Core Health LLC
51 - 200 employees
🏥 Healthcare
⚕️ Healthcare Insurance
🌍 Social Impact
Healthcare • Healthcare Insurance • Social Impact
Core Health LLC is a Health Services Management company specializing in managing at-risk patients, including the elderly, disabled, and those eligible for Medicaid and Medicare-Medicaid programs. The company collaborates with integrated health systems, Medicare Advantage Plans, and Accountable Care Organizations to enhance patient care in their communities. They also operate Health Alliance Connect, an integrated care program focused on seniors and individuals with disabilities.
Coding Manager – EM
Job not on LinkedIn
🕒 June 30
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Core Health LLC
51 - 200 employees
🏥 Healthcare
⚕️ Healthcare Insurance
🌍 Social Impact
Healthcare • Healthcare Insurance • Social Impact
Core Health LLC is a Health Services Management company specializing in managing at-risk patients, including the elderly, disabled, and those eligible for Medicaid and Medicare-Medicaid programs. The company collaborates with integrated health systems, Medicare Advantage Plans, and Accountable Care Organizations to enhance patient care in their communities. They also operate Health Alliance Connect, an integrated care program focused on seniors and individuals with disabilities.
📋 Description
• Oversee the medical coding department, ensuring accurate and compliant coding practices • Lead, mentor, and manage a team of medical coders • Monitor Emergency Medicine and Hospitalist auditing department • Ensure coding compliance with CMS, AMA, AHA, and payer-specific guidelines • Review coding audits and implement corrective actions • Analyze and streamline coding workflows • Liaise with physicians, clinical staff, billing, and revenue cycle teams • Support accurate clinical documentation improvement (CDI) efforts
🎯 Requirements
• Preferred: RHIA, CDI, CPC, CCS, CCS-P • Bachelor’s degree or equivalent is required • 3-5 years’ experience in Hospital or Physician practice environment desired • Experience with Evaluation & Management coding; hospital medicine background preferred • EHR/EMR (Electronic Health Record/Electronic Medical Record) experience required • Chart Auditing/Optimization experience is a must
🏖️ Benefits
• Equal opportunity employer • Compliance with ADA regulations
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