Full time opportunity for a Medical Coding Analyst, Roma Location . Overview of DaVita Medical Group s Medical Coding Analysts assist in the development and performance of formal and informal coding education programs for providers and other clinic staff, as necessary. They assist with implementation of new coding/HCC (Hierarchical Condition Categories) and billing policies and procedures in all clinical departments. Advise, instruct and educates providers regarding billing, HCC and documentation policies, procedures, and regulations. Audits and monitors coding and billing services to ensure compliance with all government and contractual obligations. Responsible for performing HCC chart reviews. *Note: All Coding Analysts are required to work onsite at DaVita Medical Group in Albuquerque, NM. Essential Functions: Trains and monitors coding/HCC and billing services to ensure compliance with all government and contractual obligations. Participates in internal and external audits. Prepares and maintains a variety of statistical reports and records while ensuring strict confidentiality of financial and medical records. Resolves daily coding scrubber errors to insure accurate coding structure for correct billing. Resolves claim denials related to coding errors; performs coding charge corrections and rebilling as required for the resolution of coding denials. Develops preventive measures in response to patterns identified through analysis of claims denial data and HCC reviews; prepares periodic reports for the HCC findings, trends and clinical staff identifying corrective measures necessary to resolve denial problems. Advises and instructs providers regarding billing and documentation policies, procedures, and regulations; interacts with provider staff regarding conflicting, ambiguous or non-specific medical documentation, obtaining clarification of same; and educates providers regarding changes and measuring compliance. Develops and conducts thorough formal and informal provider education sessions and participates in organizational meetings as required. Compiles and reports HCC statistical data. Completes appropriate HCC paper work/documentation/system entry related to the claim/encounter information. Performs data entry. Education: Required: High School Diploma or GED equivalent. Experience: Required: One (1) year of related experience. Preferred: Two (2) years of related experience. Required licensure: Certified Procedural Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist for the Physician (CCS-P). DaVita Medical Group is one of the nation s leading medical groups and is a national medical group with operations in New Mexico, Nevada, Colorado, Florida, California and Washington. It is an exciting time to join DaVita Medical Group NM as we blaze new trails in coordinated care, setting the new standard in New Mexico for compassionate, cost-effective, high quality healthcare. If you re looking to make a difference with a large, financially stable, well-recognized medical group, DaVita Medical Group may be the employer for you. DaVita Medical Group is an equal opportunity/affirmative action employer. As such, DaVita Medical Group makes hiring decisions solely on the basis of and experience, and without regard to age, race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks. DaVita Medical Group will consider qualified applicants who have criminal histories in a manner consistent with the law.
21 Jan, 2019