WellSense Health Plan

WellSense Health Plan is seeking a Coder to manage chart abstraction, vendor auditing and reporting in line with state and federal regulations. You will abstract from in-patient and out-patient records and document findings in electronic databases or spreadsheets. The role requires up-to-date ICD-10-CM knowledge, CMS guidelines, and independence in a remote environment. Minimum 5 years in coding, with at least 3 in Risk Adjustment; CPC certification is required. #J-18808-Ljbffr

Job Summary: The Coder manages the day to day responsibilities of chart abstraction, vendor auditing and reporting in accordance with state and federal regulations. The coder will abstract from in-patient and out-patient medical records and record findings via electronic data base and or excel spread sheets. The coder ensures that all claims accurately reflect the appropriate diagnosis information as outlined in the member’s medial record Our Investment in You: Full-time remote work Competitive salaries Excellent benefits Responsibilities Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation. Ability to code government and state models. This includes code everything projects. Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations. Ability to maintain a 95% accuracy rate on all coding projects. Coders assist...