Outpatient Coder

Job not on LinkedIn

🔥 55 minutes ago

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $24 - $27 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 0%

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Community Care Cooperative (C3)

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2016

🏥 Healthcare

🤝 Non-profit

🌍 Social Impact

Healthcare • Non-profit • Social Impact

Community Care Cooperative (C3) is a rapidly growing non-profit created by Federally Qualified Health Centers (FQHCs) to strengthen primary care, improve financial performance, and advance racial justice. C3 unites health centers into FQHC-led accountable care networks, providing contracting, data, actuarial, and population-health capabilities to enable participation in value-based payment and care models. It also operates affiliates that deliver technology services (Community Technology Cooperative), pharmacy operations and 340B support (Community Pharmacy Cooperative), and a statewide telehealth consortium to help health centers integrate telehealth into primary and behavioral care.

📋 Description

• Review ambulatory medical records for multi-specialty provider organizations to ensure billed codes are accurately supported by clinical documentation • Interpret medical record data into language payers can interpret to process physician charges • Ensure coding complies with all coding guidelines • Assign appropriate ICD-10 diagnosis codes and CPT/HCPCS procedure codes based on medical documentation, physician notes, and other information • Complete coding in a timely manner to meet billing deadlines • Assist in resolving incomplete or missing documentation to expedite billing • Communicate with healthcare providers to clarify coding questions and concerns • Perform claim edit corrections and denial reviews related to coding errors • Identify coding or documentation trends that may pose a risk to revenue and report them to management • Stay current with coding and documentation guidelines, compliance policies, annual coding updates, payer policies, and industry changes • Perform other duties as assigned • Report to the Director of Revenue Integrity

🎯 Requirements

• High School Diploma or equivalent required • CPC Certification required • 3-5 years CPT/HCPC Outpatient coding experience, preferably in a multi-specialty facility • Knowledge of ICD-CM (current edition), CPT, HCPCS coding systems and CCI edits • Knowledge of third-party payer requirements, federal and state guidelines and regulations on medical coding and billing • Knowledge of current ICD-10-CM and CPT/HCPC Official Guidelines for Coding and Reporting • Knowledge of medical records content and management • Working knowledge of the EMR through experience or education • Medical terminology knowledge • Knowledge of laws and regulations about health information and patient confidentiality • Proficiency in Microsoft Office applications such as Excel, Word and PowerPoint • Ability to learn new software and systems • Must be able to remain in a stationary position 50-75% of the time • Familiarity with the MassHealth ACO program desired • Familiarity with Federally Qualified Health Centers desired • Experience with anti-racism activities and/or lived experience with racism highly preferred • Prior Epic experience highly preferred