Fee Abstractor

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🐊 Florida – Remote

🐊 Florida – Remote

💵 $21 - $34 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

✨ Abstractor

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Center for Health Care Strategies

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1998

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

Healthcare Insurance • Non-profit • Social Impact

Center for Health Care Strategies is a U. S. -based organization dedicated to improving the healthcare system to achieve better and more equitable outcomes, particularly for those served by Medicaid. The center focuses on issues like complex health and social needs, mental health, substance use, and aging and disability. It emphasizes cross-sector partnerships, community engagement, and health equity to transform the delivery system and promote value-based payments. The organization also supports leadership and capacity building efforts to drive system reform, including integrating Medicare and Medicaid services and advocating for trauma-informed care and primary care innovation.

📋 Description

• Ability to comprehend medical record documentation to assign codes for each active session, in multiple specialties. (i.e. Codes assigned by provider are evaluated and modified with the __approval__ of the provider) • Codes a minimum of 60-100 sessions per shift. The number of lines per session varies, therefore, “Coding Required” sessions are completed daily. • Works collaboratively in a team setting with providers, allied health staff, business office staff throughout the enterprise to achieve accurately coded 1500 claims. • Analyzes high-risk encounters for accurate charge capture and makes recommendation before transferring to second level review work queues. • Facilitates modifications to clinical documentation to ensure that information captured supports the level of service rendered, with attention towards chronic conditions, hierarchical condition categories (HCC) and risk adjustment factors (RAF). • Understands complexity of billing requirements and incorporates payer specific trends into day-to-day reviews to reduce “take backs” associated with un-clear, nonspecific, or un-substantiated care rendered. • Crossover coding is expected to help in any and all professional sessions (as assigned) using written reliable methods which identifies standard work requirements by session type. • Communicates with providers directly for clarification or gaps in documentation prior to submitting the session to assign the code(s) which fit services rendered. • Maintains production and accuracy objectives (i.e. metrics) identified annually.

🎯 Requirements

• CPC, CCS-P, RHIA, or RHIT required. CRC, CEMC preferred • 3-5 years ICU/Critical Care coding experience • Medical Terminology and Anatomy and Physiology preferred • High School Diploma Required. Associate's preferred