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Coding Specialist Job in Nashville, Tennessee

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Job Title: Coding Specialist

Employer:Honest Medical Group
Type:FULL TIME
Job Location:Remote
Skills:Coding,Medicare Risk Adjustment,Provider Education,Auditing
Specialties:Risk Adjustment
Required Certifications:CPC
Preferred Certifications:CRC,CDEO
Required Experience:1 to 2 years
Preferred Experience:3 to 4 years
Location: Nashville 37228, TN, US
* Note: This listing is for a remote position
Date Posted:3/22/2022

Who You Are

You are devoted, compassionate, and enjoy being on the front lines in healthcare, changing the lives of your patients. Your passionate about getting to the root cause of a patient’s conditions, removing social determinants of healthcare, and ensuring the highest possible quality of life for those in your care. You don’t want to sacrifice quality over quantity, and you aim to provide the same level of care and commitment to your patients that you would to your own family member. Does this sound like you? If so, we should talk.

Who We Are

We are Honest Medical Group, a groundbreaking team of healthcare professionals focused on making a major impact in healthcare. At Honest we align every aspect of our health plans to support patients seeing our providers; we drive health improvements, create a seamless member experience, and eliminate duplicative costs. We listen to the needs of our patients and our employees, continually working to push beyond the status quo in which the care system manages patients today. For us, it’s all in an Honest day’s work.

Your Role

As a Medical Coder you will partner with physician offices within our established partnerships to assist them in the accurate coding of patient medical records. You serve as a subject matter expert in ICD.9 and ICD.10, AHA Coding Clinic for ICD.9 CM and ICD.10 CM and CMS Medicare Part C instructions and requirements for diagnostic coding.

Essential Responsibilities:

  • Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. This is done in adherence with ICD.9 and ICD.10 Official Guidelines for Coding and Reporting, AHA Coding Clinic for ICD.9 CM and ICD.10 CM, and CMS Medicare Part instructions and requirements for diagnostic coding.
  • Researches and analyzes data needs for reimbursement.
  • Analyzes medical records and identifies documentation deficiencies.
  • Reviews and verifies documentation supports diagnoses, procedures, and treatment results.
  • Identifies diagnostic and procedural information.
  • Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
  • Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
  • Follows coding conventions. Serves as coding consultant to care providers.
  • Identifies discrepancies, potential quality of care, and billing issues.
  • Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
  • Ability to communicate and provide education to providers.
  • Identifies reportable elements, complications, and other procedures.

Basic Qualifications:

  • High school diploma, GED, or suitable equivalent.
  • 2+ years recent outpatient medical coding experience
  • ICD.10 certification
  • Must possess one of the following coding credentials: CPC, CCS, CCS-P, RHIT, or RHIA
  • Proficient computer skills.
  • Excellent communication skills, both verbal and written.
  • Strong people skills and ability to build supportive relationships with providers.
  • Outstanding organizational skills and an ability to operate efficiently and independently.

Preferred:

  • CMS HCC Risk Adjustment experience
  • Outpatient CDI credential from AAPC or ACDIS
  • Auditing experience

How You are Supported

  • You will benefit from Honest’s exceptional total rewards package, including competitive base pay with bonuses, paid time off starting at 4 weeks for full time employees, 12 paid holidays per year, reimbursement for continuing medical education, 401k with match (coming soon), health, dental, and vision insurance.
  • Family friendly policies that support paid parental leave and flexible work arrangements
  • As a team member you’ll be supported by our robust commitment to training and development that starts with onboarding and continues throughout your career with Honest
  • You will collaborate with like-minded healthcare professionals who, like you, understand the importance and value of Honest’s high-quality, value-based, care model



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