Medical CoderJob at a Glance
- Location: onsite in Columbia, SC
- Contract: W2 only, contract-to-hire
- Pay: $36 /hour
Key Responsibilities
- Determines methodology to identify cases for validation review.
- Conducts validation reviews/coordinates rates adjustments with appropriate claims area.
- Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates.
- Manages records retrieval, release, HIPAA compliance, and all aspects of document management.
- Serves as expert resource on methodology and procedures for medical records and coding issues.
Required Skills
- 4 years of recent clinical experience in defined specialty area, or 4 years utilization review/case management/clinical/or a combination; 2 of the 4 years must be clinical.
Required Licenses
- a RHIT, RHIA, CIC, CPMA, or CPC
- An active, unrestricted RN license in SC OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) OR, active, unrestricted licensure as social worker from the United States and in the state of hire (in Div. 6B) OR, active, unrestricted licensure as counselor, or psychologist from the United States and in the state of hire (in Div. 75 only).
- For Div. 75 and Div. 6B, except for CC 426: URAC recognized Case Management Certification must be obtained within 4 years of hire as a Case Manager.
Required Education
- Associate Degree - Nursing, OR, Graduate of Accredited School of Nursing, OR, Master's degree in Social Work (for Div. 6B or Div. 75) or Master's in Psychology, or Counseling (for Div. 75 only).
About CEI:
As a trusted technology partner, CEI delivers solutions that help our customers transform their business and achieve meaningful results. From strategy and custom application development through application management - our technology and digital experience services are tailored to meet each unique need of our customers. Our staffing solutions bring specialized skills to complement our customers' workforce and project requirements.
#ZR
#INDGEN