- Account for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. This is done in adherence with ICD-10 Official Guidelines for Coding and Reporting, AHA Coding Clinic for ICD.10 CM, and CMS Medicare Part instructions and requirements for diagnostic coding.
- Research and analyze data needs for reimbursement.
- Analyze medical records and identify documentation deficiencies.
- Review and verify documentation supporting diagnoses, procedures, and treatment results.
- Identify diagnostic and procedural information.
- Audit clinical documentation and coded data to validate that documentation supports the services rendered for reimbursement and reporting purposes.
- Assign codes for reimbursement, research and compliance with regulatory requirements utilizing guidelines.
- Follow standard coding conventions. Serve as coding consultant to care providers.
- Identify discrepancies, potential quality of care, and billing issues.
- Research, analyze, recommend, and facilitate plans of action to correct discrepancies and prevent future coding errors.
- Identify reportable elements, complications, and other procedures.
- Perform other related responsibilities as assigned.
- Must have reliable access to high-speed internet to ensure seamless remote work communication and productivity
- High school diploma, GED, or suitable equivalent
- 2+ years of recent outpatient medical coding experience
- 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.
- CMS HCC Risk Adjustment experience, preferred
- Outpatient CDI credential from AAPC or ACDIS, preferred
- Auditing experience preferred
- As a full-time team member, 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, health, dental, and vision insurance.
- As a part-time team member, you will benefit from Honest's total rewards package, including competitive base pay with bonuses, pro-rated paid time off, paid holidays, reimbursement for continuing medical education, 401k with match.
- 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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Coding Specialist - Remote, United States - Honest Medical Group
Description
Who You AreYou are devoted, compassionate, and enjoy being on the front lines in healthcare, changing the lives of your patients. You are 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 health care professionals focused on making a major impact in health care. At Honest, we align every aspect of our company to support patients and providers. We are devoted to purpose and inspired by innovation. We embrace our communities and lead with kindness. We drive health improvements, create a seamless member experience, and eliminate unnecessary cost. We listen to the needs of our patients and our employees—continually working to push beyond the status quo.
For us, it's all in an Honest day's work.
Your Role
As a medical Coding Specialist, 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.10, AHA Coding Clinic for ICD.10 CM, and CMS Medicare Part C instructions and requirements for diagnostic coding.
Primary Functions of the Coding Specialist Include:
How You Qualify
You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.
Honest is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.
Honest is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email for assistance. Reasonable accommodation will be determined on a case-by-case basis.
Honest Medical Group contacts candidates via various platforms, including Honest's recruiting platform and/or email or text message. If working with candidates directly, Honest will contact candidates using an email address. For reference, the recruiting process will always include a live phone call and/or real person interview prior to making a formal offer of employment. Honest will never ask for an individual's confidential personal information or financial account information (i.e., social security number or bank account and/or routing number) prior to a formal offer and will never ask for transfers of money or financial information by email, text, Venmo, or other social media. Further, Honest will never request financial account security information (i.e., PIN number, password, or security access information). We encourage all candidates to be diligent in their job search and to verify the contact information of individuals they are working with. If there are any questions as to whether a communication is coming from Honest, candidates may reach out to