Company Description
Major Health Insurance Company..will provide details after conversation
Job Description
Accountabilities:
- Review a variety of sources for ICD-9 codes and map them to the equivalent ICD-10 codes.
- Analyze a variety of business documents containing ICD codes and makes recommendations for the correct ICD-10 map that reflects an understanding of Health Plan operations
- Facilitate and actively participate in interactive sessions with the members of the ICD-10 team to define and refine ICD-9 to ICD-10 maps and discuss impacts.
- Contribute to the development of a process and approach to use for conducting the ICD-9 to ICD-10 mapping and code remediation
Skills/Experience Required:
- Certified Clinical / Professional Coder
- Prior experience in an ICD 10 project related to out patient and inpatient. Knowledgeable and prior experience with CMS ICD10 PCS and CM crosswalks
- Extended clinical coding experience
- Experience with ICD-10 CM and PCS
- Health Plan Operations (e.g. Coding, Claims, Medical Management) preferred
- Experience with analysis and mapping from ICD-9 to ICD-10 for health plan
- Experience articulating the use and impact of ICD codes to non-coding professionals
- Conduct analysis of documents for ICD code usage and intent
- Support ICD-10 solution development efforts by providing clinical coding and clinical perspective
- Ability to quickly master new software tools
- Basic word processing skills (e.g. Microsoft Word, Excel, Power Point)
- Consulting experienced preferred
- Review a variety of sources for ICD-9 codes and map to the equivalent ICD-10 codes.
- Analyze a variety of business documents containing ICD codes and makes recommendations for the correct ICD-10 map that reflects an understanding of Health Plan operations
- Facilitate and actively participate in interactive sessions with the client and members of the ICD-10 Solution team to define and refine ICD-9 to ICD-10 maps and discuss impacts.
Qualifications
Must have healthcare and CPC Certification E/M Experience (Evaluation & Management) Multi-specialty background 2 years minimum coding experience Additional Information Please contact Ahmad Haynes at 732-623-5931
All your information will be kept confidential according to EEO guidelines.