Coding Specialist

🕒 August 12

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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.

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Innovaccer

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2014

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 $150M Series E on 2021-12

Healthcare • Consulting • Logistics

Innovaccer is a healthcare technology company dedicated to transforming how healthcare information is utilized and accessed. They provide a comprehensive Health Cloud that aims to accelerate digital transformation for providers, payers, and life sciences companies by offering unified healthcare data and analytics. Innovaccer leverages artificial intelligence to automate tasks, process medical data, and generate insights to improve clinical and financial outcomes. Their solutions focus on integrating and optimizing healthcare systems, promoting value-based care, improving patient engagement, and reducing the administrative burden on healthcare providers. Innovaccer's platform supports various healthcare stakeholders through advanced data activation, analytics, and streamlined workflows, striving to improve healthcare delivery and patient care globally.

📋 Description

• Independently review, analyze, and resolve assigned front-end claims before transmission • Identify and correct coding-related issues to support accurate and timely claim submission • Average 10 front-end holds per hour while maintaining at least 90% coding accuracy • Assign ICD-10-CM and CPT codes with appropriate modifiers in the professional fee environment • Review medical records and documentation to determine appropriate service and diagnosis codes • Ensure diagnosis codes meet local and national medical necessity guidelines • Use coding resources, payer guidelines, and reference materials for accurate, compliant coding • Follow HIPAA privacy and confidentiality requirements • Maintain current knowledge of laws, regulations, payer policies, and industry guidance • Participate in department, one-on-one, and mentorship meetings with the Coding Team Lead • Escalate client trends and coding questions to the Coding Team Lead • Maintain and complete CEU requirements • Perform other assigned duties

🎯 Requirements

• Current AAPC or AHIMA certification held for a minimum of 3 years • Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and Medicare reimbursement guidelines • Familiarity with proper English grammar, usage, and professional documentation standards • Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues • Ability to interpret and apply policies, procedures, laws, and regulations • Ability to interpret medical documentation, clinical terminology, and documented procedures • Ability to exercise independent judgment in coding and claim resolution • Excellent written and verbal communication skills • Commitment to confidentiality and safeguarding protected health information • Prior experience in a medical billing environment with strict HIPAA compliance • Proficiency in Microsoft Office Suite: Word, Excel, Outlook, and Teams • Minimum 3+ years of professional coding experience

🏖️ Benefits

• 20 days of fixed paid time off per year, in addition to company holidays • Generous parental leave • Monetary incentives and company-wide recognition • Medical, dental, and vision insurance • 100% company-paid short- and long-term disability insurance • 100% company-paid basic life insurance • Discounted legal aid • Pet insurance