CenterWell
Healthcare
ConsultativeCodingProfessional
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Consultative Coding Professional at CenterWell. Skills: Medical coding, Clinical documentation. Provide medical coding expertise. Support clinical staff”
Industry & Context.
Research; Analyze trends; Troubleshoot issues
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
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