Certified Medical Coder (Remote)

Santiago, Santo Domingo Dominican Republic

At Doral Health & Wellness, we take pride in our commitment to the Brooklyn, New York community by providing integrated interdisciplinary health services in an innovative medical facility dedicated to the health and well-being of our patients.

We are seeking a detail-oriented and experienced Certified Medical Coder to join our dynamic team. The ideal candidate will possess a deep understanding of medical terminology, be proficient in the English language, and have hands-on experience with Electronic Medical Records (EMR). Certification in medical coding is highly preferred.

Responsibilities:

  • Assign ICD-10, CPT, and other codes to medical records.
  • Extract information from Electronic Medical Record (EMR) systems.
  • Review and translate patient records into coded form.
  • Collaborate with the billing team for accurate reimbursements.
  • Audit coding regularly for accuracy and compliance.
  • Maintain records of coding activities.
  • Stay updated on coding standards and regulations.
  • Work with healthcare providers to ensure coding clarity.
  • Adhere to AHIMA standards and ethical coding practices.

Qualifications:

  • Certified Risk Adjustment Coder (CRC)
  • Knowledge of anatomy, pathophysiology, and medical terminology necessary to correctly code diagnoses
  • Expertise in reviewing and assigning accurate medical codes for diagnoses performed by physicians and other qualified healthcare providers in the office setting
  • Sound knowledge of medical coding guidelines and regulations
  • Expert in ICD-10 diagnosis coding
  • Keen understanding of the impact of diagnosis coding on risk adjustment payment models
  • Apply proper diagnosis code assignment under various risk adjustment models including HCC, CDPS, ACA-HHS and private payer models
  • Understand the use of data mining from data captured through risk adjustment coding
  • Understand predictive modeling from data captured through risk adjustment coding
  • Ability to identify and communicate documentation deficiencies to providers to improve documentation for accurate risk adjustment coding
  • Expert knowledge in health information documentation, data integrity, and quality
  • AWV (Annual Wellness Visits) or telehealth experience preferred.

Work Hours: Monday to Friday, 8am to 5pm EST