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Welbe HealthWH

Coding Auditor & Educator

WelbeHealth is a physician-led organization providing comprehensive, coordinated care for seniors through the Program of All-Inclusive Care for the Elderly (PACE), enabling them to live independently at home. They offer medical, social, and supportive services, often at no cost to eligible participants covered by Medicare and Medi-Cal. [2, 10, 21]

Welbe Health

Employee count: 501-1000

Salary: 69k-90k USD

United States only

WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission.

At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance.

Essential Job Duties:

  • Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants
  • Conduct pre-visit chart preparations and post-visit chart reviews
  • Oversee audits and participate in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines
  • Work closely with Coding Supervisor in identifying opportunities for HCC coding education

Job Requirements:

  • Associates Degree preferred; three (3) years of relevant experience may be substituted in lieu of a degree
  • Minimum of four (4) years of related experience or a combination of healthcare-related education and experience in coding and auditing
  • Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment
  • Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential
  • Strong knowledge of ICD-10 coding standards
  • Experience in the correct application of M.E.A.T. concepts
  • Comfortable in Microsoft Office (Outlook, Word, Excel, and PowerPoint)

Benefits of Working at WelbeHealth: Apply your coding expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.

  • Medical insurance coverage (Medical, Dental, Vision)
  • Work/life balance - we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and sick time
  • 401 K savings + match
  • Advancement opportunities - we’ve got a track record of hiring and promoting from within, meaning you can create your own path!
  • Equity grants – typically reserved for executives, we want all team members to celebrate our success as a rapidly scaling company
  • And additional benefits

Salary/Wage base range for this role is $68,640 - $89,535 / year + Bonus + Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications.

Compensation
$68,640$89,535 USD

COVID-19 Vaccination Policy

At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.

Our Commitment to Diversity, Equity and Inclusion

At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

Beware of Scams

Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com

About the job

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Posted on

Job type

Full Time

Experience level

Mid-level

Salary

Salary: 69k-90k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Welbe Health

Learn more about Welbe Health and their company culture.

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At WelbeHealth, we're driven by a deep-seated mission to transform the lives of our most vulnerable seniors, enabling them to thrive and live with greater connection, vitality, and meaning. We were founded in 2015 by physicians who envisioned a world where every individual, regardless of age or health challenges, can participate fully in their communities until their final days. Our approach is rooted in the Program of All-Inclusive Care for the Elderly (PACE), a comprehensive model that integrates all aspects of medical and social services. This means we coordinate everything from primary and specialist medical care, dental services, and physical and occupational therapy, to transportation for appointments, meal provisions, and engaging social activities. We believe in a holistic view of well-being, addressing not just the physical health needs but also the social determinants that impact our participants' lives.

Our commitment extends beyond just providing services; it's about fostering a culture of 'Courage to Love.' This core value guides how we interact with our participants, their families, and each other. We strive to create an environment where every person feels uniquely cared for and valued. As a Public Benefit Company (PBC), a status we proudly adopted in June 2022, we are the first and only PACE provider to make this formal commitment. This means we hold ourselves to a higher standard of transparency and accountability, ensuring our mission and purpose are at the forefront of every decision. We are dedicated to improving the lives of older adults through these fully integrated services, creating meaningful job opportunities where our team members can serve a cause greater than themselves, and enriching communities by empowering our elders to live longer, more connected lives. We are constantly pioneering resourceful solutions to support participant health and independence, working collaboratively as a team with the shared intention of making a profound difference.

Employee benefits

Learn about the employee benefits and perks provided at Welbe Health.

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401k match

401 K savings + match.

Medical Insurance

Medical, dental, vision, and life ​​​​​​​insurance coverage.

Dental Insurance

Medical, dental, vision, and life ​​​​​​​insurance coverage.

Vision Insurance

Medical, dental, vision, and life ​​​​​​​insurance coverage.

View Welbe Health's employee benefits
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Welbe Health hiring Coding Auditor & Educator • Remote (Work from Home) | Himalayas