Coding Compliance Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🚔 Compliance

👻 Ghost score 14%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Core Health LLC

WebsiteLinkedInAll Job Openings

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

• Extract clinical information from electronic medical record systems • Analyze medical documentation and ensure proper CPT billing selection using CMS coding guidelines • Review medical records for inconsistent documentation practices and offer remediation solutions • Provide ongoing outreach and education to new and existing coders on Emergency Medicine and Hospital Medicine coding and documentation requirements • Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services • Validate code accuracy and adherence to coding guidelines and regulations • Maintain current knowledge of coding standards, regulations, and payer policies • Meet quality and productivity goals set by the Coding Manager • Ensure compliance with federal, state, and payer-specific coding requirements • Review coding discrepancies and provide feedback to the coding leadership team • Conduct audits of coded records • Recommend coding improvements and best practices • Review new business medical records for documentation opportunities and templating education • Use coding software and EHR systems • Stay informed about coding system and software updates • Serve as an expert resource for coding and documentation requirements • Perform other related duties as assigned

🎯 Requirements

• Bachelor’s degree or equivalent is required • Preferred: RHIA, CDI, CPC, CCS, CCS-P • 1-2 years’ experience in Hospital or Physician practice environment desired • Experience with Evaluation & Management coding • Emergency medicine/hospital medicine background preferred • EHR/EMR (Electronic Health Record/Electronic Medical Record) experience required • Chart Auditing/Optimization experience preferred • Reliable access to internet • Knowledge and understanding of medical coding and billing systems and regulatory requirements • Knowledge of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation • Strong analytical skills • Excellent communication and interpersonal skills • Ability to work independently and solve problems • Ability to learn proprietary software applications • Ability to collaborate with internal and external professionals across geographic locations • Ability to manage competing priorities and work in a fast-paced environment

🏖️ Benefits

• Fully remote work arrangement • Travel for in-person meetings and events • Equal opportunity employer • ADA-compliant employment practices