Talent is our most important resource. Our teams are innovative, focused, and hard working. We ask our employees to challenge themselves, and they consistently rise to the occasion in an ever-changing industry.With a strong history in our community, our employees are proud to work here. We work as a team to help our members and community live healthier lives.We want to empower our employees with resources to achieve a healthy work-life balance.
Job Description
Duties Note: The following is not intended to be an exhaustive list of all duties required of this position.
ADA
E1. Verifies accuracy, completeness, and appropriateness of diagnosis codes based on acceptable provider documentation in medical records and in accordance with coding guidelines.
E2. Ensures compliance with all applicable Federal, State, and/or County laws and regulations related to coding and documentation guidelines for risk adjustment.
E3. Achieves and maintains coding productivity, quality accuracy and quality completeness metrics set by the management team. Metrics could vary based upon project.
E4. Identifies and documents coding observations and provides feedback to management team to further enhance quality and/or provider education.
E5. May assist in medical record retrieval efforts and/or perform medical record reviews onsite at provider offices.
E6. Maintains currency in all coding and reimbursement methods and attends professional seminars or workshops as required by the AHIMA and/or AAPC to maintain professional certification.
Education/Experience/Skills Requirements
Required Education:
Associates Degree: Health Information Technology, or other health related fields
Required Experience:
Health Information Technology or health care related field. Certified Coding Specialist (CCS, CPC, CRC, CCS-P) through AAPC or Registered Health Info Tech/Admin (RHIT or RHIA) through AHIMA Risk Adjustment / Hierarchical Condition Category (HCC) coding experience preferred.
Required Knowledge/Skills:
1. Certified in ICD-10 required; experience with CMS and HHS data and risk adjustment processes preferred.
2. Proficient in Microsoft Outlook, Word, and Excel.
3. Proficient in Electronic Medical Record (EMR) systems.
4. Demonstration of company core values of Teamwork, Integrity, Personal Responsibility, Passion, Excellence, and Respect
5. Strong technical skills
6. Strong verbal and written communication skills
7. Ability to objectively analyze facts and form judgements
8. Well organized, paying close attention to detail
9. Ability to work independently or in a team environment
10. Ability to handle multiple priorities in a timely manner
11. Ability to work in a fast-paced, collaborative environment with minimal supervision.
12. Ability to handle sensitive and proprietary information in a highly confidential manner
Required Licenses/Certifications:
Certified Coding Specialist (CCS, CPC, CCS-P) or Registered Health Info Tech/Admin (RHIT or RHIA)
Problem Solving
Managerial/Supervisory Responsibilities
Does this Position have Supervisory Responsibility? No
Number of Emps Supervised:
Titles of Employees Supervised:
Financial/Budgetary Responsibilities:
Other Job Specifications:
External Contacts:
Working Conditions/Physical Demands:
Position requires:
* Travel among Provider offices, as required
* Must be able to accommodate regional travel. (DMV check will be conducted to review candidate's driving record)
* Must be able to accommodate local travel. Valid drivers license and acceptable driving history required due to travel involved with this position (DMV check will be conducted to review candidate's driving record)
Position involves:
* Manual Dexterity Req: Eye-hand coordination and manual dexterity sufficient to effectively use a computer with all its components for prolonged periods of time and for the majority of required tasks
* Manual Dexterity Req: Eye-hand coordination and manual dexterity sufficient to effectively utilize various office equipment (phone, computer, fax machine, printer, copier, filing cabinet, etc)
* Mental effort: Adequate to perform essential functions of the job with the type of judgements and responsibilities as indicated in the job description.
* Heat, light, air, space and working environment typically found in an office environment
* Sitting - 67% to 100% Continuous
* Carrying
* Weight: lift/carry/push/pull under 10 lbs.
Work Schedule
M-F, 8:00am - 4:30pmAll qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
*If you are a current employee, please use the company's intranet to express your interest in advancing your career.
BlueCross BlueShield of Western New York
Buffalo New York
United States
Customer Service / Call Center
(No Timezone Provided)
Talent is our most important resource. Our teams are innovative, focused, and hard working. We ask our employees to challenge themselves, and they consistently rise to the occasion in an ever-changing industry.With a strong history in our community, our employees are proud to work here. We work as a team to help our members and community live healthier lives.We want to empower our employees with resources to achieve a healthy work-life balance.
Job Description
Duties Note: The following is not intended to be an exhaustive list of all duties required of this position.
ADA
E1. Verifies accuracy, completeness, and appropriateness of diagnosis codes based on acceptable provider documentation in medical records and in accordance with coding guidelines.
E2. Ensures compliance with all applicable Federal, State, and/or County laws and regulations related to coding and documentation guidelines for risk adjustment.
E3. Achieves and maintains coding productivity, quality accuracy and quality completeness metrics set by the management team. Metrics could vary based upon project.
E4. Identifies and documents coding observations and provides feedback to management team to further enhance quality and/or provider education.
E5. May assist in medical record retrieval efforts and/or perform medical record reviews onsite at provider offices.
E6. Maintains currency in all coding and reimbursement methods and attends professional seminars or workshops as required by the AHIMA and/or AAPC to maintain professional certification.
Education/Experience/Skills Requirements
Required Education:
Associates Degree: Health Information Technology, or other health related fields
Required Experience:
Health Information Technology or health care related field. Certified Coding Specialist (CCS, CPC, CRC, CCS-P) through AAPC or Registered Health Info Tech/Admin (RHIT or RHIA) through AHIMA Risk Adjustment / Hierarchical Condition Category (HCC) coding experience preferred.
Required Knowledge/Skills:
1. Certified in ICD-10 required; experience with CMS and HHS data and risk adjustment processes preferred.
2. Proficient in Microsoft Outlook, Word, and Excel.
3. Proficient in Electronic Medical Record (EMR) systems.
4. Demonstration of company core values of Teamwork, Integrity, Personal Responsibility, Passion, Excellence, and Respect
5. Strong technical skills
6. Strong verbal and written communication skills
7. Ability to objectively analyze facts and form judgements
8. Well organized, paying close attention to detail
9. Ability to work independently or in a team environment
10. Ability to handle multiple priorities in a timely manner
11. Ability to work in a fast-paced, collaborative environment with minimal supervision.
12. Ability to handle sensitive and proprietary information in a highly confidential manner
Required Licenses/Certifications:
Certified Coding Specialist (CCS, CPC, CCS-P) or Registered Health Info Tech/Admin (RHIT or RHIA)
Problem Solving
Managerial/Supervisory Responsibilities
Does this Position have Supervisory Responsibility? No
Number of Emps Supervised:
Titles of Employees Supervised:
Financial/Budgetary Responsibilities:
Other Job Specifications:
External Contacts:
Working Conditions/Physical Demands:
Position requires:
* Travel among Provider offices, as required
* Must be able to accommodate regional travel. (DMV check will be conducted to review candidate's driving record)
* Must be able to accommodate local travel. Valid drivers license and acceptable driving history required due to travel involved with this position (DMV check will be conducted to review candidate's driving record)
Position involves:
* Manual Dexterity Req: Eye-hand coordination and manual dexterity sufficient to effectively use a computer with all its components for prolonged periods of time and for the majority of required tasks
* Manual Dexterity Req: Eye-hand coordination and manual dexterity sufficient to effectively utilize various office equipment (phone, computer, fax machine, printer, copier, filing cabinet, etc)
* Mental effort: Adequate to perform essential functions of the job with the type of judgements and responsibilities as indicated in the job description.
* Heat, light, air, space and working environment typically found in an office environment
* Sitting - 67% to 100% Continuous
* Carrying
* Weight: lift/carry/push/pull under 10 lbs.
Work Schedule
M-F, 8:00am - 4:30pmAll qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
*If you are a current employee, please use the company's intranet to express your interest in advancing your career.