Role Summary
Senior Coding Specialist supporting DaVita Integrated Kidney Care (IKC) in Atlanta, GA. This role focuses on Medicare risk adjustment coding, chart review, charge entry, and claims filing within an EHR and practice management environment.
Key Responsibilities
- Act as a subject matter expert and provide guidance on government projects and initiatives related to Medicare risk adjustment coding
- Review provider notes to abstract, assign, and enter valid ICD-10, CPT, and HCPCS codes into the EHR platform (EPIC)
- Perform medical chart reviews to identify and correct missed or erroneous HCC codes
- Work with providers to clarify information and resolve coding issues
- Enter charges into the practice management system (MEDfx)
- File electronic claims within 48-72 hours of entry
- Perform other duties as assigned
Requirements & Qualifications
Qualifications
- Bachelor's degree strongly preferred
- 4 years of medical coding experience in a health plan
- Knowledge of ICD-10, CPT, and HCC coding and reimbursement guidelines
- Understanding of Medicare Advantage contracts and/or financial analysis
- Knowledge of medical terminology and electronic health record systems
- Proficiency in MS Excel and Word
- Strong analytical and problem-solving skills
- Strong organizational skills and attention to detail
- Ability to maintain confidentiality of patient information
- Ability to work quickly, accurately, and independently
- CPC certification strongly preferred
Benefits & Perks
Benefits and Perks
- Medical, dental, and vision coverage
- 401(k) match
- Paid time off and PTO cash out
- Family resources and employee assistance program counseling
- Access to Headspace
- Backup child and elder care
- Maternity and paternity leave
- Professional development programs and leadership training
Location
Atlanta, Georgia, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 week ago
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