Kindly respond to alice@edgesys.com
Urgent position
Only for GC / Citizens or EAD Card Candidates
Location: NYC
Rate: OPEN
Duration: 6-12 months then Right to Hire
Duration 6-12 months right to hire
Mapping Specialist with ICD-10 ; health exp.
The responsibilities of the ICD-9-10 Code Mapping Specialist will include:
· Managing special coding projects associated with ICD 9 to 10 coding transformation program which spans across all of the business units of the organization.
· Utilizing several tools to create maps from the current ICD 9 codes to new ICD 10 codes to ensure compliance and drive the business to understand the optimal use of codes to reduce risk of over or underpayments.
· Creating and following up on all coding projects related to the ICD 10 remediation program
· Reviewing Medical Policies for coding gaps and alternatives
· Designing ICD-10 Compliant Documentation Standards
· Performing Forward and Backward ICD-10-CM mappings for any given ICD-9 code
· Analyzing clinical accuracy of the code mappings and modify them to accommodate medical policies and benefit plans
· Training other coders and employees of the organization as needed under the ICD 10 Education Program
Required Skills & Experience
Requirements for this position include:
· Medical coding and billing including the ICD-9 and ICD-10 code sets
· GEMs ICD-10 mapping
· Medicaid and Managed Care
· Microsoft office tools, specifically MS Excel, Project, Work, PowerPoint and Visio
· Claims Analysis
· Medicaid Managed Care claims adjudication and reimbursement rules
· ICD Coding experience in a payer setting (preferred)
· HLI Leap I-10 solution (preferred)
AAPC, AHIMA or other coding credentials or certifications (preferred)
Please provide me following details:
Full Name:
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Contact:
Current Location:
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F2F:
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2 References from current projects in the following format.
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Please bear in mind that your references will not be contacted before intimating you
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