[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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