UNKNOWN

ADAPTED_NOW

We believe every role contributes to the care our patients receive and as a Certified Coder your expertise helps ensure that care is accurately captured, supported, and sustained. If you take pride in precision, enjoy problem-solving, and hold a current AAPC coding certification, this is your opportunity to be part of a team making a real difference.

HOUR

Option to work fully remote or hybrid. Make an Impact Behind the Scenes at MCHC At MCHC, we are committed to delivering high-quality, compassionate care to our communities. We believe every role contributes to the care our patients receive and as a Certified Coder your expertise helps ensure that care is accurately captured, supported, and sustained. If you take pride in precision, enjoy problem-solving, and hold a current AAPC coding certification, this is your opportunity to be part of a team making a real difference. About the Role As a Certified Coder, you’ll play a key role in ensuring accurate coding, billing, and reimbursement across our clinics. You’ll serve as a subject matter expert for coding and billing practices, support clinic staff while helping optimize revenue cycle performance and maintain compliance with FQHC standards. What You’ll Do<ul><li>Accurately review, code, and submit claims using ICD-10, CPT, and HCPCS coding systems </li><li>Manually enter in-patient / hospital charges</li><li>Investigate and resolve denials, unpaid claims, and billing discrepancies </li><li>Monitor aging reports and take action to meet AR goals </li><li>Maintain coding updates, payer requirements, and system configurations </li><li>Verify patient eligibility and ensure complete and accurate charge entry</li><li>Break down EOBs and communicate clearly with both staff and patients </li><li>Collaborate with internal teams to resolve complex billing and reimbursement issues </li></ul>We Offer a Cadillac Benefits Package<ul><li>Medical, Dental, and Vision Insurance</li><li>Paid Time off (PTO) and 9 Paid Holidays</li><li>Life Insurance</li><li>401(k) with up to 4% Employer Match</li><li>Flexible Spending Account (FSA)</li></ul>If you’re ready to bring your coding expertise to a team that values your contributions and supports your growth, apply today and help us make a difference. <ul><li>AAPC Certification as a coding specialist</li></ul>Preferred Qualifications <ul><li>3+ years of experience as an AAPC certified coding specialist </li></ul> Compensation details: 27-35 Hourly Wage PIed7045025b86-25401-40264178

MCHC Health Centers

AAPC Certified Coder (Remote or Hybrid)

Accounts Receivable

Billing

Certified Coding Specialist (CCS)

Clinical Support

Communication Skills

Flexible Spending Accounts

Maintain Compliance

Medical Coding

Medical Office Administration

Past Due Accounts

Patient Care

Performance Tuning/Optimization

Problem Solving Skills

Regulatory Compliance

Reimbursement

Systems Administration/Management

JobTarget

OTHER

FEED

Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making soundclinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.

YEAR

Overview:
Nurse Practitioner Per DiemThis position covers all zip codes in: Mendocino County, CA ComplexCare Solutions (CCS) specializes in helping those in need by delivering high-value home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better clinical outcomes. CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are passionate about helping their local communities. We care dearly about those whom we serve, and we need your help to make a difference in the lives of our members. Providers have the opportunity to spend a full hour with these members, which allows them to capture a comprehensive picture of that individual’s personal needs and what is required to keep them in the home and out of the hospital. Compensation:<ul><li style="margin:0in">Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income</li><li style="margin:0in">In-home visit rate: $120 - $140 depending on state of residence</li><li style="margin:0in">If available, our telehealth rate is $85 per completed assessment</li></ul>Benefit:This position is eligible to participate in a company 401K plan providing the opportunity to save for retirement through employee contributions. New hires will be automatically enrolled in the company 401(k) plan at a 3% contribution rate with the option to opt out.

Responsibilities:
<ul><li>Knowledge of CMS Regulations and NCQA HEDIS Guidelines</li><li>Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA), Familiarity with ICD-10 and CPT-4 coding practices</li><li>Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic)</li><li>Ensure that all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Company policy, and client requirements</li><li>Support the physician/patient relationship and ensure timely and adequate communication, documentation of assessment findings, recommendations, need for additional services, emergency services required if necessary and need for follow up and timelines for follow up to primary care provider (PCP) and health plan as required</li><li>Make general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning recommended testing</li><li>Address and close identified gaps in care (disease-specific or preventive)</li><li>Recognize emergent or urgent situations requiring escalation and take appropriate action as specified in company policies, and as determined by reasonable professional judgment and ethical professional practice standards; and</li><li>Perform, document and communicate results of Point of Care (POC) Testing</li><li>Maintain compliance with Company policies, procedures and mission statement</li><li>Adhere to all confidentiality and HIPAA requirements as outlined within the Company’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position</li><li>Fulfill those responsibilities and/or duties that may be reasonably provided for the purpose of achieving operational and financial success of the Company</li><li>Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function</li><li>On a monthly basis, be available for a minimum of 25 slots of availability per month (approximately 37 hours)</li><li>We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such</li><li>Other duties as assigned</li></ul>

Qualifications:
<ul style="margin-top:0in"><li>Active un-encumbered license to practice nursing</li><li>ANCC or AANP board certification as a Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology or Emergency Medicine. </li><li>Maintains current CPR certification</li><li>Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing:</li><li><ul style="margin-top:0in"><li>Hepatitis B</li><li>Influenza</li><li>MMR: Measles, Mumps and Rubella</li><li>Pertussis, Tetanus and diphtheria and acellular pertussis (Tdap)</li><li>Varicella</li><li>Tuberculosis</li></ul></li><li>Home Health exp a plus </li><li>Must be able to effectively communicate with elderly and chronically ill patients and families</li><li>Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial</li><li>Ability to multitask</li><li>Excellent customer service skills</li><li>Bi-lingual or multi-lingual a plus</li><li>Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making soundclinical decisions without direct on-site supervision</li><li>Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools</li></ul>This company utilizes E-Verify. ComplexCare Solutions (CCS) is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. By embracing diversity, equity and inclusion we enhance our work environment and drive business success. ComplexCare Solutions (CCS) strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

ComplexCare Solutions

Nurse Practitioner (Per Diem)

American Nurses Credentialing Center (ANCC)

CPR Certification

Cardiology

Centers for Medicare and Medicaid Services (CMS)

Clinical Nursing

Clinical Outcomes

Clinical Practices/Protocols

Cloud Computing

Computer Skills

Computer Systems

Content Management Systems (CMS)

Corporate Policies

Current Procedural Terminology (CPT)

Customer Support/Service

Department of Health and Human Services

Diabetes

Disease

Diversity

Documentation

Emergency Medicine

Emergency Services

Equal Employment Opportunity (EEO)

HIPAA (Health Insurance Portability and Accountability Act)

Health Plan

Healthcare

Healthcare Effectiveness Data and Information Set (HEDIS)

Hepatitis B

Home Care

Hospital

ICD-10

Medicaid

Medical Conditions

Medical Record System

Medical Records

Medicare

Messaging Technology

Multilingual

Multitasking

National Committee for Quality Assurance (NCQA)

Nurse Practitioner

Nursing Credentials

Operations Processes

Patient Assessment

Primary Care

Regulations

Risk Management

Staff Requirements

Telehealth

Time Management

Treatment Plan

[AW]-iCims

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AAPC Certified Coder (Remote or Hybrid)MCHC Health Centers

Nurse Practitioner (Per Diem)ComplexCare Solutions

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