Coding Compliance Analyst - Remote - Nationwide

Vituity•Sacramento, CA

8d•$26 - $32•Remote

About The Position

At Vituity, we are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside. We have cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. Vituity has opportunities at 900 practices across the country, serving 14.5+ million patients a year. With Vituity, if you ever need to move, you can take your job with you.

Requirements

High School Diploma or GED equivalent required.
Two years’ minimum coding experience, or equivalent, to be able to apply correct CPT and ICD-10-CM codes in accordance with all Federal, State, and private payer statue and regulations; OR Two years’ minimum billing experience with government payors, preferable Medicare and Medicaid.
Basic knowledge of pathology and etiology of disease, body areas and organ systems.
Knowledge of CPT and ICD-10-CM coding practices and/or knowledge of Medicare/Medicaid billing practices and appeal process.
Excellent communication and interpersonal skills, including conflict resolution.
Ability to communicate effectively in writing and verbally.
Computer skills including Microsoft Outlook Suite (Word, Excel, Outlook), with intermediate Excel and Word knowledge.
Ability to review literature and come to conclusions and make recommendations to coding management.
Ability to analyze new or ambiguous information, define the issue or problem and propose resolution.
Strong organizational skills and ability to meet deadlines.
Ability to handle a fast-paced, high production environment.
Strong consultation skills and the ability to seek out information and provide quality advice.
Strong research skills with ability to apply complex reasoning and analysis to identify best policy proposal or interpretation.
Ability to work independently, accomplish responsibilities timely, meet acceptable productivity requirements to ensure appropriate workflow.
Ability to maintain effective working relationships with all staff.
Ability to react to change productively.

Nice To Haves

Certified Procedural Coder (CPC) certification and/or Certified in Healthcare Compliance (CHC) certification highly desired.

Responsibilities

Performs chart assessments with focus on application and accuracy of CPT, ICD-10-CM and MIPS/QCDR codes utilized, including communication with other departments, as needed.
Performs reviews for payer specific coding application and makes recommendations or file appeals, as needed.
Assists with coding of confidential charts, as needed.
Communicates trends in errors or documentation concerns to the Coding Compliance Manager.
Participates in industry-related webinars and/or other conference calls, as needed, and summarize information.
Offers recommendations for coding program enhancement.
Reviews encounters and makes final determination of patient disputes, including communication by mail with patients, as needed.
Ensures compliance with local, state, and federal government requirements.
Researches, interprets, and develops coding guidelines and methodology, including coder and client reference materials such as: Medicare, Medicaid, and workmen’s compensation guidelines for states we have not billed in, new practice lines and/or services, and new CPT codes, including possible addition of services not currently billed for.
Researches and interprets other commercial payer policies and provides guidance as needed.
Assists in reviewing information and applying periodic updates to RCM reference materials.
Evaluates literature, regulations, and payor policies and clarifies current code application and methodology, as needed.
Review and/or application of MIPS/QCDR measures.

Benefits

Superior health plan options
Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service)
Generous paid time off starting 3-4 weeks’ annually
Student Loan Refinancing Discounts
Professional and Career Development Program
EAP and travel assistance included
Wellness program
Purpose-driven culture focused on improving the lives of our patients, communities, and employees
Monthly wellness events and programs such as yoga, HIIT classes, and more
Trainings to help support and advance your professional growth
Team building activities such as virtual scavenger hunts and holiday celebrations
Flexible work hours
Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more