Role Description
In this position, youโll serve as a key resource for the coding team. Youโll help guide coders by answering questions, offering coaching, and mentoring where needed. Youโll also perform regular audits to make sure coding is accurate and compliant, and provide support with claims processing when issues come up. In addition, this position will work closely with the Coding Supervisor to help keep daily operations running smoothly.
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Review patient records and accurately assign appropriate ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and treatments.
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Collaborate with healthcare providers to clarify information and ensure complete and accurate documentation for coding.
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Maintain up-to-date knowledge of coding standards, medical terminology, relevant regulatory requirements, and internal MVC policies.
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Responsible for reviewing and updating MVC code set with off-cycle and annual ICD10/HCPCS/CPT updates.
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Serve as the subject matter expert for coding team by answering any coding-related questions and providing guidance on complex coding scenarios, ensuring adherence to current coding guidelines and regulations (ICD-10, CPT, HCPCS).
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Assist with new hire training and provide ongoing education and support for coders to help them enhance their coding skills, improve accuracy, and stay current with coding changes.
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Regularly audit the work of coding team members to ensure the accuracy and completeness of assigned codes, verifying proper documentation and compliance with payer requirements, and identify areas of improvement with providing actionable feedback.
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Ensure all coding processes align with regulatory standards, including HIPAA, payer requirements, and company policies.
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Contact payers as needed to resolve coding-related rejections or denials and submit any required corrected claims.
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Perform additional duties and/or projects as assigned by coding leadership to support the MVC coding teamโs operations.
Qualifications
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Advanced knowledge of ICD-10, CPT, and HCPCS coding systems, medical terminology, anatomy and physiology, and healthcare CMS/payer specific documentation requirements.
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Strong attention to detail and accuracy in coding and documentation.
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Demonstrated computer literacy and ability to efficiently navigate Electronic Medical Records (EMR) systems.
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Ability to work independently, unsupervised, and manage time appropriately.
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Excellent verbal and written communication abilities.
Requirements
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Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or equivalent certification required.
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Minimum of four years of medical coding experience (multi-specialty or vascular coding preferred).
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Successfully complete and pass a coding assessment.
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Previous experience with GE Centricity/Athena EMR preferred.
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Availability to travel 5-10% to West Bloomfield, MI.
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At least one year experience working remotely.
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Must be located in one of our operating states: NY, NJ, MI, PA, CT, TX, AZ, IL, GA.
Benefits
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Medical, Dental, and Vision Insurance.
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401(k) with Company Match.
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Paid Time Off (PTO) + Paid Company Holidays.
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Company-Paid Life Insurance.
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Short-Term Disability Insurance.
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Employee Assistance Program (EAP).
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Career Growth & Development Opportunities.