Cinical Validation Coder - Retrospective Review & Clinical Suspecting

Join VillageMD as a Clinical Validation Coder (Remote)

Join the frontlines of today's healthcare transformation.

WHY VILLAGEMD

At VillageMD, we're looking for a Clinical Validation Coder to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we've partnered with many of today's best Primary Care Physicians and Advanced Practice Providers. We're equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We're creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.

OUR CULTURE AND VALUES

VillageMD is a group of collaborative, entrepreneurial and smart people who are united in our goal to improve primary care, making a difference in people's lives.

Get Stuff Done:  We roll-up our sleeves and dive into the details, tackling the work at hand with infectious enthusiasm.  We’re highly accountable for our work and the value we add, inspiring others with our constant ability to deliver results. No challenge is too small or too big.

Build Trust:  We are humbled by those we serve and the importance of our vision. We invest in relationships with open and honest conversation seeking personal connections. We show respect for others in our words and actions. We do what we say we are going to do. We are knowledgeable, but always take the time to listen and learn.

Innovate:  Our curiosity is endless, and challenging the status quo is a priority. New approaches are rewarded and we are always seeking to improve. We know that changing healthcare is hard, and we embrace the challenge.

COULD THIS BE YOU   

As a Clinical Validation Coder you will adhere to and perpetuate coding best practices across the clinical organization.  This role will be responsible for maintaining the highest levels of compliance in clinical documentation, regulatory guidance, and coding accuracy procedures.

How You Will Get Things Done:

• Complete retrospective medical record reviews to ensure diagnoses meets clinical documentation and coding guidelines
• Demonstrate the ability to appropriately apply coding principles, as well as an ability to integrate an advanced level of clinical knowledge, to aid in capturing the patient’s accurate disease burden

How You Will Build Trust:

• Communicate with physician about documentation opportunities and coding improvements
• Ensure compliance with established coding guidelines, third party reimbursement policies, regulatory and accreditation guidelines
• Collaborate with the broader team to facilitate an environment of knowledge sharing and continuous learning

How You Will Innovate:

• Assist in ad hoc clinical documentation review projects

EXPERIENCE TO DRIVE CHANGE

• High School Diploma or equivalent required, Bachelor’s degree preferred
• 3+ years of experience in advanced professional coding; HCC coding experience required
• Advanced level of clinical knowledge associated with chronic disease states and clinical indicators required
• Experience in retrospective, prospective and clinical suspecting coding methodologies required
• Professional Coding Certification such as CPC or CCS required, CRC preferred
• Additional clinical licensure/certification (MA, CPhT, LPN, RN) and/or direct experience working in a clinical care setting a plus
• Familiarity with Electronic Health Records; Athena Health EMR a plus
• Ability to effectively communicate with providers
• Technology savvy (MS Office, Excel, Outlook, etc.)

HOW YOU WILL THRIVE

To help our employees be their best at home and at work, we’re pleased to invest in benefit programs that support their total well-being.

• Physical Well-Being: Comprehensive health plans include medical and prescription, virtual care, dental, and vision benefits
• Mental & Emotional Well-Being: Employee Assistance Program (EAP), Talkspace and access to other premiere mental health tools and applications, bereavement support
• Career: Learning and development, clinician expense reimbursement and continuing medical education allowance
• Personal and Time Off: Paid time off, paid holidays, volunteer time off, parental leave
• Financial Well-Being: 401(k) with match, HSA, FSAs, commuter accounts, team member discounts, life, AD&D and disability, financial & legal consultations

Our unique Village Medical culture – how inclusion and diversity make the difference.

We believe building trust, acceptance and respect is rooted in an understanding that people do not experience things in the same way. Employment candidates are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

For Colorado Residents only: The base compensation range for this role is $30.00/hr to $35.00/hr. At VillageMD, compensation is based on several factors including but not limited to education, work experience, certifications, location, etc. This role may be eligible for annual/quarterly bonus incentives (if applicable), and the selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan with company match. 

Explore your future with Village Medical as a Medical Assistant today!