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Coding Compliance Specialist Job in Houston, Texas

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Job Title: Coding Compliance Specialist

Specialties:primary care, chronic care, value based care
Required Certifications:CCS or CPC or CRC
Required Experience:1 to 2 years
Preferred Experience:3 to 4 years
Location: Houston 77024, TX, US
Date Posted:3/12/2019

After decades of high quality primary care delivered in Houston, in 2013 Village Family Practice (VFP) partnered with VillageMD, a new value-based primary care organization. Together, we are committed to helping patients achieve even greater health by delivering the most effective, accessible, and efficient healthcare in the world. By working with patients, clinicians, payers, and other healthcare delivery companies, we’re focused on optimizing relationships, capturing data across the healthcare continuum, and surfacing insights within clinical, administrative and financial workflows so physicians and operators can make the best decisions possible. Called VillageMD Houston (VMDH), the organization provides the tools, technology, operations and teams needed to drive the highest quality clinical results across a population.


Our Revenue Cycle team is central to our model of care and works hand in hand with primary care providers to train and develop programs related to correct coding. As a Coding Compliance Specialist at our organization, you will be a key partner in providing coding and billing compliance support to Village Family Practice and our independent physician partners. You will collaborate extensively with our Coding and Revenue Integrity Analyst with a focus on data analysis and statistical reporting. You’ll be visiting clinics and supporting the training of clinical staff on coding, while also analyzing and reviewing trends related to coding to better identify training needs. The role will have exposure to the 120+ providers in our network and will be highly impactful to the success of our organization.


What you might do in your first year:


·        Perform specialized audits of patient medical records to ensure compliance with organization’s coding procedures and standards and provide feedback to analyst/educator and management

·        Review insurance payments and denials to establish coding trends and provide feedback to coding educator and management

·        Compile coding data and analysis and provide comprehensive statistical reports to coding analyst/educator

·        Ensure compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines

·        Special review projects as requested by the Finance team


What are some examples of initiatives you will be driving as the Coding Compliance Specialist at VillageMD Houston?


       Research current trends in healthcare coding and compliance and update stakeholders on regulations and events that impact physician coding and billing

       Provide coding and billing assistance that includes reporting and data analysis in support of education initiatives with clinical and administrative staff of physician practices

       Assist with maintenance of CPT and ICD-10 files in practice management system

       Perform specialized audits of patient medical records and provide feedback to physicians and management

       Compile coding data and analysis and provide comprehensive statistical reports to stakeholders


What will make you successful here?


       Maintaining appropriate level of knowledge of revenue cycle process as well as the practice management software by continuous vendor training and third-party education (e.g. payers, seminars, etc.).

       Participating in professional development activities and maintaining professional affiliations within area of expertise

       Knowledge of and compliant with Village Family Practice’s values of compassion, dignity, excellence, integrity and teamwork


The following experience is relevant to us:


·        Professional Coding Certification such as CCS, CPC or CRC, required

·        Minimum 2-3 years of coding experience

·        Specific knowledge of family practice coding strongly preferred

·        Proficiency with Microsoft Office, and extensive experience using Excel for data analysis and reporting.

·        Experience working with Athena and broad exposure to multiple EMRs

·        Strong attention to detail and analytical skills

·        Ability to work independently and as a team member with minimal direct supervision


At VillageMD, we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


Kristen Brinks | Senior Analyst, Talent Acquisition | VillageMD
Email: kbrinks@villagemd.com

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