Medical Coder jobs at The Arora Group - 232 jobs

We are seeking an experienced Medical Biller / Coder to join a busy specialty practice. This is a full-time, temp-to-perm opportunity for a detail-oriented professional with strong surgical billing and coding experience. Work-from-home option after a 90-day probationary period. Location: St. Petersburg, FL Schedule: Monday-Friday, 8:00 AM-5:00 PM (No weekends) Pay: $20-$26/hour (based on experience) Key Responsibilities Accurately code surgical cases and diagnostic services Verify and document surgical benefits Manage surgical denials and submit written appeals Coordinate peer-to-peer review calls Prepare Letters of Agreement (LOAs) with non-participating insurance plans Calculate and estimate surgical costs for guarantors Respond to billing inquiries via the billing rotation line Perform additional billing duties as assigned Qualifications Minimum 3+ years of medical billing and coding experience (required) Medical Billing and Coding certification (required) Strong knowledge of surgical coding, denials, and appeals Experience with insurance benefit verification Excellent attention to detail and communication skills Benefits (After Permanent Conversion) Medical insurance 100% paid for the employee Life insurance Vision, dental, and indemnity plans 401(k) with profit sharing 6 paid holidays If you're looking to grow with a stable specialty practice and value work-life balance, we'd love to hear from you. Apply today to be considered.

Hiring a REMOTE Certified Medical Coder that lives in Arizona! Schedule: M-F 8-5 PM MST Pay Range: Between $25-$29/hr depending on experience & qualfiications Day to day: Expertly assign and sequence diagnostic/procedural codes (ICD-10, CPT, etc.) per payer regulations and industry standards. Conduct thorough reviews of claims, configurations, and patient charts to verify the accuracy and compliance of billable services. Drive best practices, coding recommendations, and policy setting within the Revenue Cycle Management (RCM) department. Recommend and implement strategic protocols for coding modifications to maximize revenue and minimize denials. Provide targeted training and support to RCM team members and clinical practitioners on appropriate billing and coding requirements. Collaborate with Compliance and Contracting teams to ensure organizational adherence to coding standards. Maintain a flexible, compassionate, and professional approach while supporting team goals. Must Have Qualifications: CPC Certification Experience with NextGen Benefits: - In order to be eligible for health benefits, you must be employed for 30 days and must average 30 hours per week over your first four weeks on assignment. If you become eligible and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s). 401(k) Retirement Plan (After 6+ months of service, during a 401K enrollment period) Medical, dental and vision plans with The American Worker, as well as three Major Medical Plan options! Prescription Programs Short Term Disability Insurance Term Life Insurance Plan

At CoreCivic, we do more than manage inmates, we care for people. CoreCivic is currently seeking Medical Records Clerks who have a passion for providing the highest quality care in an institutional setting. The successful applicant should be able to perform ALL of the following functions at a pace and level of performance consistent with the actual job performance requirements. Create and maintain medical records, general files, logs and other related records and documents in an organized manner, to include sorting, labeling, filing and retrieving, in accordance with corporate and facility file retention and storage procedures; and maintains confidentiality and security of records. Maintain a current inventory of clinic supplies; monitor compliance with sign in/out logs; prepare inventory reports as required. Monitor outside referrals and coordinates transfer of medical records. Assist in the preparation of routine medical and dental reports. Read and comprehend medical instructions and procedures, correspondence, policies, regulations, reports, directions for forms completion and other simple or moderately complex documents. Qualifications: High school diploma, GED certification or equivalent. Two years experience in a similar position required. Additional education or specialized training may be substituted for the required experience. A valid driver's license is preferred, unless required by contract or applicable statute. Proficiency in Microsoft Word for Windows, Lotus 1-2-3 or Excel and other personal computer applications preferred. Minimum age requirement: Must be at least 18 years of age. CoreCivic is a Drug-Free Workplace & EOE including Disability/Veteran..

$17.13 / Per Hour At CoreCivic, we do more than manage inmates, we care for people. CoreCivic is currently seeking Medical Records Clerks who have a passion for providing the highest quality care in an institutional setting. The successful applicant should be able to perform ALL of the following functions at a pace and level of performance consistent with the actual job performance requirements. Create and maintain medical records, general files, logs and other related records and documents in an organized manner, to include sorting, labeling, filing and retrieving, in accordance with corporate and facility file retention and storage procedures; and maintains confidentiality and security of records. Maintain a current inventory of clinic supplies; monitor compliance with sign in/out logs; prepare inventory reports as required. Monitor outside referrals and coordinates transfer of medical records. Assist in the preparation of routine medical and dental reports. Read and comprehend medical instructions and procedures, correspondence, policies, regulations, reports, directions for forms completion and other simple or moderately complex documents. Qualifications: High school diploma, GED certification or equivalent. Two years experience in a similar position required. Additional education or specialized training may be substituted for the required experience. A valid driver's license is preferred, unless required by contract or applicable statute. Proficiency in Microsoft Word for Windows, Lotus 1-2-3 or Excel and other personal computer applications preferred. Minimum age requirement: Must be at least 18 years of age. CoreCivic is a Drug-Free Workplace & EOE including Disability/Veteran..

At CoreCivic, we do more than manage inmates, we care for people. CoreCivic is currently seeking Medical Records Clerks, P/T who have a passion for providing the highest quality care in an institutional setting. The successful applicant should be able to perform ALL of the following functions at a pace and level of performance consistent with the actual job performance requirements. Create and maintain medical records, general files, logs and other related records and documents in an organized manner, to include sorting, labeling, filing and retrieving, in accordance with corporate and facility file retention and storage procedures; and maintains confidentiality and security of records. Maintain a current inventory of clinic supplies; monitor compliance with sign in/out logs; prepare inventory reports as required. Monitor outside referrals and coordinates transfer of medical records. Assist in the preparation of routine medical and dental reports. Read and comprehend medical instructions and procedures, correspondence, policies, regulations, reports, directions for forms completion and other simple or moderately complex documents. Qualifications: High school diploma, GED certification or equivalent. Two years experience in a similar position required. Additional education or specialized training may be substituted for the required experience. A valid driver's license is preferred, unless required by contract or applicable statute. Proficiency in Microsoft Word for Windows, Lotus 1-2-3 or Excel and other personal computer applications preferred. Minimum age requirement: Must be at least 18 years of age. CoreCivic is a Drug Free Workplace & EOE- M/F/Vets/Disabled.

Medical Billing & Coding Specialist - NO CERTIFICATION REQUIRED We are seeking a Medical Billing & Coding Specialist to manage the revenue cycle for a busy orthopedic practice. This role is responsible for ensuring accuracy in coding, timely claim submissions, and the resolution of account balances. We are open to candidates seeking either Full-Time or Part-Time employment. Key Responsibilities Coding & Entry: Assign codes for orthopedic procedures and diagnoses; collaborate with physicians to clarify charge details; key data into the billing system. Claims Management: Prepare and submit insurance claims (including Medicare/Medicaid); process all provider correspondence and documentation. A/R Resolution: Follow up on unpaid claims, resubmit denied/missing claims, and work accounts until they reach a zero balance. Financial Operations: Prepare and record bank deposits, photocopy checks, and research returned mail. Patient Service: Assist patients with billing forms, establish payment arrangements, and resolve inquiries via phone. Compliance: Maintain strict HIPAA confidentiality and organized billing records/files. Requirements Experience: 1.5+ years of medical billing and coding experience. Specialty: Hands-on experience with General Orthopedic billing. Education: High school diploma or GED. Certification: CPC (Certified Professional Coder) is preferred, not required. Schedule / Location Status: Full-Time or Part-Time available. Hours: Monday - Friday, 8:00 AM - 5:00 PM. Location: Suffolk County, NY

AETOS LLC is a Minority Owned CVE Certified Service Disabled Veteran Owned Small Business (SDVOSB) providing information technology solutions focused on building a business that is customer-centered and performance-oriented. At Aetos, we specialize in developing IT solutions to optimize functionality and efficiencies for government and commercial clients to meet their business needs. Job Description Records Management Position Requirements: The candidate will be responsible for maintaining and enhancing an established compliant Records Management System (RMS) in M365 SharePoint environment. The candidate must be knowledgeable of the capabilities inherent to an M365 platform, to include Purview, that apply to creating a compliant records management environment. Candidate must have knowledge of the following : Metadata and how to effectively apply this in SharePoint The creation and management of a taxonomy of Record Series Codes (RSC) Security access controls The organization of Case Files The application of records retention rules and disposition policies. Candidate must be able to design and implement the configuration of the RMS in regard to how records are ingested and how security controls will be applied. Candidate must have a working knowledge of DOD 5015.02 standards as criteria for establishing a compliant records management environment and must also understand the concept of litigation hold requests, FOIA, and audit and business need hold requests. Candidate must also understand the concept of communicating with NARA to align with NARA policies. Candidate will be required to create and respond to communications for and from all types of functional and technical customers through a variety of formats such as conference calls, emails, NARA taskers and directives, Service Hold Requests, File Plans and annual NARA requests regarding records managed by and for the client. An example would be addressing the NARA directive to perform an annual Records Management Program (RMP) assessment survey and submit to NARA's ePortal. Candidate will be responsible for maintaining a Record Maintenance Support process and System Maintenance Support process that provides ongoing RM support to assess problems, seek process improvements and adhere to Federal Regulations. Candidate will work with client to establish internal policy and other governance to ensure the following are addressed in the time and/or manner specified/acceptable by the appropriate authority: Advise in Agency-wide Annual RM Training. Assess and embed RM capabilities in the design of current, or new systems. Create and maintain RM Governance Policy and Guidance. Respond to RM related inquiries (24 hours). Respond and support any requests for information needed because of audit or internal or external analysis. Respond to NARA inquiries and surveys. Implement revisions to records retention schedule. Provide support to incidents or inquiries related to various matters related to the Agency's RM program to include but not limited to records security, records transitioning, incidents-damaged, lost-spillage, RMS, and archiving. Provide administrative support and guidance for creating and maintain current file plans and associated taxonomy to better enable configuration of systems retaining Agency's records. The candidate will work closely with the client's Record Manager and/or Records Owners the following actions will be implemented to maintain system support: Implement steps that include identifying and maintaining a current list of staff responsible completing files, training designated staff how to complete records file plan, tracking designated staff for ongoing reference. Refer to completed Files Plans or like documents to assess how best to configure/automate SharePoint Purview and SharePoint collaboration sites to manage recordkeeping and non-recordkeeping records in a secure manner, and when applicable the routing of permanent records to NARA. Identify and prioritize records for transition to SharePoint such as Finance, Personnel and Audit related supporting documents. Develop an Agency-wide RM awareness training program. Establish forums that enables Records Liaisons, Records Custodians or staff in similar roles to communicate in a practical/efficient manner. For example, FAQ Web Site, and Brown Bag Meetings. Issue taskers or similar requests periodically (at a minimum every 12 month) to Process Owners/Records Liaisons to review if information applicable to them in the Agency's Records Retention Schedule-and Records File Plans is accurate/relevant/current. Hold weekly meetings (at a minimum) with Records Management Office to discuss issuances/changes from NARA or other authorities within DoD Ensure client record support system is on NARA's notification list to be kept informed of any activity that impacts clients RM program to include but not limited to training, updates to NARA tools for submission of SF115s and SF135s. Attend meetings and/or training as required to stay abreast of changes to clients record management system, NARA record management guideline Help implement the findings from NARA Self-Assessments where clients Record Management Program needs to improve such as with implementation of a RM training program; in-out processing protocol to ensure key records especially at the senior level are preserved; embedding RM in the Agency's vital records program; web site RM, email management and when applicable social media. Qualifications Bachelors degree in related field from an accredited institution Must be able to pass DoD Public Trust background check Preference to candidates who have an active CAC or have possessed one in the last few years Must be available to work M-F 800 am to 500 pm EST Must be available for possible travel up to 1 week per year. Minimum five (5) years' experience managing records management programs. Additional Information Applicants must be authorized to work for any employer in the U.S. and reside in the U.S. All your information will be kept confidential according to EEO guidelines.

The Health Information Technician is responsible for compiling, organizing, and maintaining health information records in accordance with regulatory and confidentiality standards. This role requires strong attention to detail, proficiency with Microsoft Word and Excel, and the ability to walk between buildings as part of daily tasks. Experience with Electronic Health Records (EHR) is preferred but training will be provided. Key Responsibilities Health Information Management Compile, review, and verify medical reports for completeness and accuracy. Organize medical records for filing; ensure all required reports and signatures are present. Prepare charts for new admissions and complete appropriate forms. Prepare requests for specific medical reports, certificates, or documentation. File reports into health information records and maintain accurate logs. Retrieve medical records as needed and ensure proper tracking within the filing system. Data Entry & Reporting Type and prepare health information forms and related documents. Compile and type statistical reports, including daily/monthly census data, admissions, discharges, Medicaid days, and length-of-stay metrics. Enter, scan, and upload documents into the Electronic Health Record system. Interdepartmental Support Provide information from health records after determining the appropriateness and authorization of the request. Coordinate with other departments regarding health information procedures and recordkeeping needs. General Duties Maintain strict confidentiality and comply with HIPAA guidelines. Walk between buildings regularly to deliver, retrieve, or exchange documentation (frequent walking required, but not strenuous). Perform other related duties as assigned. Required Knowledge, Skills & Abilities Knowledge of health information technology and medical recordkeeping practices. Understanding of medical terminology. Familiarity with regulations governing medical records, including Medicare/Medicaid standards and confidentiality requirements. Strong proficiency in Microsoft Word and Excel. Ability to proofread medical reports, identify errors or missing information, and maintain accuracy in data handling. Ability to gather, classify, and organize information with attention to detail. Skill using a word processor; calculator experience a plus. Minimum Qualifications Completion of three courses or nine months of experience in records management. Completion of one course or three months of experience in medical terminology. Completion of one course or three months of experience in typing. - OR - An equivalent combination of training and experience. Additional Notes Training will be provided on Electronic Health Record systems if needed. No unusual working conditions beyond routine walking between buildings.

At Genpact, we don't just adapt to change-we drive it. AI and digital innovation are redefining industries, and we're leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how we're scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies' most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology services and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions - we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation, our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook. Inviting applications for the role of Process Associate Record Analyst - Winfield, KS Genpact is seeking analytical, motivated, collaborative, and enterprising individuals to responsible for being a focal for: Traceability and organization of back-to-birth data for large quantities of aviation components Routing replaceable units to various repair vendors per sourcing agreement Create and manage order transactions, scan quotes and relevant documents from the perspective of the customer, ensure their satisfaction with completeness and accuracy of paperwork Responsibilities Enter accurately piece part time and cycle calculations into the ERP system. Upload accurately whole engine record packages into electronic library. Provide weekly status reports on Records open in backlog and completed. Review Back to Birth records for completeness and accuracy for assigned engine models. Effectively work with broader stake holders to resolve gaps in the records. Responsible for interfacing with various levels of the organization for key updates. Investigate and respond to daily records questions from a global Customer Service team. Track and report out volume of Customer questions responded too Run and provide additional required reports as assigned by the supporting Manager. Accommodate 'Reporting' responsibility Qualifications we seek in you! Minimum qualifications High School Graduate Good Writing/Email skills (MS Outlook) Good Interpersonal, Time Management & Planning skills Self-driven and motivated Basic PowerPoint and Excel skills Ability to work and coordinate with client and various external & internal teams at Genpact Preferred qualifications/Skills Supply Chain Knowledge (Aviation or Repairs are a bonus) Basic MS Excel and VBA Why join Genpact? Be a transformation leader - Work at the cutting edge of AI, automation, and digital innovation Make an impact - Drive change for global enterprises and solve business challenges that matter Accelerate your career - Get hands-on experience, mentorship, and continuous learning opportunities Work with the best - Join 140,000+ bold thinkers and problem-solvers who push boundaries every day Thrive in a values-driven culture - Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up. Let's build tomorrow together. The approximate annual base compensation range for this position is 15.00 per hour. The actual offer, reflecting the total compensation package plus benefits, will be determined by a number of factors which include but are not limited to the applicant's experience, knowledge, skills, and abilities; geographic location; and internal equity Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training. Please be informed the proof of education (including educational certificates) may be requested during the recruitment process. Please note that Genpact does not impose any CV format nor do we require you to enclose a photograph to your CV as part of the application process.

Duration :: 3 Months Contract The HIM Clerk processes Health Information under the direction of the HIM Director or designated supervisor. This processing includes but is not limited to: collecting and/or delivering health information/hard copy medical records for patient care and processing the surgical list; retrieval of medical records, pick up of discharged patient records from nursing units, locating and following up on missing medical records, prepping, scanning and filing of medical records and loose reports, preparation of documents for storage via scanning or boxing, answering telephones; and/or assisting physicians and ancillary staff with health information requests. As time permits, may assists with preparation of medical records for destruction. SPECIFIC SKILLS NEEDED •Demonstrates knowledge of medical records and medical record documents. •Ability to process work using both alphabetical and numerical filing systems. •Must be well organized and demonstrates an aptitude for accuracy and attention to detail. •Demonstrates effective communication, interpersonal skills, and ability to follow instructions. •Ability to be courteous, tactful, and cooperative throughout the day. •Ability to concentrate and maintain accuracy despite frequent interruptions. •Legible writing and printing is mandatory. •Basic computer skills and keyboarding skills; typing speed of 30 wpm. EDUCATION/EXPERIENCE/TRAINING Required: • Knowledge of Windows Software Preferred: •Familiarity with electronic medical record systems •Knowledge of medical terminology •Previous HIM Department or medical office experience •Valid California driver's license, motor vehicle, motor vehicle insurance and current registration. • High School graduate or GED PERSONAL QUALITIES •Communicates effectively and express ideas clearly. •Actively listens and always follows appropriate channels of communication. •Detail oriented. •Punctual. •Ability to establish priorities. •Organized and dependable with a positive appearance and attitude. •Always strives to make good use of time, seeks out work that needs to be completed •Reports free time to supervisor •Ability to work in a high activity area. •Maintains a safe, neat, and orderly workstation. About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************ US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Recruiter Details: Recruiter name: Ajeet Kumar Recruiter's email id : ***************************** JobDiva ID :: JobDiva # # 25-55116

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success. Duration: 3+Months(possibility for extension) Shifts: Will be a full-time remote coder who will come onsite as soon as possible, for a 7-10 day training period and then go home to code for us remotely. Will come onsite every 5-6 weeks to work with the HIM team, providers and staff. Minimum Years of Experience: 2 years Job Start Date:9/25/2017 Minimum Guaranteed Hours:36 Job Description: · Current AHIMA or AAPC Certification Required (CPC, CCS-P) · Outpatient Coding Experience Required with Experience in ED and Observation Coding Responsible for assignment of accurate, ICD-10, CPT codes and modifiers from medical record documentation. Identifies and abstracts information from medical records (paper or electronic) . · Works within GE Centricity and McKesson Paragon/One Content, including 3M Follows established query process to clarify documentation to support coding assignments. Maintains productivity and accuracy requirements as outlined . · Can this Coder work remotely? not at first coder must train onsite, once training is complete Coder must work onsite every 4-6 weeks. Additional Information All your inform Shift Hours: Start Time:10:00 AM - End Time:06:00 PM

Job DescriptionDescription: Responsible for reviewing all post-billed denials (including coding-related denials) for coding accuracy and appealing them based on coding expertise and judgment within Hospital and/or Medical Group partner revenue operations. Serves as part of the coding denials resolution team responsible for identifying and determining root causes of denials. Responsible for using coding knowledge and standard procedures to track appeals through all levels and ensure timely filing as required by payers. Also promotes departmental awareness of coding best practices. Duties and Responsibilities Knows, understands, incorporates, and demonstrates the Healthrise Core Values. Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims. Responsible for understanding and resolving Professional Billing HCFA1500 claims or other coding-related issues, and processing charge corrections based on medical record reviews, contracts, and regulations as directed by the supervisor. Interprets data, draws conclusions, and reviews findings with all levels for further review. Takes initiative to continuously learn all aspects of the role to support progressive responsibility. Maintains a working knowledge of applicable federal, state, and local laws and regulations. Additional Duties and Responsibilities - Coding Team Lead Serves as first-line support for coders, answering questions, troubleshooting issues, and escalating complex cases to the manager. Reviews team members' work for accuracy and compliance, providing coaching and real-time feedback. Tracks productivity and quality metrics at the individual and team level and communicates performance trends to leadership. Supports onboarding and training of new coders, ensuring consistency in process knowledge and documentation. Responsible for monitoring and maintaining assigned leader workqueues. Requirements: High school diploma or Associate degree in Accounting, Business Administration, or related field, and a minimum of four years of experience in a hospital, clinic environment, health insurance company, managed care organization, or healthcare financial service setting; or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Comprehensive knowledge of professional/physician diagnostic and procedural coding, typically obtained through a coding certificate program, and at least one year of professional and hospital outpatient coding experience, or a minimum of two years of hospital inpatient coding experience including DRG assignment. Must hold one of the following credentials: RHIA, RHIT, CCS, CPC. CPMA will also be considered. Experience with NCCI edits, NCDs, LCDs, and outpatient coding guidelines for official coding and reporting. Detailed understanding of compliant healthcare billing and collections principles. Expertise in medical terminology, disease processes, patient health record content, and the medical record coding process. Comfortable operating in a collaborative, shared leadership environment. Previous experience working with Global Partner vendors preferred. Physical Demands and Work Environment Remote work environment requiring a dedicated space that ensures confidentiality and privacy. Frequent communication via Microsoft Teams, email, and phone with colleagues across locations. Manual dexterity required to operate a keyboard; hearing required for phone and Teams communication. Ability to concentrate, meet deadlines, work on multiple projects, and adapt to interruptions. Must be able to set and manage work priorities independently, adjust to changing demands, and work under potentially stressful conditions with individuals possessing diverse personalities and work styles, including Global Partner vendors.

ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit ***************** or follow the company on Twitter at ************************* for more information. Job Description ProSidian Seeks a Lead Medical Coder and Auditor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on athe medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military operations and the spectrum of conflict, in support of combatant commanders". The Regional Health Command's Readiness Mission includes dental care of active duty Soldiers, public health services, veterinary services, and providing management and support to wounded, ill and injured Soldiers assigned to its seven warrior transition units. The ProSidian Engagement Team Members work to provide health coding services to a branch of the United States Armed Forces' Regional Health Command- Atlantic (RHC-A) military treatment facilities and provide services to MTFs located in the National Capital Region and the following RHC-A Medical Treatment Facility (MTFs) locations: AL | PR | FL | GA | KY | DC | MD | PA | VA | NY | NC | SC. Additionally, the vendor may be required to provide coding services to other military services (i.e. U.S. Navy, U.S. Air Force). The ProSidian Contract Service Providers (CSP) will work in conjunction with other health care providers, professionals, and non-contract personnel. MD - Medical Billing & Coding Candidates shall work to support requirements as a Lead Medical Coder and Auditor and review health record documentation for assignment of proper diagnosis and procedure codes utilizing system edits, Military Health System specific, and commercial coding guidance. This position will review and accurately code/audit office and hospital procedures for reimbursement. Review coding and abstracting on all patient types assigned to include the following: inpatient, ambulatory surgery, observation, ER, clinic and diagnostics in order to assure 96% coder accuracy (or as stipulated by contract). Audit vendor and internal risk adjustments coding to ensure accuracy and identify and mitigate any risks. Receive and review patient charts and documents for accuracy Ensure that all codes are current and active Report missing or incomplete documentation Meet daily coding production Review medical records and other source documents and collect clinical data according to specifications and guidelines provided by MHS Accurately enter data into abstraction software using a personal computer, keyboard and/or mouse Update and maintain document lists Performs accurate charge entries Ensure proper coding on provider documentation Serves as resource regarding insurance resolutions and coding questions Handles co-pays, balances, and charge posting Follow all DoD and DHA directives, guidance, instructions, policies, procedures, rules, and standards relating to protection of patient information and privacy practices. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations Maintain security and confidentiality of medical records and Protected Health Information (PHI) Performs additional duties assigned by Coding Manager as needed Qualifications The Lead Medical Coder and Auditor shall have consecutive employment in a position with comparable responsibilities within the past five (5) years, Must be able to use a computer to communicate via email; and proficient in Microsoft Office Products (Word/Excel/Power point) and related tools and technology required for the position. Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The main responsibility of a medical coder is to review clinical statements and assign standard codes using CPT , ICD-10-CM, and HCPCS Level II classification systems, etc. No healthcare facility can function effectively without medical billers, making certified professionals crucial in the healthcare industry. Must Have A Minimum Of 2 Yrs Certification Of One Of The Following: a) American Health Information Management Association (AHIMA) Credentials: RHIA - Risk Health Information Administration | RHIT - Registered Health Information Technician | CCA - Certified Coding Associate | CCS- Certified Coding Specialist and/or b) American Academy of Professional Coders (AAPC): CPC - Certified Professional Coder | COC - Certified Outpatient Coder | CIC - Certified Inpatient Coder | CRC - Certified Risk Coder Work products shall be thorough, accurate, appropriately documented, and comply with established criteria. The candidate shall ensure that duties are performed in a competent and professional manner that meets milestones/delivery schedules as outlined. Keys Skillset Attributes Required To be successful are Attention to Detail | Discretion | Computer Skills | Office Skills | Organizational Skills | Writing Skills | Operations | Coding | Quality | Compliance | Analytical abilities - to understand and analyze patients' health records, Strong morals, Social skills, Tech savvy. High school degree or equivalent; Bachelor's degree in related field preferred Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA license; meet state licensure requirements Maintain coding certification and attends in-service training as required Two (2) years of medical coding experience Understanding of medical terminology, anatomy and physiology Ability to work independently or as an active member of a team Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite Accurate and precise attention to detail Knowledge of medical terminology, anatomy, physiology, and pathophysiology is preferred. Outstanding oral and written communications skills Clinical background and previous chart abstraction experience is also preferred. Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The main responsibility of a medical coder is to review clinical statements and assign standard codes using CPT , ICD-10-CM, and HCPCS Level II classification systems, etc. No healthcare facility can function effectively without medical billers, making certified professionals crucial in the healthcare industry. Work products shall be thorough, accurate, appropriately documented, and comply with established criteria. The candidate shall ensure that duties are performed in a competent and professional manner that meets milestones/delivery schedules as outlined. Keys Skillset Attributes Required To be successful are Attention to Detail | Discretion | Computer Skills | Office Skills | Organizational Skills | Writing Skills | Operations | Coding | Quality | Compliance | Analytical abilities - to understand and analyze patients' health records, Strong morals, Social skills, Tech savvy. TRAVEL: Travel as coordinated with the technical point of contact and approved in writing by the Contracting Officer in advance, is allowed, in accordance with Federal Travel Regulations. LOCATION: Work shall be conducted CONUS - Fort Stewart, GA Excellent oral and written communication skills Attention to detail Analytical and evaluation skills Proficient with Microsoft Office Products (Microsoft Word, Excel, PowerPoint, Publisher, & Adobe) U.S. Citizenship Required Additional Information As a condition of employment, all employees are required to fulfill all requirements of the roles for which they are employed; establish, manage, pursue, and fulfill annual goals and objectives with at least three (3) Goals for each of the firms Eight Prosidian Global Competencies [1 - Personal Effectiveness | 2 - Continuous Learning | 3 - Leadership | 4 - Client Service | 5 - Business Management | 6 - Business Development | 7 - Technical Expertise | 8 - Innovation & Knowledge Sharing (Thought Leadership)]; and to support all business development and other efforts on behalf of ProSidian Consulting. CORE COMPETENCIES Teamwork - ability to foster teamwork collaboratively as a participant, and effectively as a team leader Leadership - ability to guide and lead colleagues on projects and initiatives Business Acumen - understanding and insight into how organizations perform, including business processes, data, systems, and people Communication - ability to effectively communicate to stakeholders of all levels orally and in writing Motivation - persistent in pursuit of quality and optimal client and company solutions Agility - ability to quickly understand and transition between different projects, concepts, initiatives, or work streams Judgment - exercises prudence and insight in decision-making process while mindful of other stakeholders and long-term ramifications Organization - ability to manage projects and activity, and prioritize tasks ------------ ------------ ------------ OTHER REQUIREMENTS Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary. Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary. Commitment - to work with smart, interesting people with diverse backgrounds to solve the biggest challenges across private, public and social sectors Curiosity - the ideal candidate exhibits an inquisitive nature and the ability to question the status quo among a community of people they enjoy and teams that work well together Humility - exhibits grace in success and failure while doing meaningful work where skills have impact and make a difference Willingness - to constantly learn, share, and grow and to view the world as their classroom ------------ ------------ ------------ BENEFITS AND HIGHLIGHTS ProSidian Employee Benefits and Highlights: Your good health and well-being are important to ProSidian Consulting. At ProSidian, we invest in our employees to help them stay healthy and achieve work-life balance. That's why we are also pleased to offer the Employee Benefits Program, designed to promote your health and personal welfare. Our growing list of benefits currently include the following for Full Time Employees: Competitive Compensation: Pay range begins in the competitive ranges with Group Health Benefits, Pre-tax Employee Benefits, and Performance Incentives. For medical and dental benefits, the Company contributes a fixed dollar amount each month towards the plan you elect. Contributions are deducted on a Pre-tax basis. Group Medical Health Insurance Benefits: ProSidian partners with BC/BS, to offer a range of medical plans, including high-deductible health plans or PPOs. ||| Group Dental Health Insurance Benefits: ProSidian dental carriers - Delta, Aetna, Guardian, and MetLife. Group Vision Health Insurance Benefits: ProSidian offers high/low vision plans through 2 carriers: Aetna and VSP. 401(k) Retirement Savings Plan: 401(k) Retirement Savings Plans help you save for your retirement for eligible employees. A range of investment options are available with a personal financial planner to assist you. The Plan is a pre-tax Safe Harbor 401(k) Retirement Savings Plan with a company match. Vacation and Paid Time-Off (PTO) Benefits: Eligible employees use PTO for vacation, a doctor's appointment, or any number of events in your life. Currently these benefits include Vacation/Sick days - 2 weeks/3 days | Holidays - 10 ProSidian and Government Days are given. Pre-Tax Payment Programs: Pre-Tax Payment Programs currently exist in the form of a Premium Only Plan (POP). These Plans offer a full Flexible Spending Account (FSA) Plan and a tax benefit for eligible employees. Purchasing Discounts & Savings Plans: We want you to achieve financial success. We offer a Purchasing Discounts & Savings Plan through The Corporate Perks Benefit Program. This provides special discounts for eligible employees on products and services you buy on a daily basis. Security Clearance: Due to the nature of our consulting engagements there are Security Clearance requirements for Engagement Teams handling sensitive Engagements in the Federal Marketplace. A Security Clearance is a valued asset in your professional portfolio and adds to your credentials. ProSidian Employee & Contractor Referral Bonus Program: ProSidian Consulting will pay up to 5k for all referrals employed for 90 days for candidates submitted through our Referral Program. Performance Incentives: Due to the nature of our consulting engagements there are performance incentives associated with each new client that each employee works to pursue and support. Flexible Spending Account: FSAs help you pay for eligible out-of-pocket health care and dependent day care expenses on a pre-tax basis. You determine your projected expenses for the Plan Year and then elect to set aside a portion of each paycheck into your FSA. Supplemental Life/Accidental Death and Dismemberment Insurance: If you want extra protection for yourself and your eligible dependents, you have the option to elect supplemental life insurance. D&D covers death or dismemberment from an accident only. Short- and Long-Term Disability Insurance: Disability insurance plans are designed to provide income protection while you recover from a disability. ----------- ------------ ------------ ADDITIONAL INFORMATION - See Below Instructions On The Best Way To Apply ProSidian Consulting is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, or Vietnam era, or other eligible veteran status, or any other protected factor. All your information will be kept confidential according to EEO guidelines. ProSidian Consulting has made a pledge to the Hiring Our Heroes Program of the U.S. Chamber of Commerce Foundation and the “I Hire Military” Initiative of The North Carolina Military Business Center (NCMBC) for the State of North Carolina. All applicants are encouraged to apply regardless of Veteran Status. Furthermore, we believe in " HONOR ABOVE ALL " - be successful while doing things the right way. The pride comes out of the challenge; the reward is excellence in the work. FOR EASY APPLICATION USE OUR CAREER SITE LOCATED ON http://*****************/ OR SEND YOUR RESUME'S, BIOS, AND SALARY EXPECTATION / RATES TO ***********************. ONLY CANDIDATES WITH REQUIRED CRITERIA ARE CONSIDERED . Be sure to place the job reference code in the subject line of your email. Be sure to include your name, address, telephone number, total compensation package, employment history, and educational credentials.

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: • Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable. • Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. • Remain current on medical coding guidelines and reimbursement reporting requirements. • Check chart assignments every day and report accurately all hours worked on a weekly basis. • Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. • Comply with HIPAA laws and regulations. • Participate in testing and training as required by the Company. Qualifications: • Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required • At least one years' experience as a medical coder/abstractor. • Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred); • Ability to code using an ICD-9-CM code book (without using an encoder); • Strong clinical skills related to chronic illness diagnosis, treatment and management; • Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts); • Personal discipline to work remotely without direct supervision; • Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5); • Computer proficiency (including MS Windows, MS Office, and the Internet); • Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better; • Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills; • Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation. Qualifications 1 year certified remote coding experience Additional Information All your information will be kept confidential according to EEO guidelines.

Title: Risk Adjustment Coding Specialist City: Bellingham, WA Position: Full time 40 hours, Monday-Friday 8:00am-5:00pm, non-exempt (hourly) Compensation: The full wage scale is $25.75 - $35.42 per hour. Placement within the range is determined by an evaluation of the candidate's background, education, and experience. Benefits: At FCN, we offer a comprehensive benefits package designed to support your well-being and that of your family, with flexibility and quality care. Health Benefits: Three Medical plan options Two Dental plans, including orthodontia for children and adults Employer-paid Vision coverage for employee and family Expanded Employee Assistance Program (EAP) and mental health programs, including wellness and discounted gym memberships Flexible Spending Account (FSA), Healthcare and Dependent Care Health Savings Account (HSA) with an employer contribution of $1,500 (pro-rated based on enrollment eligibility) Health Reimbursement Account (HRA), up to $1,500 ($3,000 for family coverage) Employer-paid Life/AD&D insurance with optional supplemental additional coverage including a guaranteed issue amount with no health questionnaire Voluntary Accident and Hospital insurance plans with annual wellness benefits *Eligibility for these benefits depends on your full-time or part-time status. Time Off & Wellness: Paid Time Off (PTO), Paid Sick Leave (PSL), and Extended Illness Bank (EIB) to support your vacation, health, and personal needs PTO, PSL, and EIB accrue starting on your first day, and you can use paid time off after the applicable days of employment Full-time employees generally begin earning 18 days of PTO, increasing 33 days over time per our PTO policy. You can rollover unlimited PTO hours into the next year. PSL accrues at 1 hour per 40 hours worked EIB accrues up to 32 hours per year (pro-rated based on hours worked) for both part-time and full-time employees, with a maximum of 480 hours Retirement: 401(k) plan with employer match, both Traditional and Roth options available 401(k) Profit Sharing Plan Free financial planning guidance to support your retirement goals *Eligibility for these programs is based on your years of service and required hours. Additional Benefits: Eligibility for FCN applicable bonuses Job Summary: Primary responsibility is to assess Risk Adjustment / HCC coding practices for Family Care Network Practitioners and billing staff ensuring that regulations are being followed We are looking for a qualified, motivated individual who can: Review medical record information to identify, collect, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC). Audit provider documentation of CPT and ICD-10 codes to ensure adherence with coding and CMS Risk Adjustment guidelines. Evaluate HCC audit processes and provide analysis and recommendations to improve overall provider documentation and coding. Responsible for ongoing provider education on HCC. Support and participate in process and quality improvement initiatives. Meet productivity and quality standards. Review Comprehensive Health Assessment forms. Performs other duties, as required. Essential Knowledge, Skills and Abilities: Extensive experience with healthcare coding and billing processes. Knowledge of Medicare managed care. Familiarity with EMR software. Extensive knowledge of CPT and ICD Codes. Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information. Must be able to achieve and maintain an accuracy standard of 95% or better. Intermediate computer skills: Word, Excel and Outlook. Commitment to discern and maintain confidentiality, in compliance with applicable State & Federal laws (i.e., HIPAA). Strong experience solving problems and addressing concerns in a collaborative manner; knowing when to request support from a supervisor. Ability to work both independently and as part of a team. Actively support and promote positive work and team ethic. Proven internal and external customer service skills. Proven ability to prioritize and multi-task detailed projects despite frequent interruptions. Proven ability to understand and communicate information accurately and clearly verbally and in writing, in person and over the telephone. About FCN: As an independent, locally owned, physician-run network of family medicine providers, we are passionate about our community's well-being. We take the time to build strong, long-term relationships with our patients and our employees. We have 12 clinics and 3 urgent care centers in Whatcom and Skagit County, in a beautiful corner of northwest Washington where the mountains meet the sea. Family Care Network offers an innovative and rewarding work environment, with a strong patient focus and a fulfilling mission. Qualifications Education & Experience: High School Diploma, GED or equivalent knowledge and skills obtained through a combination of education, training, and experience. Two or more years of medical office experience required Five or more years of biller/coder experience required Certified Medical Coder with CPC and one or more of the following required: CRC Minimum of two years HCC coding experience required Ability to obtain CRC within 1 year Physical Requirements: While performing the duties of this job, the employee is required to stand, walk, sit, use hand-to-finger coordination, handle or feel objects, tools or controls, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch, and listen attentively. The employee must occasionally lift and/or move up to 30 pounds. Immunization Requirements: Employees are required to meet immunization standards in accordance with federal, state, and organizational health and safety guidelines, as applicable to the role. A simple process is in place for employees to request exemptions for medical or religious reasons. Family Care Network is a Drug-Free, Equal Opportunity Employer

Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at ************************* Job Description Business Medical Coder Visa GC/Citizen Location 5775 Blue Lagoon Dr. Miami, FL 33126 Division Healthcare Contract 3 Months Qualifications Role · Review of denial on adjudicated claim that is classified as a code edit denial. · Request and review supporting documentation (medical records) when needed. · Once review is complete contact provider by phone to provide rationale as to whether we will overturn (pay) the denial or if it is upheld. Qualifications · CPC, CRC.CCS-P Coding Certification · CPC-A with coding experience · Knowledge/experience of CPT, ICD-9, and ICD-10 coding · Comfortable with making outbound calls to provider offices If you are available and interested then please reply me with your “Chronological Resume” and call me on **************. Additional Information Thanks & Regards, Ranadheer Murari | Team Recruitment | Mindlance, Inc. | W: ************ *************************

Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at ************************* Job Title: Digital Production Coordinator Duration: 4 Months (Possible contract to hire) Location: NYC Job Description: In this new position, the Digital Production Coordinator (i.e., Email Coder) will help us code emails for the Promo Email team. The successful candidate will have experience coding and sending emails. - Code HTML/deploy emails - Schedule launches - Unit test emails Required Skills: - Strong email coding background with at least 2-4 years' experience coding/sending emails - Knowledge of and experience using third party email applications (ExactTarget, DoubleClick, CheetahMail, Digital Impact, Responsys, Epsilon, etc.) - Excellent time-management, organization, and project management skills Desired (not required) Skills: - Responsive email coding experience a major plus -Experience with ExactTarget - Experience with Workfront (i.e., “AtTask”) or other project management tools Education/Certifications: Additional Information Thanks & Regards' ___________________________________________________________________________ Vikram Bhalla | Team Recruitment | Mindlance, Inc. | W: ************

Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at ************************* Job Title: Digital Production Coordinator Duration: 3 Months (Possible contract to hire) Location: NYC Job Description: In this new position, the Digital Production Coordinator (i.e., Email Coder) will help us code emails for the Promo Email team. The successful candidate will have experience coding and sending emails. - Code HTML/deploy emails - Schedule launches - Unit test emails Required Skills: - Strong email coding background with at least 2-4 years' experience coding/sending emails - Knowledge of and experience using third party email applications (ExactTarget, DoubleClick, CheetahMail, Digital Impact, Responsys, Epsilon, etc.) - Excellent time-management, organization, and project management skills Desired (not required) Skills: - Responsive email coding experience a major plus -Experience with ExactTarget - Experience with Workfront (i.e., “AtTask”) or other project management tools Education/Certifications: Additional Information Thanks & Regards' ___________________________________________________________________________ Vikram Bhalla | Team Recruitment | Mindlance, Inc. | W: ************

The Certified Coding Integrity Professional is responsible for all aspects of the coding and billing of all inpatient and outpatient claims, as well as all aspects of the CCM billing. The Certified Coding Integrity Professional, a key position in the Revenue Cycle, facilitates the coding as well as manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients related to coding issues. The incumbent will assist in the clarification and development of process improvements and inquiries in order to maximize revenues and will have an onsite presence at the clinical locations. Requirements ESSENTIAL JOB DUTIES and FUNCTIONS While living and demonstrating our Core Values, the Certified Coding Integrity Professional will: Perform accurate and timely multi-specialty coding for daily claims submission. Prepare and submit clean claims to third-party payers working closely with clinical team members regarding claims appeal, denial, and resolution. Perform audits of the daily billing summary reviewing the quality of the clinical documentation and coded data to validate that the documentation supports services rendered while ensuring the integrity of the coding. Respond timely (either orally or written) to account inquiries from patients, third-party payers, clinical providers, and/or other staff on claims submission. Interact with physicians, learners and other patient care providers on daily basis regarding billing and documentation policies, procedures, and regulations to ensure receipt and analysis of all charges; obtains clarification of conflicting, ambiguous, or non-specific documentation; as well as develop working relationship with operational leaders. Perform and monitor all steps in the billing and coding process to ensure maximum reimbursement from patients, third-party payers as well as from special billing arrangements. Assist in provider and learner education to ensure coding quality. Participate in clinical huddles/didactics and other clinical meetings as requested. Assist in the implementation and maintenance of the billing and coding educational materials used in clinical provider and learner training. Assist in the implementation and maintenance of population management learner training program addressing inpatient/outpatient chart review. Serve as a resource and for all billing and coding matters. Understand all aspects of Federally Qualified Health Center (FQHC) coverage, coding, billing and reimbursement of patient services, as well as other third-party payers. Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing/coding. Understand the considerations of coding in Value Based payment contracts. Responsible for reviewing and implementing changes from payor bulletins. Follow coding/billing guidelines and legal requirements to ensure compliance with federal and state regulations. Serve as a coach and mentor for billing team & education team. Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations REQUIRED QUALIFICATIONS Bachelor or Associate degree in any Healthcare related field or equivalent experience. Must be a Certified Professional Coder or 5 years equivalent minimum direct professional coding experience. Certified Professional Coder CPC, Certified Risk Adjustment Coder CRC (not required but a plus), Certified Professional Compliance Officer Certification - CPCO (not required but a plus). Must have strong knowledge of all guidelines for ICD-10, CPT/HCPCS codes, medical terminology, and billing processes. Knowledge of Medical Billing/EHR (Electronic Health Records) systems preferably Medent. Knowledge of EOBs (Explanation of Benefit), EFTs (Electronic Funds Transfer) and ERAs (Electronic Remittance Advice). Knowledge of Microsoft Office software. Must possess team leadership skills and have a positive disposition. Must be focused, self-directed, & organized, with problem-solving abilities. Accurate and precise attention to detail. Excellent verbal and written communication skills. REQUIRED LICENSES/CERTIFICATIONS Certified Professional Coder-CPC (not required but a plus) Certified Risk Adjustment Coder-CRC (not required but a plus) Certified Professional Compliance Officer Certification - CPCO (not required but a plus) FQHC billing helpful (not required but a plus). General working knowledge/previous exposure of healthcare environments and auditing concepts, medical billing/operations, medical terminology and clinical documentation.