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Revenue Integrity Coder

2 months ago

Portsmouth, United States ConvenientMD Full time
Job DescriptionJob Description

Who We Are

At ConvenientMD, we’re on a mission to make good health more convenient for all – working to improve how patients and providers experience healthcare in New England. To support this belief, we’re building a team of dedicated professionals who genuinely care about improving lives, are passionate about work that can make a difference, and are driven to learn from one another.

The Opportunity

As a Revenue Integrity Coder, you will ensure the accuracy of coding and billing for ConvenientMD. You will work closely with Billing, Compliance, and Clinical Documentation Improvement (CDI) teams to optimize revenue and reduce compliance risks. This role requires expertise in medical coding, reimbursement methods, and regulatory guidelines.

Your Impact

  • Medical Coding: Accurately assign ICD-10-CM, CPT, and HCPCS codes for billing based on medical records.
  • Auditing: Conduct detailed audits of coded data to ensure accuracy and completeness.
  • Collaboration: Work with physicians, nurses, and other healthcare professionals to clarify documentation and ensure compliant coding.
  • Process Improvement: Identify and implement improvements in coding processes to enhance revenue integrity and reduce compliance risks.
  • Compliance: Stay updated with coding guidelines, reimbursement regulations, and industry trends to ensure compliance.
  • Education: Participate in training sessions to maintain and enhance coding skills.
  • Support: Provide coding expertise for revenue cycle management initiatives and assist with coding-related inquiries from stakeholders and regulatory agencies.

Who You Are

  • Certifications: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
  • Experience: Minimum of 3 years in medical coding.
  • Knowledge: Strong understanding of ICD-10-CM, CPT, and HCPCS coding systems, healthcare reimbursement methods, and compliance regulations (e.g., CMS guidelines, HIPAA).
  • Skills: Excellent analytical and problem-solving skills, attention to detail, effective communication skills, and proficiency with coding software and electronic health records (EHR) systems.
  • Education: Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field.
  • Experience: Experience with revenue cycle management and prior roles in revenue integrity or compliance.

Why ConvenientMD?

  • Collaborative team environment that encourages professional growth
  • Urgent care services at no cost to our team members and their families
  • Extensive benefit offerings including health, dental, and vision coverage, company paid short-term disability, and optional pet insurance
  • 401k match after one year of service
  • Access to our Primary Care (depending on location)
  • Educational Alliance with Purdue University Global and reduced tuition rates for team members and their families
  • Employer rewards and access to discounts offered on services and products such as hotels, travel, entertainment, restaurants, and more

There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants rarely meet every single job requirement, and we appreciate that many skills and backgrounds can make people successful in this role. We are committed to creating a strong sense of belonging for all team members, and our process is designed to prevent discrimination against applicants regardless of gender identity, sexual orientation, religion, ethnicity, age, disability status, or any other aspect which makes you unique. If you’re looking for a great next step, and want to feel good about what you do, we’d love to hear from you.