As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. Duties include but are not limited to:
• Confirm and verify submitted codes for DRG validation.
• Apply national coding standards and regulations to the claims and clinical data.
• Provide subject matter input and support agency-wide projects.
• Other duties as assigned.
This position requires working on-site at the Jericho, NY office.
Qualifications:
• Excellent interpersonal and communication skills, both written and verbal.
• Ability to relate effectively with technical, medical, analytical and administrative personnel.
• Proficiency in EHR applications, office technology, and Microsoft applications including Word, Excel, and PowerPoint.
• Being able to handle sensitive and confidential information.
• Ability to work in a team environment and independently.
Education & Experience:
• Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required.
• Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required
• Bachelor’s degree in healthcare administration or health information management preferred.
• Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing.
• Some experience in utilization reviews preferred.
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $65,000.00 – $70,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget.
The salary range listed does not include other forms of compensation or benefits.
IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.
Skills Required
- RHIA, RHIT, CCS, or CCS-P certification
- Technical knowledge of coding and DRG validation
- CPT and HCPCS experience
- ICD-10 certification
- Minimum two years of experience abstracting and coding outpatient medical records for billing
- Excellent written and verbal interpersonal and communication skills
- Ability to work effectively with technical, medical, analytical, and administrative personnel
- Proficiency in EHR applications, office technology, and Microsoft Word, Excel, and PowerPoint
- Ability to handle sensitive and confidential information
- Ability to work independently and in a team environment
- Bachelor's degree in healthcare administration or health information management
- Experience in utilization reviews
What We Do
IPRO is a non-profit organization that works with government agencies, providers and patients to implement innovative programs that bring policy ideas to life. For more than 40 years we’ve made creative use of clinical expertise, emerging technology, and data solutions to make the healthcare system work better. IPRO holds contracts with federal, state, and local government agencies, as well as private-sector clients, in more than 34 states and the District of Columbia. IPRO is headquartered in Jericho, NY and also has offices in Albany, NY; Hamilton, NJ; and Beachwood, OH. IPRO’s staff of more than 300 professionals includes physicians, registered nurses, mental health professionals, epidemiologists, biostatisticians, data analysts, medical record reviewers, health policy experts, pharmacists, coding professionals, claims analysts, auditors, programmers, systems analysts, web technology experts, and healthcare communications specialists. IPRO also retains a network of more than 300 board-certified physician consultants.
