US Contractor HCPCS Coding Specialist - Part Time

| Greater Boulder Area

Description

The HCPCS Coding Specialist will apply the appropriate HCPCS Level II codes to supply chain items as required for appropriate billing to Centers for Medicare and Medicaid Services, and other third party payers to assist in data retrieval, analysis, and claims processing. This is a part time position, roughly 30 hours per week.

Principle duties and responsibilities:

  • Assigns HCPCS Level II codes as required by CMS and associated billing requirements to supply chain items.
  • Researches vendor / manufacturer websites, to assist in assigning appropriate HCPCS codes for specific items. 
  • Determination of appropriate code based upon item description and usage as outlined on manufacturer / vendor website and matching with appropriate HCPCS code, based upon description of such code.
  • Performs periodic audit and maintenance of HCPCS code database and updates as necessary. 
  • Understands and applies APC regulations and impact of regulations upon HCPCS code assignment.  Queries CMS when code assignments are not straightforward or documentation is inadequate, ambiguous, or unclear for coding purposes.
  • Continuously reviews and updates regulations and maintains a current knowledge base of all changes to HCPCS codes as published by CMS. Appropriately researches quarterly and yearly updates.  Keeps abreast of coding guidelines and reimbursement reporting requirements through CMS reviews and reports identified concerns to supervisor or department manager for resolution.
  • Executes HCPCS code assessments as necessary to support sales team for presentation to prospective new clients. 
  • Coordinates with members of ACS team to complete deliverables on time for facility / providers as outlined in statement of work.   This includes an audit of deliverable prior to release to facility / providers. 
  • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management
  • Association and adheres to official coding guidelines.

Required Skills:

  • Work experience as a coder or strong training background in coding and reimbursement. 
  • Clinical background preferred. 

Required Qualifications:

  • Minimum of successful completion of a coding certificate program in a program with AHIMA approval status. RHIA, RHIT, CCS, and CCS-P certification status preferred. Coding certification preferred from the American Health Information Management Association.
  • Three years’ HCPCS coding experience may be used in lieu of certification.

Preferred qualifications:

  • Clinical background desired.
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Location

GHX is based in Louisville, CO and our office boasts a fitness center overlooking breathtaking Davidson Mesa open space and the Front Range Mountains!
1315 W. Century Drive, Louisville, CO 80027

What are GHX Perks + Benefits

Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Onsite Gym
Retirement & Stock Options Benefits
401(K)
401(K) Matching
Child Care & Parental Leave Benefits
Child Care Benefits
Generous Parental Leave
Flexible Work Schedule
Remote Work Program
Family Medical Leave
Vacation & Time Off Benefits
Generous PTO
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Company Outings
Game Room
Some Meals Provided
Happy Hours
Parking
Professional Development Benefits
Job Training & Conferences
Tuition Reimbursement
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