Medical Coding Specialist for Value-Based Care
3 weeks ago
Job Title: Medical Coding Specialist for Value-Based Care
About the Job:
Fetter Health Care Network Inc is seeking a highly skilled Medical Coding Specialist to join our team in value-based care. As a key member of our team, you will be responsible for overseeing hierarchical condition category (HCC) coding and identifying requirements for our Value Based Program.
Responsibilities:
- Review and assign accurate CPT, HCPCS, CPTII ADA, and ICD-10 codes for diagnoses, procedures, and evaluation and management services performed by physicians and other qualified healthcare providers.
- Perform regular retrospective documentation and coding reviews for all FRHC departments to ensure that providers are adhering to documentation and coding guidelines.
- Serve as an organization-wide resource for all coding-related inquiries.
- Process all assigned charge sessions and review all claims for services rendered to ensure proper billing for reimbursement of services.
- Audit clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
Requirements:
- High School Diploma required; Associate degree or higher preferred.
- CPC, CRC CPC-P, or CCS-P certification required.
- Experience in a Federally Qualified Health Center strongly preferred.
- Valid Driver's License.
Salary: $60,000 - $80,000 per year, depending on experience.
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