BROADWAY VENTURES, LLC · 6 days ago
Certified Coder
United States
Full-time
Remote
Senior Level
5+ years expBroadway Ventures is a Service-Disabled Veteran-Owned Small Business specializing in program management and innovative consulting solutions. They are seeking an experienced Certified Coder to support medical review activities through coding validations and quality assurance efforts, requiring deep expertise in Medicare coding guidelines and related requirements.
CommercialConsultingInsuranceProfessional Services
Responsibilities
Perform complex coding validations for accuracy reviews, disputes/disagreements, special studies, and review topic proposals
Contribute documentation and analysis for coding validation deliverables
Participate in quality assurance activities to ensure consistency and accuracy of coding determinations
Qualification
Required
High School Diploma required
Minimum of five (5) years of direct coding or billing experience in the applicable specialty
Five (5) years of Diagnosis-Related Groups (DRG) validation experience required
Extensive knowledge of the Medicare program
Working knowledge of CMS Fee-for-Service (FFS) Recovery Audit Contractor (RAC) Program requirements and activities
Preferred
Associate degree or higher preferred
Certification from an accredited organization such as: American Association of Professional Coders (AAPC), or American Health Information Management Association (AHIMA)
RHIA or RHIT credentials accepted if issued by AHIMA in the field of health information
Company
BROADWAY VENTURES, LLC
We deliver expert program management, cutting-edge IT, cybersecurity, and consulting solutions for government and commercial clients.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase