Medical Coder at BroadPath Full Time

Job Description

Overview

BroadPath is immediately hiring Medical Coders to Join our team. Our Medical Coders will be responsible for accurately coding insurance claims into the database system, ensuring compliance with all regulatory requirements and facilitating seamless claims processing.

Responsibilities

• Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses and procedures for insurance claims.
• Accurately enter coded information into the database system to ensure timely and precise claims processing.
• Ensure all coding and data entry practices adhere to federal regulations, payer guidelines, and company policies.
• Analyze and review medical records to verify completeness and accuracy of coding information.
• Communicate effectively with healthcare providers to clarify diagnoses and obtain additional information when needed.
• Collaborate with internal departments or vendor to address and resolve any coding-related issues or discrepancies.
• Meet all department goals and process workload in a timely and efficient manner by CMS deadlines.
• Supports quality improvement interventions by collecting medical records data.
• Data extraction, financial reconciliation, and analytics.
• Participate in discussions with respect to ongoing projects.
• Production and presentation of results to senior leaders.
• Perform ad hoc analysis for multiple product lines.
• Multi-tasking, ability to manage at macro level and dig deep into issues for successful resolution.

Qualifications

• Must have a valid Medical Coder certification from AHIMA or AAPC:
  • AHIMA: Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), and Risk Adjustment Coding (RAC).
  • AAPC: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC), Certified Inpatient Coder (CIC).
• Expert knowledge of Medicare severity adjustment processes and tools.
• 1+years of experience working with Risk Adjustment in Medicare Advantage, Medicaid, and/or ACA.
• Cultivate internal and external business relationships that will serve as resources of technical knowledge and performance improvement.

Benefits

• BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive.
• You are paid within the salary range based on your experience and market data of the position.
• The actual salary for this role may vary by location.