Medical Coder

Date: Apr 17, 2024

Location:

Hamilton, NJ, US, 08619-1288

Req ID: 24417

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As a(n) Medical Coder at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

At Gainwell, it’s easy to see the positive impact of what we do. The passion you bring to your career ultimately benefits the lives improved by services we provide to our clients. We encourage you to challenge yourself, learn and grow in a company that thrives on innovation. We go beyond entering new arenas to shaping markets with transformational experiences that redefine our business. The difference is clear.

Your role in our mission

The certified coder will serve as the primary resource for medical coding. The coder will advise the State on coding issues, provide in-depth research on new or unusual procedures, and make recommendations when appropriate. This individual will be assigned the following duties:

Serves as primary resource for medical coding updates and information, ensures that interpretation of code lists and code updates follows State policy.
Reviews and researches billed unlisted procedure codes to determine if a more specific code exists, supports the transaction department by working edit reports as assigned.
Supplies Provider Services with coding issues and updates to be shared with providers to provide timely and accurate claim payment, maintains library of code books and relevant resources that are available to personnel as necessary. Serves as resource for State staff and co-workers on questions related to coding
Analyzes data requirements and documents according to required standards by utilizing prescribed tools and methods to ensure that design and implementation are according to company guidelines and client specifications.
Applies data analysis or data modeling techniques to establish, modify or maintain data structures and their associated components to increase efficiency of structures and components.
Communicates with clients about data related discrepancies and other matters of significance to ascertain information and correct errors.

What we're looking for

Academy of Professional Coders (CPC) certification preferred and Registered Nurse experience helpful but not required (direct experience as a coder can be substituted if experience can be demonstrated to be equivalent)
Two or more years’ experience with updating code sets and implementing changes to Current Procedural Terminology (CPT) and/or Healthcare Common Procedure Coding System (HCPCS)
Experience with ICD CM and PCS would be very beneficial for a certified coder

What you should expect in this role

Onsite position in Quakerbridge Road, Hamilton New Jersey
Video cameras must be used during all interviews, as well as during the initial week of orientation.
The Deadline to submit applications for this posting is May 20, 2024

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The pay range for this position is $59,500.00 - $85,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.