Job Description

Consultative Medical Coder

The Consultative Medical Coder provides medical coding expertise to support clinical staff to ensure the documentation within medical records supports diagnostic and procedural coding. This is a predominantly remote position, but you must live in the Las Vegas area and be able to travel to assigned clinics on an as-needed basis, which equates to approximately one week per month. You will report to the Manager, Medical Coding.

Responsibilities:

• Cultivate relationships with clinicians to serve as the single contact for questions and issues relating to documentation and coding.
• Identify documentation improvement areas and partner with clinical and coding education to deliver education related to improvement opportunities.
• Perform Quality Assurance on post-visit reviews.
• Manage the special handling of Mergers & Acquisitions by performing problem list cleanup and conducting process training on documentation requirements.
• Collaborate with HEDIS leaders and champions to identify HEDIS gaps and deficiencies.

Required Qualifications:

• 3+ years of technical Medical Coding experience or similar (including IPA and Offshore coding management).
• RHIA, RHIT, CCS, or CPC Certification.
• Must reside in the Las Vegas, NV area.
• Ability to travel a minimum of 1 week/month to assigned clinics.
• Proficient in MS Office Suite and Zoom/Teams.
• Must be comfortable presenting on camera and with public speaking.

Preferred Qualifications:

• Experience with Optum Encoder or AthenaOne EMR.
• Certified Risk Adjustment Coder (CRC) or Certified Documentation Expert Outpatient (CDEO).

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