[Hiring] Contract Medical Billing & Coding Consultant @Stellar Health

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Role Description

Stellar Health is seeking a Billing and Coding Consultant with Medicare, ACA (inclusive of ACO) risk adjustment expertise to support value-based care efforts on a part time/contract basis. Responsibilities include:
• Training internal staff and medical group stakeholders (executives to billing staff) on accurate coding (ICD-10 and CPTII), claims submission, payer rules (Medicare, Medicaid, commercial), and HIPAA compliance, with a primary care focus.
• Deliverables include one-pagers, decks, consultation, executive meetings, and educational sessions.
• Investigating and developing comprehensive training materials with examples.
• Instructing diverse medical group personnel (medical assistants, office managers, physicians, billers) on accurate diagnosis communication and documentation.

Qualifications
• In-depth knowledge of Medicare and ACA risk adjustment methodologies, reporting, and their implications.
• Proven ability to provide training and education on precise code assignment, staying abreast of updates, documentation review, and compliance adherence.
• Experience in identifying and helping to correct common issues related to the full submission of diagnosis codes.

Requirements
• Over 7 years of experience in primary care billing and coding.
• Comprehensive knowledge of payer regulations, including Medicare, Medicaid, and commercial plans.
• Thorough understanding of HIPAA compliance requirements.
• Strong communication skills and ability to refine messaging to executive and junior audiences.
• Strong organizational skills, including time management, task prioritization, and maintaining accurate records.

Benefits
• Medical, Dental and Vision Benefits
• Unlimited PTO
• Universal Paid Family Leave
• Company sponsored One Medical memberships and Citibike memberships
• Medical Travel Benefits
• A monthly wellness stipend for various personal expenses
• Stock Options & a 401k matching program
• Career development opportunities like Manager Training, coaching, and an internal mobility program
• A broad calendar of company sponsored social events for in-office and remote employees

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