Contract Coding Specialist

4 semanas atrás


São Bernardo do Campo, Brasil Remote Jobs Tempo inteiro

If you got into healthcare to make a difference, you're in the right place . We're looking for a values-driven, mission-focused, dynamic Contract Coding Specialist (Part Time - Remote) who is passionate about working with seniors (and their families), especially those navigating challenges with dementia. Someone who is searching for a workplace and culture that is as committed to them as they are their patients. At Rippl, we are a passionate, impatient, slightly irreverent, people-obsessed group of optimists & doers intent on building a movement to bring dementia care to our aging population. We believe there is no more noble mission than caring for people at this critical stage of life, and we're ready to take action. Our Mission The Rippl Mission is to enable more good days for those living with dementia and their families. Our Core Values At Rippl, we live and breathe a set of shared, core values that help us build the best team to serve our patients, families and caregivers. We're fed up. Today's dementia care isn't working. We're changemakers. We're pioneering a new, better care model that actually works for people living with dementia and their families. We're in a hurry. The need for high-quality dementia care has never been greater. We start with yes. We don't let barriers stop us. We care for those who care for others. Great care starts with the people delivering it. The Role: The Coding Specialist ensures accurate translation of provider documentation into CPT, ICD-10, and HCPCS codes in accordance with payer guidelines and industry standards. This role is critical to supporting clean claim submission, reducing denials, and ensuring compliance with federal, state, and payer-specific coding regulations. Essential Functions: Review clinical documentation to assign appropriate CPT, ICD-10, and HCPCS codes for all billable services. Ensure coding accuracy in alignment with CMS, Medicare, Medicaid, and commercial payer requirements. Apply coding modifiers correctly to support medical necessity and payer rules. Work with providers to clarify documentation when needed to support accurate coding. Collaborate with billing specialists to resolve claim edits, denials, and rejections related to coding. Stay current on coding guidelines, payer policies, and regulatory updates. Complies with internal procedures established to ensure compliance with regulatory agencies Assist with internal coding audits and compliance initiatives. Maintain the highest standards of confidentiality in accordance with HIPAA and company policy. Qualifications: 2+ years of experience in medical coding, preferably in behavioral health, dementia care, or related specialties. CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) required; CPC-A considered with relevant experience. Strong knowledge of CPT, ICD-10, and HCPCS coding systems. Familiarity with Athena EHR and billing system preferred. Understanding of payer-specific rules, including Medicare and value-based care programs. Excellent attention to detail and organizational skills. Strong communication skills for provider and team interactions. Ability to work independently in a fast-paced, high-volume environment. What's in it for you Flexible schedule, up to 20 hours weekly (ideally within standard office hours) Remote work from home Opportunity to work with a compassionate and mission-driven team Insight into a high-growth startup revolutionizing dementia care Compensation: $21-$28 per hour, commensurate with experience. Employment Type: 1099 Contractor We are going to make some very big waves starting with a small Rippl - come join us #J-18808-Ljbffr


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