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Major Health Insurance Company..will provide details after conversation
Job Description
Accountabilities: Review a variety of sources for ICD-9 codes and map them to the equivalent ICD-10 codes. Analyze a variety of business documents containing ICD codes and make recommendations for the correct ICD-10 map that reflects an understanding of Health Plan operations. Facilitate and actively participate in interactive sessions with the members of the ICD-10 team to define and refine ICD-9 to ICD-10 maps and discuss impacts. Contribute to the development of a process and approach to use for conducting the ICD-9 to ICD-10 mapping and code remediation. Review a variety of sources for ICD-9 codes and map to the equivalent ICD-10 codes. Analyze a variety of business documents containing ICD codes and make recommendations for the correct ICD-10 map that reflects an understanding of Health Plan operations. Facilitate and actively participate in interactive sessions with the client and members of the ICD-10 Solution team to define and refine ICD-9 to ICD-10 maps and discuss impacts.
Skills/Experience Required: Prior experience in an ICD-10 project related to outpatient and inpatient; knowledgeable and prior experience with CMS ICD-10 PCS and CM crosswalks. Extended clinical coding experience. Experience with ICD-10 CM and PCS.Health Plan Operations (e.g. Coding, Claims, Medical Management) preferred. Experience with analysis and mapping from ICD-9 to ICD-10 for health plan. Experience articulating the use and impact of ICD codes to non-coding professionals. Conduct analysis of documents for ICD code usage and intent. Support ICD-10 solution development efforts by providing clinical coding and clinical perspective. Ability to quickly master new software tools. Basic word processing skills (e.g. Microsoft Word, Excel, PowerPoint).Review a variety of sources for ICD-9 codes and map to the equivalent ICD-10 codes. Analyze a variety of business documents containing ICD codes and make recommendations for the correct ICD-10 map that reflects an understanding of Health Plan operations. Facilitate and actively participate in interactive sessions with the client and members of the ICD-10 Solution team to define and refine ICD-9 to ICD-10 maps and discuss impacts.
Qualifications: Must have healthcare and CPC Certification. E/M Experience (Evaluation & Management).Multi-specialty background.2 years minimum coding experience.
Additional Information: Please contact Ahmad Haynes at 732-623-5931 All your information will be kept confidential according to EEO guidelines.

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