Clinical Coding Specialist - Ridgeland, MS
Job description
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.
Summary
We are seeking a talented individual for a Clinical Coding Specialist who will be responsible for abstracting HIPAA compliant code sets and make recommendations based on coding principals applicable to Medicaid policies and procedures.
This is a technical/professional position which requires a general understanding of health records content to apply uniformed and accepted payment methodologies and fee schedules relating to professional coding. The work involves use of the following codes, applications, and processes: ICD-9 and ICD-10, CPT, HCPCs, Dental Codes, APC, APR-DRG, and other code and fee systems; current coding guidelines and regulations; health information review and code assignment process, expertise in reimbursement, claims handling, and denial and appeals process.
Your role in our mission
- Utilizes technical coding principals and reimbursement expertise to assign appropriate HIPAA compliant code sets
- Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system
- Recommends, tests, and implements process improvements, new audit concepts, and technology improvements that will enhance production, quality, and client satisfaction
- Actively cross-trains to perform reviews of multiple claim types to provide a flexible workforce to meet client needs
- Maintains current knowledge of coding guidelines and successfully completes required CEUs to maintain coding certification
What we're looking for
- One of the following AAPC or AHIMA certifications is required: Registered Health Information Management Administrator (RHIA); Registered Health Information Technician (RHIT); Certified Coding Associate (CCA); Certified Coding Specialist (CCS); Certified Coding Specialist – Physician-based (CCS-P); Certified Professional Coder (CPC); Certified Professional Coder-Hospital Outpatient (CPC-H); or Certified Professional Coder-Payer (CPC-P).
- 1-year full time certified coding specialist experience in a health care setting within the last 2 years
- Minimum of 2-3 years’ experience working in a hospital or physician’s office as a medical coder
- Expert knowledge of ICD-10, CPT, and HCPCS necessary
- Knowledgeable in HCPCS and ICD coding, reimbursement systems, benefit coverage and restrictions, medical policy determination, and federal and state rules and regulations.
What you should expect in this role
- Work from Home and in Ridgeland, MS office (Hybrid Schedule)
- Most benefits start on first day of employment
- All needed equipment provided
- Training and orientation
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The pay range for this position is $48,000.00 - $68,600.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
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