Mindlance
General Information
Job Description: Position Purpose:
Codes, abstracts and analyzes inpatient and/or outpatient medical records using the most current International Classification of Diseases, Ninth Revision (ICD-9) for CMS risk adjustment purposes.
Education/Experience: Required A High School or GED Preferred A Bachelor's Degree in a related field Candidate Experience: Required 2+ years of experience in professional coding experience either in a hospital or physician setting Preferred Other Healthcare industry experience Licenses and Certifications: A license in one of the following is required: Required Certified Professional Coder (CPC) Preferred Certified Coding Specialist (CCS)
Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9). Always coding to the highest level of specificity.
Follows the Official ICD-9 guidelines for Coding and Reporting and has a complete understanding of these guidelines.
Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines.
Understands the impact of ICD-9 codes on the CMS HCC risk adjustment model.
Ability to meet productivity and accuracy standards
Ability to defend coding decisions to both internal and external audits.
Performs other duties as assigned. Performs other duties as assigned
Complies with all policies and standards
EEO:
"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."
Centene Job Description Story Behind the Need What is the purpose of this team? Describe the surrounding team (team culture, work environment, etc.) & key projects. Do you have any additional upcoming hiring needs or is this request part of a larger hiring initiative? Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10) for CMS risk adjustment purposes.
Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity. Code in multiple lines of business such as Marketplace (ACA) and Medicare Advantage Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines. Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines. Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. bility to meet productivity and accuracy standards bility to defend coding decisions to both internal and external audits. Performs other duties as assigned. Work environment is positive and engaging.
Typical Day in the Role
Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD). What are the performance expectations/metrics? What makes this role unique? Coders will work daily reviewing medical records abstracting HCCs for members. Coders will also work on additional special projects as needed dependent on business needs. 100% Remote ccuracy: 95% Production: 7-9 HCC's an hour
Candidate Requirements
Education/Certification
Required: CPC or CCS Preferred: CRC
Licensure
Required: Preferred: Years of experience required: 2 years of medical coding experience, risk adjustment knowledge is preferred.
Disqualifiers: Not certified.
dditional qualities to look for: Tech savvy - Knowledge of computer basics. Comfortable utilizing Microsoft 365 (Word, Excel, Teams, Outlook) bility to navigate through the ICD-10-CM codebook. Candidates who are enthusiastic and pay close attention to detail, ability to work under pressure as we pivot between multiple projects dependent on business needs. Top 3 must-have hard skills stack-ranked by importance 1 Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity. 2 Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines. 3 bility to meet productivity and accuracy standards
Candidate Review & Selection
Shortlisting process Candidate review & selection Interview information Onboard process and expectations Projected Manager Candidate Review Date: 1-2 days post shortlisting Type of Interviews: Teams Video Required Testing or Assessment (by Vendor): Medical coding skills test
Next Steps
dditional background check requirements (List DFPS or other specialty checks here) n /
Do you have any upcoming PTO? My calendar is up to date
Colleagues to cc/delegate Lavelle Roberts and Dianna Smith
re there any training requirements (time off, alternate schedule, etc.)? No training is during normal business hours.
Education/Experience: Required A High School or GED Preferred A Bachelor's Degree in a related field Candidate Experience: Required 2+ years of experience in professional coding experience either in a hospital or physician setting Preferred Other Healthcare industry experience Licenses and Certifications: A license in one of the following is required: Required Certified Professional Coder (CPC) Preferred Certified Coding Specialist (CCS)
Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9). Always coding to the highest level of specificity.
Follows the Official ICD-9 guidelines for Coding and Reporting and has a complete understanding of these guidelines.
Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines.
Understands the impact of ICD-9 codes on the CMS HCC risk adjustment model.
Ability to meet productivity and accuracy standards
Ability to defend coding decisions to both internal and external audits.
Performs other duties as assigned. Performs other duties as assigned
Complies with all policies and standards
EEO:
"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."
Centene Job Description Story Behind the Need What is the purpose of this team? Describe the surrounding team (team culture, work environment, etc.) & key projects. Do you have any additional upcoming hiring needs or is this request part of a larger hiring initiative? Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10) for CMS risk adjustment purposes.
Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity. Code in multiple lines of business such as Marketplace (ACA) and Medicare Advantage Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines. Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines. Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. bility to meet productivity and accuracy standards bility to defend coding decisions to both internal and external audits. Performs other duties as assigned. Work environment is positive and engaging.
Typical Day in the Role
Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD). What are the performance expectations/metrics? What makes this role unique? Coders will work daily reviewing medical records abstracting HCCs for members. Coders will also work on additional special projects as needed dependent on business needs. 100% Remote ccuracy: 95% Production: 7-9 HCC's an hour
Candidate Requirements
Education/Certification
Required: CPC or CCS Preferred: CRC
Licensure
Required: Preferred: Years of experience required: 2 years of medical coding experience, risk adjustment knowledge is preferred.
Disqualifiers: Not certified.
dditional qualities to look for: Tech savvy - Knowledge of computer basics. Comfortable utilizing Microsoft 365 (Word, Excel, Teams, Outlook) bility to navigate through the ICD-10-CM codebook. Candidates who are enthusiastic and pay close attention to detail, ability to work under pressure as we pivot between multiple projects dependent on business needs. Top 3 must-have hard skills stack-ranked by importance 1 Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity. 2 Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines. 3 bility to meet productivity and accuracy standards
Candidate Review & Selection
Shortlisting process Candidate review & selection Interview information Onboard process and expectations Projected Manager Candidate Review Date: 1-2 days post shortlisting Type of Interviews: Teams Video Required Testing or Assessment (by Vendor): Medical coding skills test
Next Steps
dditional background check requirements (List DFPS or other specialty checks here) n /
Do you have any upcoming PTO? My calendar is up to date
Colleagues to cc/delegate Lavelle Roberts and Dianna Smith
re there any training requirements (time off, alternate schedule, etc.)? No training is during normal business hours.