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

Remote Full-time
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

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

Apply Now

Apply Now
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

[Remote/WFM] Remote SPED Teacher for Elementary and High School

Remote

Senior Actuarial Analyst / Actuary- US Cyber and Financial Lines

Remote

**Experienced Customer Support Representative - Remote Opportunity at arenaflex**

Remote

Coordinator, Licensing and Credentialing

Remote

Account Manager - State and Local Government (Southwest)

Remote

Sr. Revenue Analyst

Remote

Information Security Risk Associate

Remote

[Remote] Regional Account Manager

Remote

Data Entry No Experience, Aetna Insurance Jobs For Nurses

Remote

Revenue Cycle Manager - Billing job at Healing Partners in Sparks Glencoe, MD

Remote
← Back