Medical Coder

at  GluCare

JOB SUMMARY

GluCare is a Technology company disguised as a Diabetes Clinic. We use technology enhanced services to provide metabolic health service, primarily for diabetes and other endocrinology services as well as common comorbidities. We are looking for a coder to assist us with our insurance claims.

REQUIREMENTS

• Previous clinic experience required
• A bachelor’s degree in a related field a positive
• Experience in the healthcare field a positive
• Able to work with minimal supervision in a fast paced environment
• Good time management skills

• Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
• Researches and analyzes data needs for reimbursement.
• Analyzes medical records and identifies documentation deficiencies.
• Serves as resource and subject matter expert to other coding staff.
• Reviews and verifies 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.
• Serves as resource and subject matter expert to other coding staff.
• Assists lead or supervisor in orienting, training, and mentoring staff.
• Provides ongoing training to staff as needed.
• Handles special projects as requested.
• Work with insurance manager to reduce rejection rates
• Understands insurance companies policies regarding eligibility, approvals, and other requirements to enhance the coding process
• Works with insurance manager to Interact daily with doctors, nurses, and other healthcare professionals to ensure accuracy and completion of coding as necessary.
• Maintains strict confidentiality related to medical records and other data.