Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.
What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.
If you share our passion for changing healthcare so all people can live healthy, brighter lives – apply to join our team.
SCOPE OF ROLE
The medical coder at Centrum Health, a part of NeueHealth, which is a Bright Health Group company, will work closely with Providers on conducting documentation and coding chart reviews, medical records audits, and provider education. The medical coder will identify and extract Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases, Tenth Revision, and Clinical Modification (ICD-10-CM). To ensure success you need to make judicious decisions on which codes to assign in each instance, and function to a high level of accuracy. Top applicants are motivated, detail-oriented, and have outstanding people skills.
This is not a remote position and will require associate to work out of a medical clinic.
Perform medical record chart review/audits to validate accuracy of documentation and coding assignment
Assess EMR workflow and documentation, coding and data submission processes to identify trends and opportunities to improve quality, efficiency and productivity
Educate providers and office staff on documentation and coding guidelines as well as on revenue cycle
Educate providers and office staff on Recapture and Suspect diagnosis and analysis of data available to Providers to identify these conditions
Identify and extract CPT, ICD-10-CM and HCPCS
Ensure compliance with medical record coding guidelines
Liaising with Providers and other parties to clarify information and facilitate communication
Participate in meetings with Providers to answer questions related to documentation and coding
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
High school diploma or GED equivalent
Minimum of 1 year of experience as a medical coder
Proficient computer skills
Excellent communication skills, both verbal and written
Strong people skills
Outstanding organizational skills
Ability to maintain the confidentiality of information
Medical Billers & Coders: 1 year (Required)
ICD-10: 1 year (Required)
LICENSURES AND CERTIFICATIONS
One or more of the following accreditations: CPC, CCS, RHIA
Risk adjustment and auditing credentials desire: CRC, CPC, CDEO.
The majority of work responsibilities are performed at the Centrum Medical Center location.
This is not a work at home position.
We’re Making Healthcare Right. Together.
We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:
Focusing on Consumers We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.
Building on Alignment We integrate and align individual incentives at all levels, from financing to optimization to delivery of care.
Powered by Technology
We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.