CLINICAL CODER ANALYST

Harmony Health Care Long Island•Garden City, NY

6h•Hybrid

About The Position

OUR VISION To continue as an eminent healthcare provider on Long Island, dedicating ourselves to providing exceptional health care for all our patients and to transform both the lives of the individual, and the community, for the better, one person at a time. OUR MISSION To provide access to equitable, optimal healthcare by improving the overall wellness of all individuals in our communities and delivering high quality comprehensive patient centered care. OUR VALUE PROPOSITION To provide whole person care that will ensure that all patients have access to primary, specialty and social health care to achieve and maintain optimal wellness at a transparent and affordable cost. The Harmony Healthcare Long Island is a non-profit healthcare organization with 7 health centers, providing primary care and preventative medicine in the following locations in Nassau County: Roosevelt, Elmont, Hempstead, Freeport, Oceanside, and New Cassel/Westbury. In addition, the Harmony Healthcare Long Island has 4 school-based health centers, WIC offices (Special Supplemental Nutrition Program for Women, Infants, and Children) in 3 locations, and a Health Home Care Coordination program. As federally qualified health centers, we serve the individuals in our communities, providing enhanced services, expanded hours and reduced prescription pricing, while raising the level of care. We treat patients regardless of income, residency or immigration status. The Harmony Healthcare Long Island offers a stable employment opportunity with a growing company, and competitive base compensation along with health and dental insurance, paid time off, 401-K with company match, paid holidays, employee discounts and much more. The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of this position.

Requirements

2 years’ experience in medical coding and data entry in outpatient setting
2 years of experience, or expertise, in evaluation and management coding is required
Certified Professional Coder (CPC)
High School Diploma or equivalent.
Must have a thorough knowledge of CPT/HCPCs and ICD-10 coding and medical terminology
Experience with electronic medical record systems
Strong communication and interpersonal skills
Strong knowledge of Microsoft Office Suite (notably excel).
Ability to drive or reliable means of transportation.
This is a hybrid position. To be considered for this role, you must reside in the NYC or Long Island area.

Nice To Haves

AAPC Certified Risk Adjustment Coder (CRC)
Certified Professional Medical Auditor (CPMA) desirable
Experience in FQHC Setting, Preferred
Experience with eCW, Preferred
Experience in Quality improvement or Population Health Programs

Responsibilities

Develops and provides support and education related to diagnosis and procedure coding and documentation, including training sessions for staff (including providers).
Retrieves electronic medical records from eClinicalWorks (eCW) to verify and ensure accuracy, completeness, specificity, and appropriateness of diagnoses and CPT codes.
Review and adjust denied claims with coding issues for resubmission.
Work with payers and other external parties to resolve coding issues.
Collaborates with various departments and team members to develop workflows and other tools to support HHLI performance and culture of continuous quality improvement.
As related to clinical coding, develops, generates, and presents data to maximize coding and documentation efforts
Develops reporting and analyses to support strategic and contractual requirements. ?
Analyzes and collates HHLI and payer data related to risk score, modifiers, diagnostic, and procedure coding, identifying potential discrepancies and areas for improvement.
Support efforts to maximize risk adjustment, reimbursement, and quality incentive payments through quality coding.
Researches and prepares for any changes and/or additions to coding/risk adjustment efficacy.
Knowledge of all aspects of New York State Medicaid and CMS guidelines for clinical coding in a federally qualified health center (FQHC ) setting.
Immediately report any problems or unusual occurrences to the supervisor.
Other special projects/assignments as needed.