The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases, and E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes. This position is a full-time and 100% remote role.
Collaborates with customer in creation of care plan and documents plan in medical management system. Partners with each customer to establish goals and interventions to meet the customer’s needs. Empowers customers with skills to enhance interaction with their providers. Interfaces with the customer, family members/caregivers, providers, and internal partners to coordinate the needs of the customer. Tracks daily activities to trend volume and outcomes.
The Specialty and Retail Pharmacy Accreditation Program Coordinator ensures system-wide compliance with specialty and retail pharmacy accreditation standards. This includes planning, implementing, and coordinating accreditation compliance for all applicable accreditations including Utilization Review Accreditation Commission (URAC), Accreditation Commission for Health Care (ACHC) and others. The Coordinator is also responsible for ongoing readiness for accreditation surveys as well as regulatory complaint investigation.