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Consultative Coding Professional

CenterWell Senior Primary Care

Become part of a caring healthcare community as a consultative coder supporting clinical staff and ensuring medical record documentation supports diagnostic and procedural coding.

This role is hybrid and requires the candidate to reside in South Carolina. You will report to the Director, Medical Coding.

Key responsibilities

  • Serve as the primary contact for clinicians regarding documentation and coding questions.
  • Identify documentation improvement opportunities and partner with coding education teams to support improvement.
  • Research and interpret coding guidelines and internal business rules to answer questions and resolve issues.
  • Perform quality assurance on post-visit reviews and review encounters for missed opportunities.
  • Address non-billable services and documentation deficiencies promptly.
  • Support mergers and acquisitions by training acquired providers and handling documentation cleanup and process education.
  • Lead special projects, including chart reviews, AWV completion analysis, EDAPS variance review, and HEDIS gap identification.
  • Participate in payer calls and chart reviews to support accurate data submission.
Requirements & Qualifications

Required qualifications

  • 3 years of medical coding experience or similar experience, including IPA and offshore coding management.
  • RHIA, RHIT, CCS, or CPC certification.
  • Ability to travel occasionally for training or meetings, with overnight travel under 30% based on business need.
  • Must reside in South Carolina.

Preferred experience

  • Experience working with clinicians and supporting documentation improvement.
  • Familiarity with quality assurance, chart review, HEDIS, and payer collaboration.
Benefits & Perks

Benefits

  • Medical, dental, and vision insurance
  • 401(k) retirement savings plan
  • Paid time off, company holidays, volunteer time off, paid parental leave, and caregiver leave
  • Short-term and long-term disability coverage
  • Life insurance
  • Bonus incentive plan eligibility

Location

South Carolina, US

Employment Type

Full-time

Experience Level

Intermediate Level

Salary Range

$59,300 - $80,900

Remote work allowed

Yes

Posted

3 weeks ago

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