Certified Medical Coding Lead (Remote) in WA, CA, MO, NC, NY or CT

San Francisco, CA | Medical Coding

Position Summary:

Under limited supervision, the Coding Leads work with the Manager in the daily operations of the Coding Department. Is knowledgeable in the GH Protocols and Market workflows. Works with Coders in answering questions and follow up emails to providers. Maintains department spreadsheets. Review, analyze and assign final EM levels, any office procedures and all diagnoses reflected in the provider chart notes according to CMS guidelines and GoHealth UC protocols. Works with our partners and markets to resolve problems, research new programs, updates protocols. Helps train new coders.
 
JOB REQUIREMENTS
 
Education
  • High School Diploma or GED required
  • Associates Degree preferred
 
Work Experience Required 
  • Minimum of 5 years outpatient EM/office procedure coding
  • Minimum 1 year working with coders in auditing/education
  • Knowledge of revenue cycle 
 
Required Licenses/Certifications
  • Medical Coding Certificate - RHIT or CPC certification 
  • ICD10 Proficiency
 
Additional Knowledge, Skills and Abilities Required
  • Federal laws and regulations affecting coding requirements
  • Working knowledge of payor guidelines, ie-modifier usage, timely filing
  • Strong Knowledge of Excel 
  • Knowledge of billing practices 
  • Knowledge of Epic and eCW EMR required
  • Excellent Communication Skills 
 
Additional Knowledge, Skills, and Abilities Preferred 
  • Denial Management 
  • Experience working with computer-assisted coding
 
ESSENTIAL FUNCTIONS
 
Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job. 
 
Duties May Include:
 
  • Point person for the Market Specialists, outsourced coding and CAC emails and questions
  • Review and analyze CAC and Market processes for continued department improvement. 
  • Point person for research in new market programs and processes that include coding changes.
  • Review’s pending WQ’s for timely follow up by coders.
  • Review Code Correct Errors for trends. Report patterns and potential coding changes.
  • Trains new coders in each Market and CAC system.
  • Maintains contact list in each market.
  • Works to ensure a smooth process in each Market
  • Meets weekly with the Market Specialist, updates ticket spreadsheet.
  • Accurately follows CMS coding guidelines and GoHealth Protocols to ensure compliance with federal and state regulatory bodies 
  • Alerts Coding Manager to any market trends for additional coder/provider training
  • Provide feedback to the Coding Manager on any Market issues
  • Reviews Coder Time/Productivity Quarterly as sent by Manager
  • Is the Coder point person for coding/GH Process Questions.
  • Approves all Time Off and ensures the coders add their time off to the Coders Time Off Calendar.
  • Maintains compliance standards in accordance with the Compliance policies and the Code of Conduct. Reports compliance problems appropriately. 
  • Maintains Coder productivity spreadsheets.
  • Codes as needed in downtime 
  • Attends seminars and in-services as required to remain current on coding issues 
  • Maintain current coding certificate
  • Performs other related duties as assigned
 
Note: this job description is not inclusive of all the duties of the position. You may be asked by leaders to perform other duties. Management reserves the right to revise this position description at any time.

GoHealth provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. We invite military veterans to apply for our positions. In addition to federal law requirements, GoHealth complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.


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Why GoHealth?

GoHealth Urgent Care has outstanding career opportunities in Connecticut, Missouri, New York City, North Carolina, Northwest Arkansas, Oklahoma City, San Francisco and the Portland-Vancouver area. And all of these positions have one thing in common: flexibility to practice urgent care medicine the way it was meant to be, without the stress and bureaucracy of hierarchical organizations. With reasonable work hours that don’t emotionally exhaust them or burn them out, our team can balance and prioritize their professional and personal lives.