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Corporate Functions & Operations WellCare - Coding & Records Careers

Medical Coding Specialist Job

Full Job Title: *Medical Coding Specialist

Job Number: 1701745

Location: Tampa, FL

Date Posted: 4-18-2017

Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9) for CMS risk adjustment purposes.
Essential Functions:
  • Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9). Always coding to the highest level of specificity.
  • Follows the Official ICD-9 guidelines for Coding and Reporting and has a complete understanding of these guidelines.
  • Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines.
  • Understands the impact of ICD-9 codes on the CMS HCC risk adjustment model.
  • Ability to meet productivity and accuracy standards
  • Ability to defend coding decisions to both internal and external audits.
  • Other projects as necessary.

Education: High School Diploma, Associate's Degree preferred or equivalent work experience

Experience:

  • 2-4 years professional coding experience either in a hospital or physician setting
  • Expert knowledge of medical terminology and abbreviations and disease, illness and injury processes
  • Managed Care experience preferred
  • Working knowledge of CMS risk adjustment model preferred

Licenses/Certifications: CPC or CCS required

Special Skills (e.g. 2nd language):

Must be able to effectively communicate verbally and in writing complex coding issues

Must be able to understand and follow verbal instructions and written polices and procedures to ensure adherence to standards and to instructions from management.

Must be able to read, write, speak, and understand English in order to communicate with customers, staff, vendors, and management.

Ability to work individually or as part of a team


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Last Updated On: 12/9/2015