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Coding Specialist

Location

Minnesota

Posted

79 days ago

Salary

$22 - $34 / hour

Seniority

Senior

Professional Certificate

Job Description

Coding Specialist

Astera Health

Coding Specialist Location: Wadena, Minnesota, 56482, United States Department: Health Information Management Job Description: Astera Health is hiring for a Hospital Outpatient Coding Specialist in the Revenue Integrity department. This is a full-time position, scheduled at 80 hours bi-weekly. Astera Health offers a comprehensive benefits package including health, dental, vision, life and retirement. We also support work-life balance through benefits such as paid time off, short- and long-term disability and our employee wellness initiative. The position has a flexible schedule with the potential to work onsite, remote, or hybrid, with the knowledge that Astera Health will still require on-site work in Wadena, MN. Responsibilities include but not limited to: - Reviews and enters charges onto accounts. - Accurately codes all healthcare records using appropriate ICD-10 and CPT codes, ensuring all charges are accounted for prior to billing. - For Inpatient accounts, assigns proper DRG for Medicare patients based on documentation. - Provides codes and coding expertise to other departments as requested. - Collaborates with billing for coding denial management. - Communicates effectively with providers and clinical staff for documentation questions and coding query resolution. - Takes an active role in the Revenue Integrity Team identifying problems, offering suggestions, and providing expertise. - Answers all correspondence in multiple modalities timely and professionally. - Ensure proper maintenance of communication with regard to workload and schedule. - Patient confidentiality is strictly maintained. - The duties, responsibilities, requirements, and expectations of this job are subject to change. Competencies required include: - Demonstrate observation, listening, interpersonal, and clarification skills in order to interact positively and productively - Work well under pressure and maintain attention to detail in order to accurately document encounters - Knowledge of medical terminology, anatomy, and physiology - Effectively operate 3M Coding Reimbursement products - Effectively operate Vitalware coding resource platform - Effectively operate Epic electronic medical record - Effectively operate standard office equipment and Microsoft Office solutions (Outlook, Teams, Word, Excel, etc.) - Strong oral and written communication skills - Demonstrate a high degree of commitment to customer service excellence - Possess cross-cultural sensitivity - Ability to work effectively and build strong relationships within Revenue Integrity Department as well as collaborate with other Astera departments - Ability to perform tasks both collaboratively and independently - Demonstrates concern for patients of all ages, visitors, and co-workers - Maintains confidentiality of information and privacy compliance Education and experience required: - High School Diploma or GED - RHIT, CCS, AAPC or AHIMA Coding Credentials - 1+ years of experience in medical coding; Or combined years of relevant education and experience to perform the essential duties of this position. Physical Requirements: Sedentary Duty: exerting up to 10 pounds of force occasionally or negligible amount of force frequently to lift, carry, push, pull or otherwise move objects including the human body (based on U.S. Department of Labor data). The following physical activities are required to perform this job: Occasionally (up to 33% of work time): Standing, walking, reaching, lifting. Frequently (34-66% of work time): Sitting, handling, fingering, talking, hearing, near acuity vision. Astera Health is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.

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Verkada is the world’s largest cloud-based B2B physical security platform, offering a seamless blend of tech and safety. With six product lines — video security cameras, access control, environmental sensors, alarms, workplace systems, and intercoms — all integrated on one cloud platform, Verkada is designed for simplicity and scalability. Our real-time insights help organizations keep their spaces safe and comfortable while taking swift action to minimize security risks, workplace hassles, and costly inefficiencies. Founded in 2016 and backed by over $460M in funding, we’ve grown fast, with 16 offices spread across four continents, 2,000+ employees, and 26,000+ customers in 85+ countries — including 82 of the Fortune 500. Created by Stanford computer scientists and security experts, alongside Cisco Meraki’s co-founder and COO Hans Robertson, Verkada calls San Mateo, CA home. We also have offices in Salt Lake City, Tampa, Phoenix, Austin, London, Sydney, Taiwan, New York, Philadelphia, Toronto, Mexico City, Seattle, Tokyo, and Korea.

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Technical Acumen Navigates EMR systems and healthcare technology platforms efficiently. Attention to Detail. Ensures accuracy in documentation and patient data entry. Compliance Awareness Maintains HIPAA compliance and proper handling of protected health information. Organization Manages multiple tasks and systems effectively in a fast-paced environment. Collaboration Works closely with Enrollment Specialists, Care Coordinators, and operations staff. Key Performance Indicators (KPIs) - Insurance verification accuracy rate - Eligibility verification turnaround time - Patient call response quality and timeliness - Voicemail response and routing accuracy. Work Location, Shift & Schedule This position is remote (please see remote requirements below). Shifox/Alopex employees work Monday-Friday r according to the business hours of client practices. Remote Position Requirements: Reliable and stable Internet – all programs used by Patient Access & Eligibility Specialist are internet based. 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Job Title: Patient Access & Eligibility Specialist Overview: The Patient Access & Eligibility Specialist plays a critical role in supporting patient access to care management services by ensuring accurate insurance verification, confirming program eligibility, and assisting patients through administrative intake processes. This role serves as the front door to the care management program, helping identify eligible patients for Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and other virtual care services. The Patient Access & Eligibility Specialist verifies insurance coverage, confirms patient eligibility, answers incoming patient calls, manages voicemail communications, and ensures accurate documentation within electronic medical record (EMR) systems and care management platforms. 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Insurance Verification & Eligibility Determination - Verify patient insurance coverage and eligibility for care management programs. - Confirm payer requirements for Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and other services. - Review patient benefits, coverage status, and eligibility criteria. - Identify patients who qualify for enrollment in care management programs. - Document eligibility verification results in the appropriate systems. Enrollment Pipeline Support - Prepare eligible patient lists for the Enrollment team by verifying eligibility and insurance coverage. - Flag patients who meet program criteria for outreach and enrollment. - Support enrollment readiness by ensuring patient demographic and insurance data is accurate. - Communicate eligibility findings with Enrollment Specialists to support effective patient outreach. - Assist with administrative preparation for patient enrollment processes. Administrative & Platform Support - Maintain accurate patient demographic and insurance information within care management platform. - Assist with patient record updates and administrative workflows related to care management services. - Ensure documentation is accurate, complete and compliant with program requirements. - Support internal teams with patient information verification and administrative tasks. Technology & Data Accuracy - Utilize electronic medical records (EMR), care management platforms, and telephony systems to support patient access workflows. - Demonstrate strong technical proficiency when navigating multiple healthcare platforms simultaneously. - Maintain a high level of accuracy when entering patient information into healthcare systems. - Assist with resolving minor data discrepancies and escalate system issues when necessary. Qualifications and Skills Required: - 1–3 years of experience in healthcare administration, patient access, insurance verification, or care coordination support - Experience verifying health insurance eligibility and benefits - Familiarity with Chronic Care Management (CCM), Remote Patient Monitoring (RPM), or population health programs preferred - Experience working with electronic medical record (EMR) systems - Strong technical proficiency and ability to learn new healthcare platforms quickly - Experience handling patient phone calls in a professional healthcare environment - Excellent verbal communication and patient engagement skills - Strong organizational and time management abilities - High attention to detail and documentation accuracy Competencies: Competency Definition Patient Communication Provides clear, compassionate communication when assisting patients. Insurance Verification Demonstrates strong understanding of insurance coverage and eligibility processes. 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