Coding Analyst
编码分析师负责与风险调整和 HCC 编码相关的详细诊断编码。这影响收入和 CMS 遵守技术详细的编码应用程序协调，影响运营，方案和信息系统以及合同提供商。编码分析员将对 ICD-9,ICD-10和其他类型的编码全面了解健康计划，合同设施和供应商。包括识别和研究诊断提供商编码问题；医疗记录审查，文档标准以及鉴定和提供服务器编码错误的教育。编码分析师将在制定与风险调整有关的卫生计划付款规则方面担任咨询职位。主要挑战：- 保持对编码规则和应用程序的供应商的信誉。- 将编码应用程序集成到健康计划不断变化的环境中。- 有效地管理多项优先事项。- 与所有计划部门以及人员层次，提供者，服务器办公室工作人员，医院工作人员进行有效合作和沟通。- 在一年内分配工作负担。- 协调工作负载以满足多个和不同的截止日期。- 保持不断变化的编码规则和法规，认证机构等情况以及这些变化影响健康计划运营的时间。普罗维登护理人员不仅是受重视他们值得一无所比。加入医生管理小组我们的团队并发展出我们以患者为中心的全人保健文化，建立在理解，承诺和相互尊重之上。你的声音在这里重要，因为我们知道为了激励和保留最好的员工，我们必须赋予他们权力。要求资格：·课程/培训：医学编码经验获得认可方案。或可以考虑在卫生保健环境中编码。· 3 年在医疗保健提供者组织或健康保险公司中经验作为认证编码人员。优先资格：· 本科学位。或同等教育/经验 · 1 年的 HCC 编程经验。为什么加入普罗维登斯？我们最好的福利专为支持你和你的家庭保持良好，职业发展和获得财务安全。我们照顾你，以便你能够集中精力履行我们的使命，以照顾所有人，特别是我们合作伙伴中最脆弱的人。
查看英文原文
The Coding Analyst is responsible for detailed diagnostic coding associated with Risk Adjustment and HCC coding. This impacts revenue and CMS compliance with the coordination of technically detailed coding applications that impacts operations, programmatic and information systems, as well as contracted providers. Coding analyst will have a comprehensive understanding of ICD-9, ICD-10 and other types of coding to Health Plan, contracted facilities, and providers. This includes the identification and researching of provider diagnostic coding issues; medical record review, documentation standards and identifying and offering education in relation to provider coding errors. Coding analyst will be in an advisory role in development of Health Plan Payment Rules related to risk adjustment.
MAJOR CHALLENGES:
- Maintaining credibility with Providers for coding rules and applications.
- Integrating coding applications into the changing environment of the Health Plans.
- Managing multiple priorities efficiently and effectively.
- Working and communicating effectively with all Plan departments and levels of personnel, providers, provider office staffs, hospital staff.
- Distributing the work load over the course of the year.
- Coordinating workload to meet multiple and varying deadlines.
- Staying current with frequently changing coding rules and regulations, accrediting bodies, et al and determining when these changes impact Health Plan operations.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Physician Management Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them.
Required qualifications:
- Coursework/Training: Accredited program for medical coding. Or Experience in coding in a Healthcare setting may be considered.
- 3 years Experience as a certified coder within a healthcare provider organization or health insurance company.
Preferred qualifications:
- Bachelor's Degree. Or equivalent educ/experience
- 1 year Experience in HCC Coding.
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Originally posted on Himalayas