Medical Coder

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 makes 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

Skills/Experience Required:

• Certified Clinical / Professional Coder

• Prior experience in an ICD 10 project related to out patient and inpatient. Knowledgeable and prior experience with CMS ICD10 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, Power Point)

• Consulting experienced preferred

• 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 makes 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.