Certified Coder REQ#4914

Full Time at Villages Health

In the spirit of “Making People’s Dreams Come True”, the top candidate for this position is accountable for timely and accurately filing claims and minimizing the number of rejections and denials.

 Successful candidate will need to perform the essential functions of the job:

 · Provide education and teaching to providers and clinical assistants as needed related to properly coding (ICD9/10 and HCC encounter

· Review all UHC MA notes from encounters from prior day

· Review diagnosis codes to ensure that the codes are ordered properly

· Collaborate with providers when questions arise where a code might need to be edited or added

· Run 362.01 report daily by supervising provider/appointment provider to check for any charges on extenders and make corrections

· Check upcoming schedules for providers in your care center to look UHC MA patients.  Audit these charts for any HCC diagnosis that need to be brought up and brought to provider’s attention

· When HQPAF forms are received from Optum/UHC help facilitate filling these out and capturing HCC codes on 3-year history in ECW

 In order to be qualified for this role, the following is required:

 · High school graduate; some college coursework preferred

· Two years experience and working knowledge in medical billing functions of third party payer systems including Medicare and commercial insurance


Click here to apply for this job


The Villages Health is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, disability status, protected veteran status, or any characteristic protected by law. Applicants have rights under Federal Employment Laws. Please see the attached posters for more detail about your rights: Equal Employment Opportunity is the Law (EEO)Family and Medical Leave Act (FMLA), and Employee Polygraph Protection Act (EPPA).    

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