About this Medical Chart Reviewer role at NeueHealth
WHO WE ARE
NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.
A Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient’s medical records and translating the information into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information, and submitting forms to insurers for reimbursement.
Duties and Responsibilities
The main duty of a Medical Coder is assigning codes to medical procedures and diagnoses. Other duties and responsibilities of a Medical Coder include:
- Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations
- Complying with medical coding guidelines and policies
- Receiving and reviewing patients’ charts and documents for verification and accuracy
- Following up and clarifying any information that is not clear to other staff members
- Collecting information made by the Physician from different sources to prepare monthly reports
- Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results
- Review patient records prior to provider visit to identify chronic conditions that need ongoing documentation
Requirements and Qualifications
- High school degree or equivalent
- Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA license; meet state licensure requirements
- Maintain coding certification and attends in-service training as required
- 1 year of medical coding experience
- Understanding of medical terminology, anatomy, and physiology
- Ability to work independently or as an active member of a team
- Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite
- Accurate and precise attention to detail
- Ability to multitask, prioritize, and manage time efficiently
- Excellent verbal and written communication skills
- Goal-oriented, organized team player
- Additional responsibilities as assigned on a need basis.
