WelbeHealth

Coding Auditor, Educator

WelbeHealth

full-time

Posted on:

Origin:  • 🇺🇸 United States • California

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Salary

💰 $68,640 - $89,535 per year

Job Level

Mid-LevelSenior

About the role

  • Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants
  • Conduct pre-visit chart preparations and post-visit chart reviews
  • Oversee audits and participate in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines
  • Work closely with Coding Supervisor in identifying opportunities for HCC coding education

Requirements

  • Associates Degree preferred; three (3) years of relevant experience may be substituted in lieu of a degree
  • Minimum of four (4) years of related experience or a combination of healthcare-related education and experience in coding and auditing
  • Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment
  • Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential
  • Strong knowledge of ICD-10 coding standards
  • Experience in the correct application of M.E.A.T. concepts
  • Comfortable in Microsoft Office (Outlook, Word, Excel, and PowerPoint)
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