Certified Coding Specialist

This is a FULL-TIME REMOTE position; we can only accept candidates from these states:  NC, DE, SC, GA, NY, MO, OK, CA, OR, WA

At GoHealth Urgent Care, we place the needs of our patients first - by providing an effortless patient experience, a welcoming culture of care and seamless integration with market-leading health systems and the communities we serve. GoHealth Urgent Care operates urgent care centers in the New York, Portland, OR metro area, San Francisco Bay Area, Hartford, CT, Mercy in MO, AS & OK, and our newly opened clinics with Novant in NC.  GoHealth Urgent Care also has plans for additional expansion in multiple markets.

GoHealth offers a competitive benefits package including generous PTO, Health Care and employee matched 401K.

Job Summary:

Coding: 

• Review provider documentation, including chart notes, xray 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
• Ability to work payer denials, working with coders and AR staff in payer trends
• Accurately follows CMS coding guidelines and GoHealth Protocols to ensure compliance with federal and state regulatory bodies
• Alerts Coding Lead to any documentation trends for additional coder/provider training
• Provide feedback to Manager on provider documentation trends for provider education
• Provide Feedback to providers on documentation needs/requirements
• Maintains compliance standards in accordance with the Compliance policies and the Code of Conduct. Reports compliance problems appropriately.
• Attends seminars and in-services as required to remain current on coding issues
• Maintain current coding certificate
• Maintains a 95% audit score
• Performs other related duties as assigned

Work Experience Required:

• Minimum of 2 years pro-fee EM/office procedure coding
• Knowledge of revenue cycle including the working of payer denials
• Medical Coding Certificate - CPC, CCS or CCA
• ICD10 Proficiency
• Federal laws and regulations affecting coding requirements
• Working knowledge of payor guidelines, ie-modifier usage, timely filing
• Knowledge of billing practices
• Knowledge of EMR required, eClinical Works and/or Epic preferred
• Knowledge of PowerPoint and Microsoft Word and Excel
• Excellent written and verbal communication skills