Navigant Consulting Inc Pro Fee Medical Coder- ED- Navigant- Remote Location in JEFFERSON CITY, Missouri
Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.
Navigant Business Process Management unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.
The Remote ProFee Medical Coder- Emergency Department will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines.
Good working knowledge of Anatomy and Physiology as well as Medical Terminology.
Advanced knowledge of CMS/MAC guidance, Coding Skills, ICD-10-CM and CPT.
Ability to analyze Provider documentation and assign codes accurately.
Excellent verbal and written Communication Skills.
Strong knowledge and application of Government and other payer guidelines as they relate to compliant coding.
High level of Accuracy and Productivity. Meets or exceeds standards consistently.
Ability to work independently.
HIPAA compliant work stations.
Strong working knowledge of Protected Health Information.
Maintains professional credentials at all times.
Knowledge of Microsoft Word and Excel.
Must hold one of the following credentials: CPC, COC, CCS-P.
Minimum 3 years previous emergency department medical coding experience required.
3-5 years ICD-10 and CPT coding experience.
Experience working Physician Coding Related Denials.
Abide by all client policies and procedures.
Abide by all Navigant policies and procedures.
Must have experience working in systems such as EPIC, Cerner, Next Gen, Allscripts or other EHR.
Personal responsibility, respect for self and others, innovation through teamwork, dedication to caring and excellence in customer service.
Strong conceptual, as well as quantitative and qualitative analytical skills
Work as a member of a team as well as be a self-motivator with ability to work independently
Constantly operates a computer and other office equipment to coordinate work
Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data
Generally works in an office environment
Navigant is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information or any other basis protected by law, ordinance, or regulation.
Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.