Privia Health

About Privia Health

Coding Specialist Overview of the Role: We are currently recruiting for a remote Coding Specialist to join our national Revenue Cycle Management team. The successful candidate will have experience in both primary care and multi-specialty care and will be responsible for ensuring provider documentation is complete and supports provider code selection. Primary Job Duties: Answers internal and external complex coding email questions daily Identifies coding trends to be escalated to coding education department Applies correct CPT, ICD-10-CM, HCPCS, and diagnosis codes Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies Maintains compliance standards in accordance with the Compliance policies Determines the final diagnoses and procedures as stated by the providers are valid and complete Performs a comprehensive review of the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria. Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies Performs other related duties, which may be inclusive, but not listed in the job description Knowledge of: Federal laws and regulations affecting coding requirements Principles, practices and methods of current coding certificate required Knowledge of billing practices required Knowledge of medical records, EHR required Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes. Must comply with all HIPAA rules and regulations Responsibility, Skills, and Difficulty of Work: Ability to work independently to accomplish assigned work in a timely manner Clear and concise oral and written communication Excellent time management skills Confidentiality Minimum Qualifications: High School Diploma Coding Certification – AAPC Certified Professional Coder (CPC) certification is required Excellent interpersonal skills At least three years’ experience using ICD-10-CM, CPT and HCPCs coding AthenaHealth EHR experience a plus Interpersonal Skills & Attributes: Establish and maintain effective working relationships with providers, management, clients and staff Works in cooperation with corporate and clinic staff Expresses ideas clearly and effectively Responds calmly and maturely in high pressure situations Positive attitude toward company, work, clients, management, and team members Uses a customer-focused approach in dealing with conflict and resolution of problems Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. Privia Health is committed to providing equal employment opportunity to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Privia will provide reasonable accommodations for qualified individuals with disabilities. Privia's goal is for our people to reflect the communities that we serve and to increase representation of women, people of color, veterans and individuals with disabilities in our organization.

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Legal Form: LLC

Company Type: Public

Company Size: 51 - 250

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