Certified Coding Specialist

2 days ago


Philadelphia, Pennsylvania, United States GoHealth Urgent Care Full time
Job Summary

GoHealth Urgent Care is seeking a skilled Coding Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for reviewing provider documentation, assigning accurate codes, and ensuring compliance with federal and state regulatory bodies.

Key Responsibilities
  • Review provider documentation, including chart notes, x-rays, and lab results, for code assignments
  • Accurately capture all CPT, HCPCS, and ICD10 codes to the highest specificity while adhering to payor and federal guidelines
  • Work with coders and AR staff to resolve payer denials and trends
  • Ensure compliance with CMS coding guidelines and GoHealth protocols
  • Provide feedback to providers on documentation needs and requirements
  • Maintain a 95% audit score and perform other related duties as assigned
Requirements
  • Minimum of 2 years of experience in pro-fee EM/office procedure coding
  • Knowledge of revenue cycle, including payer denials and working knowledge of payor guidelines
  • Medical Coding Certificate (CPC, CCS, or CCA) and ICD10 proficiency
  • Federal laws and regulations affecting coding requirements
  • Working knowledge of EMR systems, preferably eClinical Works and/or Epic
  • Excellent written and verbal communication skills

GoHealth Urgent Care offers a competitive benefits package, including generous PTO, health care, and employee-matched 401K. If you are a detail-oriented and organized individual with a passion for coding and compliance, we encourage you to apply for this exciting opportunity.



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