Proficient use of grouper software and/or coding reference books to assign/validate diagnosis codes
- National Correct Coding Initiative edits, Coding Clinic and CPT Assignment coding guidelines
- Ability to work independently, as well as be part of the team
- Demonstrated written and verbal communications skills
Benefits
- Yes 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CMCPTmedical record reviewdiagnosis codinggrouper softwarecoding reference booksNational Correct Coding InitiativeCoding ClinicCPT Assignment coding guidelines
Soft Skills
independent workteam collaborationwritten communicationverbal communication
Certifications
CRC-Certified Risk Adjustment CoderCPC-Certified Professional CoderAHMA Coding CertificationAAPC Coding CertificationCCS-PCPCCOCCPC-P