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Randstad

Medical Coder

New York, NY, US · On-site · Full-time

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About the role

Excel
Major Health Insurance Company..will provide details after conversation 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. Must have healthcare and CPC Certification E/M Experience (Evaluation & Management) Multi-specialty background 2 years minimum coding experience Please contact Ahmad Haynes at 732-623-5931 All your information will be kept confidential according to EEO guidelines.