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About Nest Health

As a Medical Coder you will utilize your coding experience and expertise in the accurate coding of patient medical records. You serve as a subject matter expert in ICD.10, AHA Coding Clinic for ICD.10 CM and CMS Medicare and Medicaid requirements for diagnostic coding.

· Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. This is done in adherence with ICD.10 Official Guidelines for Coding and Reporting, AHA Coding Clinic for ICD.9 CM and ICD.10 CM, and CMS Medicare and Medicaid requirements for diagnostic coding.

· Researches and analyzes data needs for reimbursement.

· Analyzes medical records and identifies documentation deficiencies.

· Reviews and verifies that documentation supports diagnoses, procedures, and treatment results.

· Identifies diagnostic and procedural information.

· Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.

· Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.

· Follows coding conventions. Serves as coding consultant to care providers.

· Identifies discrepancies, potential quality of care, and billing issues.

· Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.

· Identifies reportable elements, complications, and other procedures.

· High school diploma, GED, or suitable equivalent required.

5+ years recent outpatient medical coding experience required. CMS HCC Risk Adjustment and Quality experience preferred.

· Must possess one of the following coding credentials: CPC, CCS, CCS-P, RHIT, or IA. Outpatient CDI credential from AAPC or ACDIS preferred.

· Auditing experience preferred.

· Proficient computer skills.

· Excellent communication skills, both verbal and written.

· Strong people skills and ability to build supportive relationships with providers.

· Outstanding organizational skills and an ability to operate efficiently and independently.

· No travel required.

· Prolonged periods sitting at a desk and working on a computer.

To protect the health and safety of our employees, we require any employee conducting in-person work to be fully vaccinated against COVID-19 by their start date. Any individuals subject to this requirement may request an exemption based on a sincerely held religious belief or medical need. Such requests will be subject to review and approval by Nest Health, and exemptions will be granted only if Nest Health can provide a reasonable accommodation in relation to the requested exemption.

Nest Health celebrates the diversity of our patient population and seeks diversity on our team. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.