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#1 PH Workforce Delivering to the US

Bizforce and our medical billing division, MedCore Solutions, are seeking skilled Senior Medical Coder (Mental/Behavioral Health) to join our growing team. As a Medical Coder at MedCore, you will be responsible for translating details from a patient's medical documents into medical codes for health insurance claims purposes. Additionally, you will be liaising with the client and team members for coding-related queries and concerns, performing audits for coding denials and missing information, and maintaining a tracking system for coded charts. MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today!

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing.

We offer an expansive suite of administrative products and training to keep your practice and its employees safe and up-to-date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Responsibilities

• Translate details from a patient's medical documents into medical codes for health insurance claims purposes
•  Ensures accurate data entry of the coding and claims submission for services provided by physicians, including assigning the correct ICD and CPT codes
• Provides support to clinic/practice managers and staff in determining accurate coding and billing practices
• Liaising with the client/provider and team members for coding-related queries and concerns
• Perform audits for coding denials, missing information, and charts
• Maintain a tracking system for the charts coded and ensure work completion
• Research coding and claims questions thoroughly to maintain high-quality standards

Other Details

• Start Date: TBD
• Time zone: PST
• Schedule: Monday-Friday 8 hours/day; 40 hours/week
• Weekend days off
• Duration: Long term; Steady-state

• Must be AAPC/AHIMA certified coder
• At least 5 years of clinical experience in Medical Coding
• Experience in Dermatology coding charts
• Knowledgeable in US Insurance Plan Structure and HIPAA regulations
• Good oral and verbal English communication skills as well as listening skills
• Capacity to navigate challenging situations with ease
• Willing to work in a graveyard shift (US time zone)

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5

• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up
• Peripherals: Headset with noise-canceling feature

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education
• Specialized Training

What is expected of you and others at this level in Operations for functional success:

• Works to understand complex functional situations by paying attention to the details of the tasks at hand and by breaking them down into smaller pieces.
• Ability to work independently and prioritize work assigned
• Strong communication skills (English speaking) and ability to build partnerships with internal and external resources
• Work reviewed for purpose of meeting objectives and accuracy.
• Ensures that clients have a positive experience; commits to meet or exceed client expectations.
• Identifies opportunities to improve efficiency while providing flawless transactions and services.
• Applies judgment within defined parameters.
• Applies working knowledge in the application of concepts, principles, and technical capabilities to perform varied tasks.
• Receives general guidance and may receive more detailed instruction on new projects.

Accountabilities

• Works to support standard processes across inventory management Key Accounts teams.
• Tracks, analyzes, and reports on key performance metrics.
• Works independently to identify current service issues and determines the best sources of data for pinpointing the problem; effectively leads the coordination and resolution of those issues.
• Demonstrates a commitment to meeting service expectations or fulfilling service agreements; consistently meets customers' needs.
• Daily shorts review-Analyzes new/changing customer usage and takes appropriate actions to plan for demand changes.
• Completion of GPO monthly service level review which includes running 16 service level reports in Business objects or Looker, researching DC out lines for accurate service level reason coding for penalty reduction, applying formulas in excel to check for accuracy of changes, formatting the final customer facing report that will be provided to the key accounts internal GPO contact, submitting credit request to internal credit team.
• Review highly impacted service level items for Key Account (CVS)
• Prepare and provide needed excel documents for CVS, which would include weekly updates and trends on impacted service level items. Is it a Cardinal issue or supplier driven issue causing these impacts to the customer.
• Collaborate with Key Accounts on certain action items that may be needed to improve the overall customer service level.
• Strives to understand others' opinions and build agreement among team members; utilizes others' ideas and suggestions to shape solutions.
• Customizes inventory strategies to ensure product availability, maximize in stocks and prevent stock outs.
• Identifies data requirements, often beyond the standard, and collects all relevant data needed to analyze a complex problem, situation, or issue.
• Responsible for meeting In Stock and Service level targets.
• Maintains SOP's

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

To read and review this privacy notice click here

What is expected of you and others at this level in Operations for functional success:

• Works to understand complex functional situations by paying attention to the details of the tasks at hand and by breaking them down into smaller pieces.
• Ability to work independently and prioritize work assigned
• Strong communication skills (English speaking) and ability to build partnerships with internal and external resources
• Work reviewed for purpose of meeting objectives and accuracy.
• Ensures that clients have a positive experience; commits to meet or exceed client expectations.
• Identifies opportunities to improve efficiency while providing flawless transactions and services.
• Applies judgment within defined parameters.
• Works on projects of moderate scope and complexity
• Applies working knowledge in the application of concepts, principles, and technical capabilities to perform varied tasks.
• Identifies possible solutions to a variety of technical problems and takes action to resolve.
• Receives general guidance and may receive more detailed instruction on new projects.

Accountabilities

• Works to support standard processes across Inventory Management Analytics team
• Tracks, analyzes, and reports on key performance metrics.
• Works independently to identify current IDOC failure issues and determines the best sources of data for pinpointing the problem; effectively leads the coordination and resolution of those issues.
• Help discover issues with the IT systems before they become an impact to the end customer.
• Ensures problem statements and objectives are clearly defined. Ensures requirements are aligned to project scope, objectives, and strategies.
• Focuses on process analysis and re-engineering, with an understanding of technical problems and solutions as they relate to the current and future business environment.
• Demonstrates excellent listening, communication, and facilitation skills.
• Identifies data requirements, often beyond the standard, and collects all relevant data needed to analyze a complex problem, situation, or issue.
• Maintains SOP's

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

To read and review this privacy notice click here