Medical Coder Job at Hornet Staffing, Inc, a GEE Group company, Columbia, SC

bXUvb2lSNTR0T2JpazVTT0IwYXp0TGQyZFE9PQ==
  • Hornet Staffing, Inc, a GEE Group company
  • Columbia, SC

Job Description

Job Description

Notes: This is a remote position , but we are currently considering local candidates in Columbia . If you are interested in the role, please share your most updated resume .

Duties

  • Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department.
  • 75% 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. •15% Manages records retrieval, release, HIPAA compliance, and all aspects of document management. •10% Serves as expert resource on methodology and procedures for medical records and coding issues.

Required Training:

  • Registered Records Administrator or Technician, OR, active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR
  • Certified Codi Skills and Abilities: •Develops methodologies •Follows processes •Responds to Inquiries •Writes for Impact

Job Tags

Local area, Remote work,

Similar Jobs

L&T Technology Services

Electrical Engineer Job at L&T Technology Services

 ...Description Summary: The Electrical Engineer will design, develop, test, and...  ...~ Bachelors degree in Electrical or Mechanical Engineering (required). ~8+ years of...  ...or Ph.D. in Engineering is a plus. ~ Internships do not count toward experience.... 

Harlan County Heath System

Director of Clinical Informatics Job at Harlan County Heath System

 ...Job Description Job Description Description: Position Summary : The Clinical Informatics Director supports the effective use of the Electronic Medical Record (EMR) and related clinical systems across the organization. This role collaborates with clinical, operational... 

CBTS

Cyber Security Engineer (W2 Contract only) (Atlanta) Job at CBTS

 ...Typical Day in the Role Implement design reviews to evaluate security controls Identify and communicate opportunities to enhance...  ..., the security aspects thereof. Thorough understanding of information security principles, techniques, principles, policy frameworks... 

Minnesota Staffing

Foreign Pharmacy Grad - International Pharmacy Intern Job at Minnesota Staffing

 ...CVS Health US Non-Accredited Foreign Graduate Program You've invested a lot of time and energy in your education. Now you want the chance...  ...escalating patient problems Offering to counsel, fielding medical questions, and soliciting information on a patient's medical... 

Bilingual Therapies

Special Education Teacher in Wahoo, NE Job at Bilingual Therapies

 ...Job Description Job Description Bachelor's or Master's degree in Special Education, active Special Education Teacher license and minimum 1+ years Special Education Teacher experience required. Applicants who do not meet these qualifications will not be considered....