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.