Sr Specialist, Coding (DaVita IKC)
About The Position
DaVita Integrated Kidney Care is hiring a Sr. Coding Specialist to support Medicare risk adjustment coding and related coding operations. The specialist reviews provider documentation and medical charts, assigns and enters valid ICD-10, CPT, and HCPCS codes, identifies missed or erroneous HCC codes, and works with providers to resolve coding issues. The role also includes entering charges into the MEDfx practice management system and filing electronic claims within 48–72 hours of entry. The specialist serves as a subject matter expert for government projects and initiatives related to Medicare risk adjustment coding and provides guidance to less-experienced teammates. The position calls for accuracy, sound analysis, organization, confidentiality, and the ability to work quickly and independently.
Requirements
- Four years of medical coding experience in a health plan.
- Knowledge of ICD-10, CPT, and HCC coding and reimbursement guidelines.
- Knowledge and understanding of Medicare Advantage contracts and/or financial analysis.
- Knowledge of medical terminology and electronic health record (EHR) systems.
- Proficiency in MS Excel and Word.
- Strong analytical and problem-solving skills.
- Strong organizational skills and attention to detail.
- Ability to maintain confidentiality of patient information.
- Ability to work quickly, accurately, and independently.
Nice To Haves
- Bachelor's degree strongly preferred.
- Certified Professional Coder (CPC) certification strongly preferred.
Responsibilities
- Act as a subject matter expert and provide guidance and solutions for government projects and initiatives related to Medicare risk adjustment coding.
- Serve as a resource for teammates with less experience.
- Review provider notes and abstract, assign, and enter valid ICD-10, CPT, and HCPCS codes into the EPIC EHR platform.
- Review medical charts to identify and correct missed or erroneous HCC codes according to HCC coding requirements.
- Work with providers to obtain clarification or provide feedback to resolve coding issues and related problems.
- Enter charges into the MEDfx practice management system.
- File electronic claims within 48–72 hours of entry.
- Perform other duties as assigned.
Benefits
- Medical, dental, and vision coverage.
- 401(k) match.
- Paid time off and PTO cash out.
- Family resources and EAP counseling sessions.
- Access to Headspace.
- Backup child and elder care.
- Maternity and paternity leave.
- Education, training, and professional development programs, including on-demand leadership and development courses.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
