Certified Professional Coder, DME

Job not on LinkedIn

🔥 4 minutes ago

🇺🇸 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 25%

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Verse

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

📦 Logistics

💼 Consulting

Healthcare • Logistics • Consulting

Verse is a company that provides in-home healthcare services for the 21st century, utilizing software that enables high-quality and reliable care at home. The company offers an easy-to-use software platform for clinics, allowing them to track all care referrals and orders efficiently. With coverage in all 50 states, Verse acts as an extension of clinics, saving nurses time and resources. They accept all insurances and focus on delivering a reliable patient experience. Their platform aims to streamline communication and logistics, eliminating the need for traditional methods such as fax and phone.

📋 Description

• Serve as the coding and documentation expert for DME orders • Make final HCPCS Level II, modifier, and ICD-10-CM selections across CPAP, oxygen, hospital beds, enteral nutrition, mobility, and incontinence supplies • Run internal chart audits • Lead responses to payor and DME MAC documentation requests • Maintain audit-ready files as volume grows • Partner with the RCM team to trace denials and write-offs to root causes • Fix upstream coding and billing processes to reduce coding-driven denials • Build SOPs, criteria matrices, and training materials • Use coding and policy tools, claims systems, payor portals, Metabase, Google Sheets, Slack, and Google Workspace • Collaborate with the Revenue Cycle Management team

🎯 Requirements

• Active CPC (AAPC) or CCS (AHIMA) certification • 3+ years of coding or billing experience specifically in DMEPOS • Fluency in HCPCS Level II and DME modifiers, including KX, GA, GY, GZ, RR, NU, UE, and RT/LT • ICD-10-CM coding knowledge supporting DME modifiers • Knowledge of DME MAC LCDs and policy articles • Knowledge of standard written order and proof of delivery rules • Knowledge of capped rental schedules • Knowledge of state Medicaid DME manuals and commercial medical policy • Hands-on denials and appeals experience • Ability to distinguish coding, documentation, and contract problems from remits • Ability to write successful appeals • Ability to create SOPs, criteria matrices, and training materials • Strong spreadsheet skills • Ideally, experience pulling independent reporting • Comfort with ambiguity and rapid execution

🏖️ Benefits

• 100% employer-covered health insurance premium • Dental and vision insurance plans for the employee and dependents • 401(k) plan; no company match currently offered • Opportunities for rapid career advancement • Fully remote work • Optional access to the Chelsea office in New York City with no onsite expectation