Local Healthcare Career Opportunities
Medical Coder, RHIT |
Job Posted: 06/23/2010 |
| Type of job: | Full-Time | |
| Category: | Other |
| Description:: | Performs DRG Validation submitted by hospitals/facilities for all regions, which have contractual agreements with the insurance company for case rate/ DRG payment methodology. Utilizes ICD-9-CM Coding Guidelines to determine correct order of coding and validate sequencing of coding using the HSS DRG Grouper. Discuss complex cases with the UM Supervisor, Manager and Medical Directors. Assists with the coordination of the monthly UM DRG retrospective reports. Knows and interprets company contracts, policies and procedures, InterQual Criteria and coding conventions. Researches, coordinates, and completes special projects for the UM Supervisor. Recommends revisions in the UM process to ensure the maximum level of automation, efficient time utilization and data quality. Completes other duties regarding UM/Health Services functions as assigned by the UM Supervisor or Manager. |
| Education: |
BS in health management or administration is preferred. RHIT, CCS, CPC CPC-H preferred. |
| Special Skills: |
3+ years strong clinical background with a minimum of 1 year UM experience preferred. Proven success with interacting with providers on delicate matters of medical necessity and service appropriateness.
Demonstrated problem-solving skills with excellent verbal and written communication abilities. Familiarity with Diagnoses and Procedural Coding Practices required.
Independent thought process; oriented toward probing/case coordination. Strong PC skills.
Able to manage multiple tasks in a fast-paced environment. Excellent verbal and written communication skills. |
| Contact E-mail: |
medjobs@medscribe.com |
| Contact Phone: |
585-586-0790 |
http://www.medscribe.com
Submitted by: Bobbie Kavanaugh-Reif, BSN,, Med-Scribe, Inc
Med-Scribe, Inc. recruits for healthcare exclusively. We began with medical office placements in 1987. Today we work with an extensive roster of clients throughout the industry for direct hire and temporary staffing. We recruit nursing and medical clinical and administrative professionals who hold to the highest standards of professionalism and integrity. RN's, LPN's, Nurse Practitioners, Physician Assistants, Physical Therapists, Occupational Therapists, Social Workers, Medical Office Secretaries, receptionists, medical billers and medical records positions are among our frequent placements. More recently, we have recruited legal professionals who work in the medical arena. We conduct search campaigns for major clients in the beautiful Finger Lakes area of NY and we are located in Rochester, NY.
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