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Certified Medical Coders

Company Name Confidential

Keywords / Skills : CPC-A, AHIMA, CRC, AAPC, Medical Coding, medical coding license, Medical Coders

0 - 5 years
Posted: 2018-09-17

Job Description
Clinical Abstraction assignments may include work from all lines of Company business (e.g., diagnostic auditing, HEDIS review, drug safety/efficacy studies). Each assignment will have specific requirements and time-lines.

• Diagnostic Coding: Clinical Readers review assigned medical records and apply appropriate diagnostic codes and modifiers according to Generally Accepted Medical Coding Guidelines, ICD-10-CM Guidelines and CMS Correct Coding Initiatives, coding guidelines approved by CMS, and all rules, regulations and guidelines promulgated by CMS and applicable to contractors and subcontractors of CMS-approved sponsors (collectively "Standards"), all as reasonably interpreted by the Company.

• HEDIS Reviews: Clinical Readers review assigned medical records and document measure specific clinical data according to NCQA technical specifications for hybrid medical records reviews.

• Health Outcomes Studies: Clinical Readers review assigned medical records and document relevant clinical data according to stated study objectives.

• Other specific details of the job will be made known to the employee by their immediate supervisor which may be in varying scope dependently on prevailing project undertakings.


• No Medical Coding experience required

• Active Medical Coding License by AAPC and /or AHIMA (i.e CPC-A, CRC) is required

• Working knowledge of scheduling, workforce management, time keeping and people management is ideal

• Excellent written and oral communication skills;

• Flexibility in work schedule to meet departmental needs.

• Proficiency in Microsoft Word, Outlook and Excel required

• Amenable to work in BGC,Taguig on a night shift schedule

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