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

MFB5bC9QTW9wbFc3bkJUdnJtWGlHRjRqeUE9PQ==
  • 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

Brown Trucking

Class A Owner Operator Truck Driver - Flexible Home Time & Competitive Earnings (Hiring Immediately) Job at Brown Trucking

 ...Brown Trucking driver experience is unique in every way. Our contractors are given the resources to excel on their own termson and off...  ...DUI in commercial or private vehicle within last 7 years ~ Independent Contractors Trucks 2013 or newer required to pass Brown... 

Howmet Aerospace

Aerospace Design Engineer Job at Howmet Aerospace

Aerospace Design Engineer Location Hampton, VA : Howmet Aerospace , headquartered in Pittsburgh, Pennsylvania, is a leading global provider...  ...for this position. This position is subject to the International Traffic in Arms Regulations (ITAR) which requires U.S. person... 

UW Health

Sports Physical Therapy Upper Extremity Fellowship Job at UW Health

 ...and prepare to sit for the American Board of Physical Therapy Sports Certification Specialist (SCS) through didactic work, one-on-one...  ...K-vest, a sprint track and functionally based weight room. The Science Drive Medical Center has a fitness center to allow for movement... 

Ray Catena BMW of Westchester

Automotive DMV/Title Clerk Job at Ray Catena BMW of Westchester

 ...Automotive DMV/Title Clerk Ray Catena Lexus of White Plains in White Plains, NY is currently seeking a person to be a part of our team. This is a full-time position that will support senior staff in a fast-paced environment. The ideal candidate must be eager and able... 

Erie Home

District Event Marketing Manager - Roofing Job at Erie Home

 ...Job Description Position Summary: The District Event Marketing Manager is responsible for recruiting, hiring, training, developing, and managing a team of Event Marketers to build brand awareness and generate sales leads throughout their designated district. In addition...