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Job Description
At WelbeHealth, we make the impossible, possible for underserved seniors. We do this through utilizing and developing cutting-edge healthcare and well-being service products especially for seniors and their families.
Now is your chance to join our talented team that delivers unparalleled creative healthcare, insurance, social support and more to seniors. We create senior well-being through our courage to love, pioneering spirit and shared intention. These values permeate everything we do.
At WelbeHealth, you’ll help inspire that magic by enabling our teams to push the limits of healthcare and well-being experiences and create the never-before-seen! The Medical Coding Specialist is responsible for ensuring codes are applied correctly during the medical billing process, which includes removing the information for documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers. The Medical Coding Specialist collaborates with colleagues and stakeholders to promote the WelbeHealth values, team culture and mission What you’ll do:* + Assist with retrospective and concurrent coding for PACE (Programs of All-Inclusive Care for the Elderly) Dual participants. + Conducts pre-visit chart preparations and post visit chart reviews.
+ Conducts audits and participates in provider education programs to ensure compliance with CMS risk adjustment diagnosis coding guideline. + Works closely with direct manager in identifying opportunities for HCC coding education. + Complete all required documentation in a timely and accurate manner.
+ Protect privacy and maintain confidentiality of all company procedures and information about team members, participants,and families. + Follow WelbeHealth policies and procedures and participate in any required Quality Improvement activities, staff training and meetings. + Communicate regularly with Supervisor and team regarding workload and priorities.
+ Timely completion of all mandated trainings and education. + Timely completion of all mandated occupational health screenings as needed. + Exercises flexibility in performing assignments as business needs evolve Your qualifications:* + Associates Degree preferred; threeyears’of relevant experience may be substitutedin leu of a degree.
+ Active CCS, CCS-P, CPC, CPC-H CPMA or CRC credential.Skills and Experience: + Minimum of four years’ experience or a combination of healthcare related education andexperience in coding andauditing. + Minimum of two years’of Risk Adjustment (HCC) coding experience in a managed care environment.
+ Strong knowledge of ICD-10 coding standards. + Experience in correct application of M.E.A.T. concepts. + Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint) .
Strong interpersonal and organizational skills. + Excellent organizational and communication skills. + Ability to work independently with minimal supervision.
+ Demonstrated ability to prioritize in a fast-paced environment. + Experience and competency working with people from diverse backgrounds and cultures. + Commitment to unlocking the full potential of our most vulnerable seniors COVID-19 Vaccination Policy* At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors.
In this spirit, please note that we have a vaccination policy for all of our employees and proof of vaccination prior to employment is required Our Commitment to Diversity, Equity and Inclusion* At WelbeHealth, we embrace and cherish the diversity of our team members, and we’re committed to building a culture of inclusion and belonging. We’re proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law..
