Muttontown
Job Description JOB TITLE: DRG/CPD Coder OVERVIEW: Seeking Coders to join the DRG Review team. These coders are working with NY Medicaid to review high cost claims and may be up to multimillion dollar claims. The target background is a medical coder with a strong DRG background. Candidates should have inpatient experience or open to someone with outpatient or a blend. Coder will be receiving claims that have already been decided and then it is up to them to review the claim and the decision and then be able to write a summary explaining why they are upholding or overturning the decision and be able to quote the chart or the coding guidelines to substantiate. Coder will be handling anywhere from 10-12 claims a day, depending on the complexity of the claim. DUTIES: • Validate and verify submitted codes for DRG validation., • Apply national coding standards and regulations to the claims and clinical data., • Provide subject matter input and support agency-wide projects. LOCATION: remote (can sit anywhere in the US but must be able to work EST hours) PAY: $30-38/hr DURATION: long term open ended contract (includes benefits, sick time, 401k, weekly pay) QUALIFICATIONS: • Excellent interpersonal and communication (written and verbal) skills with the ability to successfully communicate and interact with all internal and external parties., • The ability to relate effectively with medical, technical, analytical and administrative personnel., • The ability to work independently, as well as in a team environment., • Proficient in the use of standard EHR applications, office technology and Microsoft applications including Word, Excel, and PowerPoint., • Ability to handle sensitive and confidential information., • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required., • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Bachelor's Degree in healthcare administration or Health Information Management preferred (Associate's degree at minimum), • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients. Company DescriptionHere at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine. Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?