Coding Compliance Analyst

Remote, Nationwide – Seeking Coding Compliance Analyst

Everybody Has A Role To Play In Transforming Healthcare

At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside.

Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 900 practices across the country, serving 14.5+ million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Performs chart assessments with focus on application and accuracy of CPT, ICD-10-CM and MIPS/QCDR codes utilized, including communication with other departments, as needed.
• Performs reviews for payer specific coding application and makes recommendations or file appeals, as needed.
• Assists with coding of confidential charts, as needed.
• Communicates trends in errors or documentation concerns to the Coding Compliance Manager.
• Participates in industry-related webinars and/or other conference calls, as needed, and summarize information.
• Offers recommendations for coding program enhancement.
• Reviews encounters and makes final determination of patient disputes, including communication by mail with patients, as needed.
• Ensures compliance with local, state, and federal government requirements.
• May be asked to travel for business purpose, not exceeding 5%25.
• Researches, interprets, and develops coding guidelines and methodology, including coder and client reference materials such as: Medicare, Medicaid, and workmen’s compensation guidelines for states we have not billed in, new practice lines and/or services, and new CPT codes, including possible addition of services not currently billed for.
• Researches and interprets other commercial payer policies and provides guidance as needed.
• Assists in reviewing information and applying periodic updates to RCM reference materials.
• Evaluates literature, regulations, and payor policies and clarifies current code application and methodology, as needed.
• Review and/or application of MIPS/QCDR measures.

Required Experience and Competencies

• High School Diploma or GED equivalent required.
• Two years’ minimum coding experience, or equivalent, to be able to apply correct CPT and ICD-10-CM codes in accordance with all Federal, State, and private payer statue and regulations; OR
• Two years’ minimum billing experience with government payors, preferable Medicare and Medicaid.
• Certified Procedural Coder (CPC) certification and/or Certified in Healthcare Compliance (CHC) certification highly desired.
• Basic knowledge of pathology and etiology of disease, body areas and organ systems.
• Knowledge of CPT and ICD-10-CM coding practices and/or knowledge of Medicare/Medicaid billing practices and appeal process.
• Excellent communication and interpersonal skills, including conflict resolution.
• Ability to communicate effectively in writing and verbally.
• Computer skills including Microsoft Outlook Suite (Word, Excel, Outlook), with intermediate Excel and Word knowledge.
• Ability to review literature and come to conclusions and make recommendations to coding management.
• Ability to analyze new or ambiguous information, define the issue or problem and propose resolution.
• Strong organizational skills and ability to meet deadlines.
• Ability to handle a fast-paced, high production environment.
• Strong consultation skills and the ability to seek out information and provide quality advice.
• Strong research skills with ability to apply complex reasoning and analysis to identify best policy proposal or interpretation.
• Ability to work independently, accomplish responsibilities timely, meet acceptable productivity requirements to ensure appropriate workflow.
• Ability to maintain effective working relationships with all staff.
• Ability to react to change productively.

The Community

Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.

• Monthly wellness events and programs such as yoga, HIIT classes, and more
• Trainings to help support and advance your professional growth
• Team building activities such as virtual scavenger hunts and holiday celebrations
• Flexible work hours
• Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior health plan options
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%25 plus discretionary profit-sharing contributions (eligible January following 18 months of service)
• Generous paid time off starting 3-4 weeks’ annually
• Student Loan Refinancing Discounts
• Professional and Career Development Program
• EAP and travel assistance included
• Wellness program
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees

We are excited to share the base salary range for this position is $25.74 – $32.18, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.

Applicants only. No agencies please.