Certified Professional Coder- REMOTE

Welcome to Veradigm, where our Mission is transforming health, insightfully. Join the Veradigm team and help solve many of today’s healthcare challenges being addressed by biopharma, health plans, healthcare providers, health technology partners, and the patients they serve.

At Veradigm, our primary focus is on harnessing the power of research, analytics, and artificial intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders.

Together, we can transform healthcare and enable smarter care for millions of people.

This is a fully remote position.

Veradigm Revenue Cycle Services

With Veradigm Revenue Cycle Services (VRCS), professional billing experts help organizations ensure accurate billing and coding, and partner with them at every step of the revenue cycle.

Dedicated account managers deliver a comprehensive approach for improving the financial health of any practice.

Are you passionate about coding? Do you do well in a team environment?

Job Summary :

This position reports to the Director of Coding and is responsible review and correct coding of all medical records for the purpose of reimbursement and compliance with federal regulations according to diagnosis and procedures(s) using current coding rules, guidelines, and classification.

The position interacts and follows up with providers for educational purposes to resolve coding issues. The position is responsible to effectively support the company's RCM through accurate and timely coding of medical records.

What you will contribute :

• Reviews medical record information to identify all appropriate coding based on CMS, ICD-10-CM, modifiers, and HCPCS / CPT categories.
• Verifies and ensures the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
• Follows up with appropriate individuals or providers to obtain additional necessary records to resolve coding issues.
• Communicates effectively with internal and external sources concerning diagnoses and procedure(s) to assure proper coding and reimbursement.
• Operates unique claim technologies in order to identify and resolve coding issues in order to submit clean claims.
• Assists and confers with other coders and Director of Coding concerning any problem records.
• Stays current with compliance and changing regulatory guideline.
• Demonstrates knowledge of ICD-10-CM and CPT coding guidelines and medical terminology.
• Supports and participates in process and quality improvement initiatives.
• Achieve goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements.
• Other duties as assigned.

The ideal candidate will have :

• High School Diploma or GED (Required)
• 2+ year relevant work experience (Preferred)
• Surgical coding experience (Required)
• Certified Medical Coder (CPC) with high degree of competence in this area with two years’ experience. (Required)
• Certified Orthopedic Surgery Coder (COSC) (Preferred)
• Must have foundational knowledge of medical terminology and anatomy.
• Ability to work with computer and online resources effectively and efficiently.

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development.

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We strongly advocate that our associates receive all CDC recommended vaccinations in prevention of COVID-19.

Visa Sponsorship is not offered for this position.

At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve.

The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions.

Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Veradigm’s policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category.

Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada.

Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

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