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HEDIS: Medical Record Coder

Duties: Role SummaryThe HEDIS Medical Records Coder - Clinical Measurement and Improvement (CMI) reviews clinical information from medical records and accurately assigns applicable diagnosis codes [i.e. ICD-10] and procedure codes [i.e. CPT] to assigned customer records. All HEDIS Coding activities are to be performed in accordance with NCQA, HEDIS/QRS specifications, as well as organizational policies and procedures.Major Duties

* Review customer medical records for defined HEDIS measures determined by the organization

* Accurately abstracts and codes diagnoses from documentation information

* Accurately abstracts and codes procedures from documentation information

* Accurately assigns and enters diagnoses and/or procedures into appropriate organizational systems/tools

Skills: * Knowledgeable and at least one (1) year of successful experience in ICD-10 and CPT coding* Prior medical billing experience in a physician's office* Prior medical record auditing experience of E/M, CPT and ICD-10 codes* Certified Medical Coder with an active certification and/or credentials from AAPC and/or AHIMA* [Note: Significant, proven Cigna experience in Coding/HEDIS Coding will be considered in lieu of Certified Medical Coder credential]* Demonstrated proficiency in Microsoft Office applications [i.e. Word, Excel]* Managed care and/or other healthcare service delivery experience preferred* Self-starter* Excellent time management, project management, organizational, listening, analytical, communication, and interpersonal skills* Ability to work in a fast paced and virtual environment

HEDIS: Medical Record Coder

Hooksett, NH
Early Career (2+ yrs experience)

Published on 02/08/2019