CenterWell

Healthcare

ConsultativeCodingProfessional

$59–81k South Carolina, United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“Consultative Coding Professional at CenterWell. Skills: Medical coding, Clinical documentation. Provide medical coding expertise. Support clinical staff”

Industry & Context.

Healthcare
Problems you'll solve

Research; Analyze trends; Troubleshoot issues

Eligibility Requirements

Reside in South Carolina, Internet speed 25 Mbps download, Internet speed 10 Mbps upload, Dedicated workspace

What They're Looking For.

Must Have

Three years Medical Coding experience, Candidate must reside in South Carolina, RHIA, RHIT, CCS, or CPC Certification, Travel <30%

What You'll Do.

Provide medical coding expertise

Support clinical staff

Ensure documentation supports coding

Cultivate relationships with clinicians

Serve as single contact for questions

Identify documentation improvement areas

Partner with clinical education

Deliver education on opportunities

Answer questions in real-time

Research coding guidelines

Interpret business rules

Perform Quality Assurance

Review encounter for missed opportunities

Address nonbillable services

Address documentation deficiencies

Update providers on requirements

Handle Mergers and Acquisitions

Perform Problem list cleanup

Conduct PCO Process training

Train acquired providers

Lead Special Projects

Analyze AWV completion rates

Analyze report variances

Conduct Chart reviews

Perform individual chart research

Collaborate with HEDIS leaders

Participate in Payer calls

Compile payer findings

Participate in payor meetings

Ensure accurate data submission

How You'll Work.

Team & Collaboration

Clinical staff; Coding education; HEDIS leaders; Payer calls

Communication Scope

Respond to inquiries

Full Job Description

# **Become a part of our caring community** The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and Advanced Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. **Location: This is a Hybrid role candidate(s) must reside in South Carolina.** **You will report to Director, Medical Coding.** **Relationship/Concierge Services:** * Cultivate relationships with clinicians (Physicians and Advanced Practice Providers) to serve as the single contact for questions and issues relating to documentation and coding. * Based on one-on-one engagement with clinicians, identify documentation improvement areas and partner with clinical and coding education to deliver education related to improvement opportunities * Analyze trends, assessment, and answer questions in real-time. * Research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. **Post-Visit/Offshore Coding Collaboration:** * Perform Quality Assurance on post-visit reviews. You will determine frequency and sampling methodology) * Review the encounter for potential missed opportunities. * Address nonbillable services at the provider level. * Address documentation deficiencies resulting in not billable services promptly (missing chief complaint, missing time for audio only visits, and missing telehealth platform) * Work with provide updates on documentation requirements and process changes. **Mergers and Acquisitions:** * Responsible for the special handling of Mergers & Acquisitions: * Perform Problem list cleanup (as outlined by compliance) * Conduct PCO Process training including reporting for open notes and addendums, and gap attestation process and performance expectations. * Train acquired providers on PCO documentation requirements and processes. **Other Responsibilities:** * Lead Special Projects within the Division/Markets * As requested by Market leaders, perform

Free ATS check

Applying for this Consultative Coding Professional role?

Most applicants get filtered before a human reads their resume. See if yours makes the cut.

How to Apply on Workday

  • Workday has a multi-step form — save your progress after every section.
  • "Apply With LinkedIn" can fail or lose data; manual entry is more reliable.
  • Watch for the "Submit for Review" final step — hitting "Save" alone does not submit.
  • Job requisition numbers are useful when following up with HR by email.

ANONYMOUS · UNFILTERED

What do employees actually say about CenterWell?

Real rants from real employees. Read before you apply.

Read Company Rants →