At Doral Health & Wellness, we take pride in our commitment to the Brooklyn, New York community by providing integrated interdisciplinary health services in an innovative medical facility dedicated to the health and well-being of our patients.
We are seeking a detail-oriented and experienced Certified Medical Coder to join our dynamic team. The ideal candidate will possess a deep understanding of medical terminology, be proficient in the English language, and have hands-on experience with Electronic Medical Records (EMR). Certification in medical coding is highly preferred.
Responsibilities:
- Assign ICD-10, CPT, and other codes to medical records.
- Extract information from Electronic Medical Record (EMR) systems.
- Review and translate patient records into coded form.
- Collaborate with the billing team for accurate reimbursements.
- Audit coding regularly for accuracy and compliance.
- Maintain records of coding activities.
- Stay updated on coding standards and regulations.
- Work with healthcare providers to ensure coding clarity.
- Adhere to AHIMA standards and ethical coding practices.
Qualifications:
- Certified Risk Adjustment Coder (CRC)
- Knowledge of anatomy, pathophysiology, and medical terminology necessary to correctly code diagnoses
- Expertise in reviewing and assigning accurate medical codes for diagnoses performed by physicians and other qualified healthcare providers in the office setting
- Sound knowledge of medical coding guidelines and regulations
- Expert in ICD-10 diagnosis coding
- Keen understanding of the impact of diagnosis coding on risk adjustment payment models
- Apply proper diagnosis code assignment under various risk adjustment models including HCC, CDPS, ACA-HHS and private payer models
- Understand the use of data mining from data captured through risk adjustment coding
- Understand predictive modeling from data captured through risk adjustment coding
- Ability to identify and communicate documentation deficiencies to providers to improve documentation for accurate risk adjustment coding
- Expert knowledge in health information documentation, data integrity, and quality
- AWV (Annual Wellness Visits) or telehealth experience preferred.
Work Hours: Monday to Friday, 8am to 5pm EST
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