Coding Specialist II - Revo Health

To provide and assure consistent quality coding for provider orthopedic clinic services while adhering to applicable federal, state, local and private requirements, and while complying with Revo Health | i-Health policy and procedures.

This is a full-position working remotely, Monday - Friday. Core hours during business hours. Flexible hours from 6:30 AM until 6:30 PM.  Ob/Gyn and Internal Medicine experience would be a plus.

Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

Essential Functions:

• Assign appropriate diagnosis codes by using ICD-10-CM diagnosis set


• Assign appropriate CPT and HCPCS codes, per provider documentation, for hospital and clinic procedures


• Manage and provide coding support for coding backlogs, staffing coverage, and taking ownership of workloads


• Investigate discrepancies in documentation and task back as appropriate


• Follow coding policies and guidelines to determine appropriate coding


• Provide education and feedback to physicians and supporting staff regarding documentation, code selections and billing processes


• Review denied claims to determine appropriate action


• Monitor assigned provider “Unkeyed” encounters to ensure that all billable services have been captured


• Any and all other duties as assigned

Education and Experience Requirements:

• High School diploma/GED or equivalent


• Coding Certification (CPC, CCS-P, RHIT or RHIA) and/or a graduate of a Coding Program with certificate/diploma of completion is strongly preferred.


• Intermediate knowledge of ICD-10-CM, CPT, HCPCS and payer specific guidelines


• Intermediate understanding of medical terminology, body system/anatomy, physiology and concepts of disease processes


• We are looking for a coder with Ob/Gyn or Internal Medicine experience preferred to code E/M encounters and laboratory services.

Benefits & Compensation: 

• Actual starting pay will vary based on education, skills, and experience.


• We offer a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts - to learn more click here. 

Essential Requirements:

Ability to:

• Comply with company policies, procedures, practices and business ethics guidelines.


• Complete job required training.


• Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)


• Work remotely, in the clinic, office or surgery center during business hours


• Travel independently throughout the clinic, office or surgery center (which may include movement from floor to floor); frequent bending, lifting, stooping or sitting for long periods of time may be required


• Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines


• Converse in a respectful and professional manner


• Prioritize workload while being flexible to meet the expectations of the daily operations


• Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions


• Understand and execute a variety of instructions


• Effectively operate equipment and communicate on and operate the phone system


• Work independently with minimal supervision


• Travel to other work locations, if required

Performance Expectations – Revo Health's Core Values:

• Integrity - Do the right thing and take responsibility for what you do and say


• Service - Consistently contribute to deliver an exceptional experience


• Quality - Act with high purpose, committed effort, and skillful execution to exceed expectations


• Innovation - Identify progressive solutions that improve service, teamwork, efficiency, and/or effectiveness


• Teamwork - Be a part of the whole; support each other positively

Environmental Conditions:

• Remote

Notes:

• Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.


• We participate in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here:  http://www.uscis.gov/e-verify/employees


• This position description will be reviewed periodically as duties and responsibilities change with business necessity. Essential and Additional Job Functions are subject to modification.