Coding and Documentation Specialist

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.