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

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 tot his job Apply To this Job