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Medical Coder (No Experience)

Keywords / Skills : Medical Coder, Medicalcoding, Healthcare

1 - 1 years
Posted: 2019-10-11

Industry
Hospitals/Healthcare/Diagnostics
Function
Health Care
Role
Nurse
Medical Coder
Education
Bachelors
Degree
Posted On
11th Oct 2019
Job Ref code
8550
Job Description
Clinical Readers are responsible for applying clinical and/or medical coding knowledge in the review of evidentiary documentation in medical records. This position requires the ability to perform and complete diagnostic coding, abstraction of pharmaceutical studies, HEDIS medical records review and other related duties in a high quality and productive environment.

SUMMARY OF DUTIES & RESPONSIBILITIES


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.

MINIMUM QUALIFICATIONS AND EXPERIENCE
  • Active PRC Registered Nurse license, required
  • At least 12 months clinical experience, required
  • ICD-9-CM/ICD-10-CM/HCPCS/PCS coding experience, preferred
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES
  • Exemplary attention to detail and completeness - must maintain a minimum QA score of 95% or higher across all projects.
  • Excellent knowledge of medical records.
  • Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines.
  • Ability to code using an ICD-9-CM/ICD-10-CM code book (without using an encoder).
  • Strong clinical skills related to chronic illness diagnosis, treatment and management.
  • Ability to decipher difficult-to-read handwriting.
  • Detail-oriented in all aspects of work.
  • Excellent interpersonal, written and verbal communication skills.
  • Strong organizational ability to manage projects with tight timelines.
  • Ability to move from project to project with little to no additional training (after initial orientation to project).
  • Reliability and a commitment to meeting tight deadlines
  • Proficient phone and computer skills, including MS Windows, MS Office, email and internet. Ability to learn additional applications as necessary.
  • Strong team player willing to take on additional projects and duties as necessary.
  • Demonstrates strong leadership skills.


About Company

MicroSourcing Philippines Inc, is one of the leading outsourcing solutions providers in the Philippines. We specialize in setting up offshore operations for foreign clients who operate in a wide variety of industries all over the world. Our offices are located in the Eastwood City Cyberpark, Mall of Asia Complex, Bonifacio Global City, Ortigas and Cebu IT Park and form the perfect professional environment from which we can run our various projects. MicroSourcing is a fast moving and flexible company with a great international management team.
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