Coding Auditor, Educator

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $70.3k - $89.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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WelbeHealth

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 $30M Series C on 2020-02

Healthcare • Healthcare Insurance

WelbeHealth is a healthcare organization that provides comprehensive medical care and personalized support to help seniors age well at home and in their communities. They offer a Program of All-Inclusive Care for the Elderly (PACE) which includes services such as medical care and coordination, dental, vision and hearing services, in-home care, prescription deliveries, transportation, physical therapy, meals, social activities, and more, often at no cost to eligible seniors. WelbeHealth's dedicated team prioritizes the needs of seniors by offering a coordinated approach to healthcare, ensuring access to highly skilled professionals across various areas of healthcare, and emphasizing patient-centered care. Their goal is to improve the quality of life for seniors by enabling them to live independently with robust support from a multidisciplinary team.

📋 Description

• Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants • Conduct pre-visit chart preparations and post-visit chart reviews • Oversee audits and participate in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines • Work closely with Coding Supervisor in identifying opportunities for HCC coding education

🎯 Requirements

• Associates Degree preferred; three (3) years of relevant experience may be substituted in lieu of a degree • Minimum of four (4) years of related experience or a combination of healthcare-related education and experience in coding and auditing • Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment • Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential • Strong knowledge of ICD-10 coding standards • Experience in the correct application of M.E.A.T. concepts • Comfortable in Microsoft Office (Outlook, Word, Excel, and PowerPoint)

🏖️ Benefits

• Medical insurance coverage (Medical, Dental, Vision) • Work/life balance - we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and sick time • 401K savings + match • Advancement opportunities - we’ve got a track record of hiring and promoting from within, meaning you can create your own path! • And additional benefits