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Corporate Functions & Operations WellCare - Coding & Records Careers

Medical Coding Specialist - Senior Job

Full Job Title: Medical Coding Specialist, Sr

Job Number: 1704857

Location: Tampa, FL

Date Posted: 10-24-2017

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.
  • Provide training and mentoring to more junior level Medical Coding Specialists on complex charts
  • Other projects as necessary.

Education: High School Diploma, Associate's Degree preferred or equivalent work experience
Experience:
5 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 plus additional certification(s) CPC-P or CPMA preferred
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