RCM Coding Specialist
RCM Coding Specialist
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Job Description
We are united in our mission to make a positive impact on healthcare. Join Us!
- South Florida Business Journal Best Places to Work 2024
- Inc. 5000 FastestGrowing Private Companies in America 2024
- 2024 Black Book Awards ranked #1 EHR in 11 Specialties
- 2024 Spring Digital Health Awards Webbased Digital Health category for EMA Health Records (Gold)
- 2024 Stevie American Business Award (Silver) New Product and Service: Health Technology Solution (Klara)
Who we are:
We Are Modernizing Medicine WAMM! Were a team of bright passionate and positive problemsolvers on a mission to place doctors and patients at the center of care through an intelligent specialtyspecific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling we have grown to over 3400 combined direct and contingent team members serving eleven specialties and we are just getting started! ModMed is based in Boca Raton FL with office locations in Santiago Chile Berlin Germany Hyderabad India and a robust remote workforce with team members across the US.
At Modernizing Medicine we look for passionate innovative creative Rock Stars!
Who We Are
We Are Modernizing Medicine (WAMM)! Were a team of bright passionate and positive problemsolvers on a mission to place doctors and patients at the center of care through an intelligent specialtyspecific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling we have grown to over 3400 combined direct and contingent team members serving eleven specialties and we are just getting started! ModMed is based in Boca Raton FL with office locations in Santiago Chile Berlin Germany Hyderabad India and a robust remote workforce with team members across the US.
The Medical coding quality Auditor is a key position within the Modmed India Operations. Coders will be assigned to a group of practices under one or multiple specialties reporting to a specialty lead while they are responsible for working on modifiers escalated by practice or Global Partners a coder is responsible for observing and analyzing the areas and identifying opportunities to improve the process efficiency which will enhance the overall outcome for new and established customers.
Position Title Medical coding Auditor 3
Your Role
- Audit the work done by Global Partners and provide timely feedback to teams to aid in the quick resolution of denied coding claims.
- Review & work on Coding denials from the Payers.
- Serve as a point of contact as coding SME for coding questions and clarifications for the MMI team.
- Review claims assigned to practices due to Coding issues in order to find out any trends and will work with CAs if practice education/ intervention is required.
- Analyse coding denials to determine trends where preventive measures can be placed such as scrub edits provider training action plans coder training etc.
- Participates in coding educational opportunities (webinars internal training etc.. Will keep updated on the Payer Guidelines impacting on supplying the Codes.
- If needed may assist in the production coding of clients of various specialties and scopes of coding.
Skills & Requirements:
- 5 years of working experience in medical coding domain where minimum 2 years experience as SME/Quality in coding with Multi speciality experience
- Certification Mandatory CPC
- Having strong knowledge in Gastro Orthopaedics Ophthalmology Dermatology and Podiatry is preferred.
- Hands on knowledge of Coding Denials on providing the resolution.
- Good knowledge of Payer Guidelines to resolve the Denials related to Coding.
- Good writing and Verbal communication in English
- Can work independently during the India Night Shift
- Can run reports and analyze the trends and scenarios. A strong hand in MS Excel will be a plus
- Expert in supplying/auditing/ analyzing the CPT ICD Codes along with appropriate Modifiers
- CPC from AAPC or CCS from AHIMA
- Bachelors or Masters in Science with a background of Anatomy
ModMed Benefits Highlight: At ModMed we believe its important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:
India
- Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk
- Insurance Coverage: Comprehensive health accidental and life insurance plans including coverage for family members all at no cost to employees
- Allowances: Annual wellness allowance to support your wellbeing and productivity
- Earned casual and sick leaves to maintain a healthy worklife balance
- Bereavement leave for difficult times and extended medical leave options
- Paid parental leaves including maternity paternity adoption surrogacy and abortion leave
- Celebration leave to make your special day even more memorable and companypaid holidays to recharge and unwind.
United States
- Comprehensive medical dental and vision benefits including a company Health Savings Account contribution
- 401(k): ModMed provides a matching contribution each payday of 50 of your contribution deferred on up to 6 of your compensation. After one year of employment with ModMed 100 of any matching contribution you receive is yours to keep.
- Generous Paid Time Off and Paid Parental Leave programs
- Company paid Life and Disability benefits Flexible Spending Account and Employee Assistance Programs
- Companysponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed
- Professional development opportunities including tuition reimbursement programs and unlimited access to LinkedIn Learning
- Global presence and inperson collaboration opportunities; dogfriendly HQ (US) Hybrid officebased roles and remote availability for some roles
- Weekly catered breakfast and lunch treadmill workstations Zen and wellness rooms within our BRIC headquarters.
PHISHING SCAM WARNING:ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email text and social media. The imposters are creating misleading email accounts conducting remote interviews and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process and valid communications from our hiring team will come from our employees with a ModMed email address . Please check senders email addresses carefully. Additionally ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above please report them to the FTC website.
Required Experience:
Unclear Seniority
Employment Type
Full Time
