HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice.

Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care.

Our Shared Vision – Every patient deserves access to quality healthcare.

Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other.

Why You Should Want to Work with Us

Health, Dental, Vision, Disability & Life Insurance, and much more
401K Retirement Plan (with company match)
Tuition, Professional License and Certification Reimbursement
Paid Time Off, Holidays and Volunteer Time
Paid Orientation and Training
Great Place to Work Certified
Established in 11 states
Largest home-based primary care practice in the US for over 28 years, making a huge impact in healthcare today!

Responsibilities

The Medical Coding Auditor performs quality assurance audits on Medical Coding Specialists and external vendors codes based on medical record reviews. The Medical Coding Auditor is responsible for providing QA results, feedback, and training to internal Medical Coding Specialist to ensure accurate coding submissions.

Essential Duties and Responsibilities

Ensure HarmonyCares submission follow all relevant coding guidelines related to ICD-10-CM, CPT, HCPCS, as well as CMS reimbursement policies, including MLNs, NCDs/LCDs, and the Claims Processing Manual
Perform coding quality assurance audits on outpatient encounters, including E/M, Preventive services, Labs, Diagnostics, and Denials
Ensure accuracy and completeness of risk adjustment codes for outpatient encounters
Provide QA results to the Medical Coding Specialist with feedback on errors
Track individual coder results to recognize coding error trends;
Holds 1:1 feedback & training sessions with coders below standards
Respond to coding questions and QA result rebuttals
Provide training to internal staff regarding QA results, policies, procedures and best practices
Works on additional risk adjustment audit requests
Ensure Coding team provider queries satisfy AHIMA compliant query guidelines
Performs other duties as assigned

Qualifications

REQUIRED Knowledge, Skills and Experience

High School Diploma
Current Certified Professional Coder (CPC) Certification from the American Academy of Professional Coders (AAPC) or AHIMA Coding Certification
3+ years of experience coding in an outpatient environment
Knowledge of CMS and payer audits
Experience with Microsoft Office (Word, PowerPoint, Excel, Outlook)
Ability to effectively communicate and work with providers and staff
Excellent written and verbal communication skills and strong interpersonal skills
Ability to work independently with minimal supervision
Self-audit of work and awareness of coding impact on revenue cycle
Ability to meet/or exceed performance metrics

Preferred Knowledge, Skills and Experience

Associates or Bachelor’s Degree
CPMA, CRC certifications
Experience with coding topics, including risk adjustment (HCC), E/M, denials and audit defense, diagnostic/radiology, and lab coding

Posted Max Pay Rate

USD $35.78/Hr.

Posted Min Pay Rate

USD $27.04/Hr.

Pay Transparency

Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.