NOTE: THIS POSITION HAS HYBRID SCHEDULE REQUIREMNT!

At Innovista, we believe that primary care is uniquely positioned to drive transformational change in healthcare. Our independent physician partners achieve clinical and operational excellence in every spectrum of value-based care, resulting in better patient care and positive outcomes for their practices. Innovista Health is a full-service management services organization that offers solutions for practice transformation, including multi-payer program administration, quality, utilization, and care coordination services, and performance improvement insights and reporting.

Innovista Health Solutions is an Illinois-based service organization with management services operations in Illinois and Texas. We are currently looking for a Healthcare Coding Specialist reporting out of our Dallas, TX office. At Innovista, we believe that positive forward movement in today’s uncertain healthcare market stems from the combination of innovative programs and dedicated people. Join the Innovista team and lead the charge to a better, more efficient healthcare system.

JOB SUMMARY:

The Healthcare Coding Specialist’s responsibility is to complete chart audits and educate providers on the results of audits.

DUTIES AND RESPONSIBILITIES:

• Review high volume of medical records to determine if specific disease conditions were overlooked in billing.
• Adheres to all official coding rules and CMS guidelines for risk adjustment reporting and ensures accuracy, completeness, specificity and appropriateness of diagnosis information.
• Schedules and performs onsite or electronic medical record reviews and abstract appropriate medical records, in order to abstract specified and required clinical data elements for quality reporting.
• Complete appropriate paperwork and documentation regarding claim/encounter diagnosis information.
• Demonstrates analytical and problem-solving ability regarding review of submitted diagnosis codes versus actual services provided to the patient.
• Perform analysis from the chart reviews for provider education training.
• Work with other members of the organization to ensure the smooth processing of the chart review functions.
• Assist in the development of educational materials.
• Provide articles for the newsletters.
• Perform other duties as assigned.

• Bachelor degree or equivalent experience required.
• At least 2-3 years of relevant professional experience, including Coding and auditing experience required in ICD-10-CM, CPT coding and/or quality.
• Certification in coding required (CPC, CRC, CCP, CCS).
• Knowledge of the Medicare and its rules, regulations, forms and procedures.
• Knowledge of medical terminology and treatment procedures.
• Demonstrate excellent organizational skills.
• Demonstrate effective verbal and written communication skills.
• Demonstrate analytic skills when problem solving.
• Proficient in MS Office Applications and ability to learn department and job specific software systems.
• Demonstrate high attention to detail and a high degree of accuracy.
• Able to commit to Innovista’s corporate mission and values.
• Able to switch priorities in a positive and effective manner when directed by Company leadership.
• Able to effectively communicate technical concepts with team members and basic business concepts with team members and internal customers.
• Valid Driver’s License and vehicle required.
• Ability to travel at least 30% for client meetings within the state required.
• Eligible for consideration of partial work from home status upon completion of probationary period as designated by the direct supervisor.

BENEFITS:

Innovista is dedicated to hiring passionate individuals who embody our core values: integrity, determination, and teamwork. We recognize the importance of work-life integration and seek to provide our employees with competitive benefits, which include:

• Competitive benefits package including subsidized medical insurance with Flexible Spending Account (FSA), Health Savings Account (HSA) and Health Reimbursement Account (HRA) options as well as dental and vision coverage
• Company-paid benefits, such as short- and long-term disability, employee life, and Accidental Death and Dismemberment (AD&D)
• Annual discretionary bonus
• Generous paid time off that increases with tenure
• Paid company holidays (9 per year)
• Paid Parental Leave
• Employee Assistance Program available
• 401(k) with Company Match
• Potential to work remotely or hybrid
• Flexible work hours may be available
• Continuous education opportunities
• Dress for your day policy
• Discounted gym membership program through medical coverage
• Opportunity for career advancement and growth
• Generous employee referral bonuses
• Open-door policy with our CEO and upper management

Please note: We do not post salary ranges. Salary ranges posted on other sites are not tied to our labor market specifications and are not relevant.