Claims Coder
4 weeks ago
**About Our Company**
At Altais, we’re looking for bold and curious clinicians and innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, advanced care providers, patients, and the clinical community. At Altais, we’re building breakthrough clinical support tools, technology, and services to let doctors do what they do best: care for people. We invite you to join our growing passionate team as we change the game for the future of healthcare and enable the experience that people need and deserve. Altais family of companies include Brown & Toland Physicians, Family Care Specialists and Altais Medical Groups.
**About Your Team**
Are you looking to work with a high performing, fast growing and dynamic Health and Innovation team? We are 4,000+ physicians, working in over 40 cities throughout California, caring for more than 500,000 patients. If you are passionate about reshaping healthcare and want to work for a mission driven organization where new ideas and innovation are valued, then we would like to meet you.
**About Your Work**
Join our Health & Innovation Team as a coder**,** where you'll contribute to improving health value for our members. Your role will involve providing expertise to various projects from a coding perspective.
As a coder, you'll work closely with our Chief Medical Officer, Claims and Utilization Review teams, among others. Your responsibilities will include accurate coding and abstraction of patient encounters and claim data, while adhering to government and insurance regulations. We seek individuals with a strong commitment to patient-centered care and a passion for promoting health and wellness.
**You will focus on**
- Analyzing medical records to ensure appropriate coding
- Claims denial management
- Participate in various projects including those related to quality and risk adjustment activities
- Supporting our Fraud, Waste and Abuse investigation and Revenue Cycle teams as needed
- Staying updated on coding and billing regulations, including changes to Medicare, Medicaid and commercial payer policies
**The Skills, Experience & Education You Bring**
- Strong analytical skills with the ability to identify patterns and trends
- Attention to detail and accuracy
- Ability to work independently and collaboratively.
- Strong communication skills and ability to work across departments.
- Knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases Tenth Revision Clinical Modification (ICD-10 CM).
- Proficiency in using EHR and coding software.
- Certified Professional Coder certification
**You Share our Mission & Values**
- You are **passionate** about improving the healthcare experience and want to be part of the Altais mission.
- You are **bold** and **curious**:
- willing to take risks, try new things and be creative.
- You take pride in your work and are **accountable** for the quality of everything you do, holding yourself and others to a high standard.
- You are **compassionate** and are known as someone who demonstrates emotional intelligence, considers others when making decisions and always tries to do the right thing.
- You **co-create**, knowing that we can be better as a team than individuals. You work well with others, collaborating and valuing diversity of thought and perspective.
- You **build trust** with your colleagues and customers by demonstrating that you are someone who values honesty and transparency.
Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of workday.
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
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