Coding and Documentation Specialist - Population Health

Coding and Documentation Specialist - Population Health

At Princeton Medical Group, P.A. our mission has always been to deliver excellent medical care with compassion. We are a private medical practice with over 30 providers and 8 medical specialties. We are searching for dedicated and motivated employees to join our dynamic and growing team!

We are currently looking to hire a Full Time Coding and Documentation Specialist to work in our Quality Assurance Department

Coding and Documentation Specialist - Population Health Responsibilities:

• Review and analyze medical records to ensure accurate coding based on clinician documentation
• Assign appropriate ICD-10 and other relevant codes to medical procedures and diagnoses based on clinician documentation
• Complying with medical coding guidelines and policies: Commercial, Medicare, Medicare Advantage
• Prioritization of HCC coding inclusion and attention to HCC/ risk adjustment coding models based on clinician documentation
• Reviewing patients' charts and documents for verification and accuracy
• Maintain confidentiality of patient information and adhere to HIPAA regulations
• Collaborate with healthcare providers and other staff members to ensure accuracy of coding
• Following up and clarifying any information that is not clear to other staff members
• Collaborate with manager in the development and improvement of work flow processes
• Participate in completion of special projects as assigned by management
• Collecting information made by the Physician to prepare reports as needed
• Quarterly reports and presentations to management
• Generate Excel spreadsheets for special projects as assigned
• Implementing procedures and choosing strategies and evaluation methods that provide correct results
• Stay updated on changes in medical coding guidelines and regulations
• Perform other duties as required

Coding and Documentation Specialist - Population Health Requirements:

• Medical Coding Certification from AAPC or AHIMA (CPC)
• ICD-10-CM and HCPCS: 1 year (Required)
• CPT, Category II, and/or E/M Coding: 1 year (Required)
• EMR systems: 1 year (Required)
• Associate degree or higher
• A minimum of three years of experience as a certified medical coder
• A minimum of one year of HEDIS knowledge/experience
• Familiarity with MSSP, Value Based Care &/or Accountable Care Organizations

Schedule:

• Monday to Friday 8:30 AM - 5:00 PM, flexibility is necessary as this schedule is subject to change.
• Overtime as required

Job Locations:

• Princeton, NJ

• Possibility of occasional travel to other offices in Monroe or Plainsboro NJ.

Benefits:

• Personal medical and dental insurance
• 401k and profit-sharing plan
• Life insurance
• 2 weeks' vacation time
• 40 hours of paid sick leave
• Employee Assistance Program

Pre-employment drug screen is required

Pre-employment professional reference check is required

PMG is an equal employment opportunities ( EEO ) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.