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HCC Professional Fee Abstractor

Job ID 9504774 Date posted 10/02/2018
  • Ability to review documentation and abstract all codes with specific emphasis on identifying the most accurate severity of illness according to CMS HCC (Hierarchical Conditions Categories) guidelines
  • Strong understanding of the HCC concepts and impact on Population Health Risk Adjustment reimbursement initiatives
  • Effectively uses computer assisted coding tools to review and interpret medical records and applies in-depth knowledge of coding principles to validate missing, incomplete or incorrect CPT and diagnosis codes
  • Abstracts, sequences and assigns diagnosis and procedures codes according to CMS HCC and all CPT and ICD 9& 10 guidelines.
  • Demonstrates advanced knowledge of medical terminology, anatomy and physiology.
  • Follows up on all outstanding and incomplete provider billing summaries to ensure proper coding
Job Requirements
  • High School Diploma or GED, Bachelor Degree preferred
  • Minimum 5-7 years' experience as a medical coder and 1 to 2 years as a professional fee abstractor
  • HCC / Medicare Risk Adjustment experience preferred
  • Advanced knowledge of CPT-4, ICD-9, ICD-10, HCPCS
  • Coding certification should be one or more of the following: CPC, CPC-H, CPMA, RHIT, RHIA

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  • Administrative, New Providence, New Jersey, United StatesRemove