Medical Coder, Coding Specialist - Two Chicks With A Side Hustle

Employer: Vesta Healthcare

Nice to meet you, we’re Vesta Healthcare.

Vesta Healthcare is a startup with a simple mission: Delivering extraordinary outcomes by unlocking the power of caregivers.
Caregivers are one of the largest, most untapped resources in the healthcare delivery system and are the unsung heroes of their care recipients.

Yet despite their vital role, they are largely unsupported and invisible to the healthcare ecosystem.
At Vesta Healthcare, we enable people with personal assistance to thrive at home, in their community by assuring the people they rely on, their caregivers, have the resources, data, and support they need.
We achieve this through a combination of analytics, technology, services, and deep healthcare expertise.

Our analytics help identify and target the right people and populations. Our technology creates real-time connectivity and actionable data out of observations.
Our services connect to real people who can help when needs arise, and our healthcare expertise helps us understand how we create value for both payers and providers.
Our program monitors in real-time, identifying issues before they become health events, and helping connect those in need with those who can help via technologies such as video, chat, and telephone.

Our technology platform includes home-based mobile applications, a clinical dashboard, and data analytics on data not previously available to health professionals.
We are disrupting a $109 billion industry and have just closed our latest funding round with a blue-chip list of investors.

We’re looking to add to our team of experts who care deeply about our mission.

Our team is passionate, driven, collaborative, intellectually curious, and excited about the opportunity to transform our healthcare system.
We’re inspired by caregivers and seek to create a platform that recognizes, utilizes and supports the vital role they play.
We strive to continuously learn, explore, experiment and achieve results.

We are here to improve the quality of life for caregivers and care recipients, allowing them to focus on the important things (like going to the mall with their grandkids)

The ideal teammate would beâ€¦

Someone who’s passionate about our mission to help older adults live fulfilling lives in their home and who gets excited about diagnosis codes!

They are current on their understanding of CMS guidelines and coding protocol. This person wants to be part of a team working together to change the way older adults age at home.

The ideal teammate would be able to:

Independently perform analysis of claims on a pre and post-payment basis utilizing clinical, coding and claims processing background to ensure claims are coded correctly

Leverage clinical and coding expertise to ensure appropriate documentation and care practices
Review pertinent medical records to validate/invalidate potential issues identified on claims
Plan and maintain an individual audit schedule through coordination and communication directly with leadership and provider personnel for reviews as necessary

Thoroughly document identified issues to support claim adjustments (including supporting medical record, clinical or coding rationale)
Identify and document upstream process gaps driving incorrect payment
Responsible for the security and privacy of any and all protected health information that may be accessed during normal work activities

Assures proper documentation is available in the medical record and that it is complete
Reports non-entered charges and reconciles errors for claim submission
Identifies opportunities to train co-workers, medical staff and professionals regarding documentation

Meet expectations regarding deadlines and documentation consistency
Collaborate with the clinical team and practice administrator to resolve queries and ensure progression of the claim through the revenue cycle management process
Adapt to new platforms and coding situations quickly and enjoy learning new processes

Would you describe yourself as someone who has:

3+ years of ICD-9/10 coding experience (required)
Active Professional Medical Coding Certification (CPC, CCS, etc.) (required)

ICD-10 Coding Certification (preferred)
Experience with medical record documentation, medical chart auditing/quality experience (preferred)
Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology

In addition to amazing teammates, we also offer:

Health, dental, and vision insurance with a choice of many different plans/costs partially subsidized by us
Paid vacation

Monthly reimbursement for internet or other home office expenses
Monthly gym reimbursement to be used for gyms, home equipment, online classes, etc
Basic Life & AD&D, Short-term and Long-term Disability Benefits paid fully by us