Major Health Insurance Company..will provide details after conversation
Job Description
Accountabilities:
Review a variety of sources for ICD-9 codes and map them to the equivalent ICD-10 codes.
Analyze a variety of business documents containing ICD codes and make recommendations for the correct ICD-10 map that reflects an understanding of Health Plan operations.
Facilitate and actively participate in interactive sessions with the members of the ICD-10 team to define and refine ICD-9 to ICD-10 maps and discuss impacts.
Contribute to the development of a process and approach to use for conducting the ICD-9 to ICD-10 mapping and code remediation.
Review a variety of sources for ICD-9 codes and map to the equivalent ICD-10 codes.
Analyze a variety of business documents containing ICD codes and make recommendations for the correct ICD-10 map that reflects an understanding of Health Plan operations.
Facilitate and actively participate in interactive sessions with the client and members of the ICD-10 Solution team to define and refine ICD-9 to ICD-10 maps and discuss impacts.
Skills/Experience Required:
Prior experience in an ICD-10 project related to outpatient and inpatient; knowledgeable and prior experience with CMS ICD-10 PCS and CM crosswalks.
Extended clinical coding experience.
Experience with ICD-10 CM and PCS.
Health Plan Operations (e.g. Coding, Claims, Medical Management) preferred.
Experience with analysis and mapping from ICD-9 to ICD-10 for health plan.
Experience articulating the use and impact of ICD codes to non-coding professionals.
Conduct analysis of documents for ICD code usage and intent.
Support ICD-10 solution development efforts by providing clinical coding and clinical perspective.
Ability to quickly master new software tools.
Basic word processing skills (e.g. Microsoft Word, Excel, PowerPoint).
Review a variety of sources for ICD-9 codes and map to the equivalent ICD-10 codes.
Analyze a variety of business documents containing ICD codes and make recommendations for the correct ICD-10 map that reflects an understanding of Health Plan operations.
Facilitate and actively participate in interactive sessions with the client and members of the ICD-10 Solution team to define and refine ICD-9 to ICD-10 maps and discuss impacts.
Qualifications
Must have healthcare and CPC Certification.
E/M Experience (Evaluation & Management).
Multi-specialty background.
2 years minimum coding experience.
Additional Information
Please contact Ahmad Haynes at 732-623-5931
All your information will be kept confidential according to EEO guidelines.
#J-18808-Ljbffr