Professional Fee Coder/Auditor, Revenue Cycle
Overview
Strive Health
Strive Health is built for purpose- to transform a broken kidney care system. We are fundamentally changing the lives of kidney disease patients through early identification and engagement, comprehensive coordinated care, and home-first dialysis. Strive's model is driven by a high-touch care team that integrates with local providers and spans the entire care journey from CKD through ESRD, leveraging comparative and predictive data and analytics to identify patients at risk. Strive Health's interventions significantly reduce the rate of emergent dialysis crash, cut inpatient utilization, and significantly improve patient outcomes and experience. Come join our journey as we create THE destination for top ta lent in the Healthcare community and set a new standard for how kidney care should be done.
Professional Fee Coder/Auditor, Revenue Cycle
This position is responsible for Coding and Auditing Professional Fee records to determine appropriate designation of diagnosis and procedure codes while maintaining compliance with coding guidelines. During the coding/auditing process, the Profee Coder/Auditor may indicate a provider inquiry or feedback needed and will compose physician-friendly verbiage following prescribed workflow.
Essential Functions
- Analyze, evaluate, and review medical records to ensure accuracy of code assignment.
- Code professional fee charts and/or validate clinical code assignment (as needed per market).
- Expertise in coding or auditing Renal Specialty of professional fee and be able to code, audit, or train accordingly
- Prepare Physician Inquiries and/or feedback related to code validation audits or other reviews.
- Prepare daily coding logs, independently tracking production for review, and maintain a coding production rate of 95% or above.
- Demonstrates proficiency in coding including both ICD-10 and CPT while maintaining a 95% accuracy or above.
- Conduct claim editing activities, troubleshooting problem accounts, and conducting root cause analysis, following escalation pathway to RCM Leadership as applicable.
- Follow and adhere to AHIMA's Standards of Ethical Coding, all applicable regulations and guidelines, and all client-specific policies.
- Basic knowledge and experience in Microsoft Office applications (Excel, Office, Word, etc
- Meet in person with internal and/or external stakeholders to facilitate team and business priorities/opportunities.
- Other duties as assigned
Qualifications
Minimum Qualifications
- Associates Degree in Health Information Management with RHIT credential; or active Coding Credential from AHIMA or AAPC coupled with years' experience.
- Minimum of three (3) years' experience in physician based (Profee) coding.
- The ideal candidate in this role will have excellent written and/or verbal communication, analytical skills and demonstrate ability to think critically and operate autonomously
- Create Physician-friendly verbiage for provider feedback processes
- Proven ability to be successful in an autonomous work environment
- Skilled in all Microsoft Office Applications
- Business Travel
Preferred Qualifications
- Bachelor of Science in Health Information Management with RHIA Credential
- HCC Certified Coding Credential is a plus
- Experience in a startup, renal care or value-based care environment
Annual Salary Range : $67,000.00-$83,000.00
Strive Health offers competitive compensation and benefits. An annual performance bonus, determined by company and individual performance, is available for many roles and aligned to Strive Health guidelines. Learn more about our benefits here
Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide and work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications . If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected]
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