Professional Fee Coder/Auditor, Revenue Cycle at Strive Health (Remote)

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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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Technology we use

  • Engineering
  • Product
  • Sales & Marketing
    • JavaLanguages
    • JavascriptLanguages
    • PerlLanguages
    • PythonLanguages
    • RLanguages
    • ScalaLanguages
    • SqlLanguages
    • jQueryLibraries
    • HadoopFrameworks
    • Node.jsFrameworks
    • SparkFrameworks
    • TensorFlowFrameworks
    • Microsoft SQL ServerDatabases
    • MySQLDatabases
    • SQLiteDatabases
    • AxureDesign
    • ConfluenceManagement
    • SmartsheetManagement
    • SalesforceCRM

An Insider's view of Strive Health

What are some social events your company does?

In support of Kidney Awareness, Strive participated in a virtual walk to fight kidney disease and celebrate hope for those suffering. As a team, we decided to raise money in support of the National Kidney Foundation, and hike together in the mountains of Burbank. It was so much fun! We enjoyed the morning and even raised over $2000!

Voranan

Head of Care Model Design and Innovation

What's the biggest problem your team is solving?

The Market Strategy team is working on how to ensure we focus on the right patients with the right clinicians at the right time. We get to solve this with multiple departments including analytics, operations, clinical delivery, etc. which makes it especially rewarding to be able to impact our patients while working alongside so much of the company.

Jonathan

Vice President, Market Strategy

How has your career grown since starting at the company?

Quickly and I love it! This is a fast paced and challenging environment where we are constantly innovating and thinking outside the box to go where no one has gone before in kidney care industry. Despite the growth, we have been able to stay true to our values and care for others first.

Kristen

Senior Director, Clinical Informatics

How do you empower your team to be more creative?

Ownership. A critical part of the team is that people know what they should be working on and what they are accountable for delivering. This gives them a chance to build the rapport with their non-technology counterparts to best understand the business components that relate to their expertise. It’s beautiful to see team members become creative.

Matt

Vice President, Data Strategy and Analytics

What kinds of technical challenges do you and your team face?

Interoperability! We are in the race along with the rest of the country to determine the best way to exchange healthcare data with external partners and providers in a seamless workflow. Our goal is to determine how we can efficiently utilize technology to meet our end users where they are, and streamline their processes!

Kristen

Senior Director, Clinical Informatics

What are Strive Health Perks + Benefits

Culture
Volunteer in local community
Friends outside of work
Eat lunch together
Intracompany committees
Daily sync
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Open office floor plan
Diversity
Highly diverse management team
Unconscious bias training
Diversity manifesto
Mean gender pay gap below 10%
Diversity Employee Resource Groups
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Pet Insurance
Wellness Programs
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
Company Equity
Performance Bonus
Child Care & Parental Leave Benefits
Generous Parental Leave
Flexible Work Schedule
Remote Work Program
Family Medical Leave
Vacation & Time Off Benefits
Unlimited Vacation Policy
Generous PTO
Paid Volunteer Time
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Company Outings
Some Meals Provided
Happy Hours
Parking
Recreational Clubs
Home Office Stipend for Remote Employees
Professional Development Benefits
Job Training & Conferences
Diversity Program
Lunch and learns
Cross functional training encouraged
Promote from within
Continuing Education stipend
Time allotted for learning
Customized development tracks
Paid industry certifications

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