临床质量编码员 II
Clinical Quality Coder II
我们很高兴您对加入Sutter Health感兴趣！
组织：
SHSO-Sutter Health System Office-Valley
职位概述：
此职位使用国际疾病分类编码ICD-10-CM和现行操作程序术语（CPT）、医保优势、ICD-10-CM以及医疗补助和医疗保险公司（CMS）的编码和报告指南，对门诊医疗记录进行审查。执行医疗记录审查以确保准确分配医疗诊断和程序。负责在每次就诊前进行审查，包括医保优势就诊，以确保诊断的准确报告，并提醒医生可能需要审查的潜在临床状况。此职位将支持CMS和HHS风险调整模型的风险调整编码验证。
职位描述：
教育：
· 高中文凭或普通教育文凭（GED）
认证与执照：
· CRC-风险调整编码认证 或 CPC-专业编码认证 或 AHMA 或 AAPC 编码认证（CCS-P, CPC, COC 或 CPC-P）
典型经验：
· 一年近期与 CMS-HCC 和 HHS-HCC 风险调整编码相关的经验，包括儿科和产科/妇科诊断及相关文档要求的审查。
技能与知识：
- 精通 ICD-10 诊断编码惯例和要求，了解质量编码项目要求，如医保优势编码项目/HCC，以及疾病、疾病和伤害过程的医学术语和缩写。
- 熟练使用分组软件和/或编码参考书籍来分配/验证诊断代码。
- 国家正确编码倡议编辑、编码诊所和 CPT 分配编码指南以及医疗记录内容。
- 能够独立工作，也能作为团队的一员，包括在有干扰的环境中完成多项任务。
- 具备书面和口头沟通能力，能够清晰专业地解释敏感信息。
班次：
日班
时间安排：
全职
班时：
8小时
每周工作天数：
周一至周五
周末要求：
无
福利：
有
工会：
无
职位状态：
非豁免
周工时：
40小时
员工状态：
正式员工
Sutter Health 是平等机会雇主 EOE/M/F/残疾人士/退伍军人。
薪资范围为每小时35.04美元至52.56美元。加利福尼亚州、新泽西州、华盛顿州的薪资范围为每小时35.04美元至52.56美元。科罗拉多州、佛罗里达州、佐治亚州、伊利诺伊州
查看英文原文
We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-ValleyPosition Overview:
This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. This position will support risk adjustment code validation for CMS and HHS Risk Adjustment models.Job Description:
EDUCATION:
· HS Diploma or General Education Diploma (GED)
CERTIFICATION & LICENSURE:
· CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification (CCS-P, CPC, COC or CPC-P)
TYPICAL EXPERIENCE:
· One (1) year of recent relevant experience with CMS-HCC and HHS-HCC risk adjustment coding, including review of pediatric and OB/GYN diagnoses and related documentation requirements.
SKILLS AND KNOWLEDGE:
- Advanced knowledge of ICD-10 diagnosis coding conventions and requirements, knowledge of Quality Coding Program requirements such as the Medicare Advantage Coding Program/HCC, as well as medical terminology and abbreviations of disease, illness and injury process.
- Proficient use of grouper software and/or coding reference books to assign/validate diagnosis codes.
- National Correct Coding Initiative edits, Coding Clinic and CPT Assignment coding guidelines and the contents of a medical record.
- Ability to work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
- Demonstrated written and verbal communications skills to explain sensitive information clearly and professionally.
Job Shift:
DaysSchedule:
Full TimeShift Hours:
8Days of the Week:
Monday - FridayWeekend Requirements:
NoneBenefits:
YesUnions:
NoPosition Status:
Non-ExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $35.04 to $52.56 / hour. California, New Jersey, Washington Pay Range is $35.04 to $52.56 / hour. Colorado, Florida, Georgia, Illinois, Michigan, Minnesota, Nevada, North Carolina, Ohio, Oregon, Pennsylvania, Texas, Virginia Pay Range is $31.54 to $47.30 / hour. Arizona, Arkansas, Idaho, Illinois, Louisiana, Michigan, Minnesota, Missouri, Montana, South Carolina, Tennessee, Utah Pay Range is $28.04 to $42.05 / hour.The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
Originally posted on Himalayas