Certified Coding Specialist

3 weeks 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 Coding Specialist, you will play a critical role in ensuring the accuracy and compliance of our coding practices.

Key Responsibilities:
  • Review provider documentation, including chart notes, x-rays, and lab results, for code assignments
  • Accurately capture all CPT, HCPCS, and ICD-10 codes to the highest specificity while adhering to payer and federal guidelines
  • Ability to work payer denials, working with coders and AR staff in payer trends
  • Audit and maintain compliance standards in accordance with the Compliance policies and the Code of Conduct
  • Attend seminars and in-services as required to remain current on coding issues
Requirements:
  • Minimum of 2 years pro-fee EM/office procedure coding experience
  • Medical Coding Certificate - CPC, CCS, or CCA
  • ICD-10 Proficiency
  • Federal laws and regulations affecting coding requirements
  • Working knowledge of payor guidelines, ie-modifier usage, timely filing
What We Offer:
  • Competitive benefits package including generous PTO, Health Care, and employee matched 401K
  • Opportunity to work with a leading healthcare organization
  • Professional growth and development opportunities


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