Remote Certified Coders

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra&apos;s nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities:   • Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable. • Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. • Remain current on medical coding guidelines and reimbursement reporting requirements. • Check chart assignments every day and report accurately all hours worked on a weekly basis. • Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations.  • Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. • Comply with HIPAA laws and regulations. • Participate in testing and training as required by the Company. Qualifications:   • Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required • At least one years&apos; experience as a medical coder/abstractor. • Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred); • Ability to code using an ICD-9-CM code book (without using an encoder); • Strong clinical skills related to chronic illness diagnosis, treatment and management; • Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts); • Personal discipline to work remotely without direct supervision; • Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5); • Computer proficiency (including MS Windows, MS Office, and the Internet); • Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better; • Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills; • Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation. 1 year of certified coding experience All your information will be kept confidential according to EEO guidelines.