TASK DESCRIPTION: BILLING & CODING ANALYST
TITLE: Billing & Coding Analyst
DIVISION: CMA Physician Services Organization (CMA-PSO)
REPORTS TO: Chief Strategy Officer
OFFICE LOCATION: California-based Remote
EXEMPTION STATUS: Exempt
POSITION SUMMARY: The CMA-PSO is looking for a Billing & Coding Analyst to assist in transformative modification within main and/or specialized care practices or neighborhood health. As a Billing & Coding Analyst, you will be accountable for examining our service supplier partners and partner-practice billing and coding workflow, developing training and products, assisting in restorative actions, and performing audits and medical chart evaluations.
The Billing & Coding Analyst is anticipated to use topic knowledge to the CMA-PSO’s group, our service suppliers partners and partner-practices. The perfect prospect will be a qualified coder, have an understanding training design and strong experience providing to stakeholders at different levels in companies and medical workplaces.
DESIRED QUALIFICATIONS
– Assess billing/coding workflows to recognize coding, charge capture, and threat evaluation locations of enhancement within the practice.
– Performs paperwork and coding evaluations, in addition to understanding of associated billing practices consisting of CPT-4, ICD-9 and ICD-10, medical treatments, and client encounters by scientific provider (doctors) and hierarchical condition classification (HCC) coding
– Conduct audits of practice charts to examine compliance, efficiency, and consistency with value-based care objectives.
– Advise on finest practices for billing and coding to enhance workflow on coding documents for doctors and companies.
– Maintain current billing basic understanding for both Federal and California payers.
– Conduct chart evaluates as associated to Merit-Based Incentive Payments (MIPs) reporting and assist to report outcomes for the Medicare Shared Savings Program (MSSP).
– Offer assessment to CMA-PSO practice improvement experts, service supplier partners, and independent medical practices, supplying in-depth evaluation and suggestions for complete adoption of value-based billing and coding practices.
– Manage several jobs at different phases effectively and separately.
– Present to audiences varying from practice leadership/executives to front-line personnel, affecting adoption of finest practices and products that orient to our service supplier partner and practice partner requirements.
-Training efficiency in providing comprehensive however succinct training material on complicated product to numerous customer stakeholders.
– Support/Coach partner practices through modification management.
– Align with multidisciplinary internal groups to make sure development towards the shared objective of supporting practices from kick-off to go-Live.
Qualifications:
– Biller/Coder Certification is needed.
– Experience performing chart evaluations for MIPS reporting is needed.
– Bachelor’s degree from a recognized college or university is needed. Master’s degree and/or task management accreditation a plus.
– Based in California and ready to take a trip as much as 30% time within the state. (Note: During COVID-19, it is anticipated that all work will be remote, needing virtual work and check outs)
– At least 2 (2) years of health care billing/coding experience is needed, 4 (4) or more years are highly chosen.
– Ability to efficiently interact and preserve an expert, training technique with partner practices.
– Excellent organizational abilities.
– Detail-oriented.
– Ability to handle numerous jobs and activities on a regular basis, with very little guidance.
– Excellent computer system abilities and experience dealing with a large range of software application applications consisting of, Excel, Salesforce, Visio, Tableau, and Google and other web conferencing platforms.
(This task description shows the basic level and nature of the task. It is not meant to be all inclusive.)
Please note this position is published on behalf of our partner practices. This person will be operating at the particular practice that is pointed out in the above information and will not be a direct worker of Aledade, Inc. so will for that reason not be qualified for the advantages readily available to Aledade staff members.
Aledade.
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