HCPCS Coding Specialist

Summary

Join Global Healthcare Exchange (GHX) as a Coder Auditor, contributing to the accuracy and consistency of enriched data related to medical-surgical devices and supplies. You will code and audit Healthcare Common Procedure Coding System (HCPCS) codes and apply appropriate Revenue Codes. This role involves sourcing and enriching transactional data, ensuring timely delivery of accurate information, and collaborating with the Product Operations Manager. Success requires advanced knowledge of medical terminology and HCPCS coding, along with experience in the healthcare industry. GHX offers a comprehensive benefits package including health insurance, retirement matching, paid time off, and education reimbursement.

Requirements

• Have applicable experience in the healthcare, life sciences, or medical technology industry
• Have advanced level knowledge of medical terminology and working knowledge of HCPCS coding
• Have a strong understanding of medical product functionality and terminology
• Have experience obtaining, reviewing, and collating information from a variety of sources, particularly related to medical devices/medical equipment
• Be able to work in a fast-paced, cross-functional environment
• Have strong attention to detail and proactive problem-solving skills
• Have excellent English comprehension and written communication skills
• Have a high degree of proficiency in MS Excel
• Have a Bachelor's degree or equivalent work experience in Information Systems or a healthcare-related discipline (e.g., biotechnology, biomedical engineering, or medical electronics)
• Have a minimum of 2 years medical coding experience (encompassing multiple clinical specialties) and a minimum of 1 year of medical auditing experience
• Have completion of a certified medical coder education curriculum or coding certification
• Be a Certified Professional Coder (CPC), Certified Coder Specialist-Physician (CCS-P), and/or Certified Coder Specialist (CCS)

Responsibilities

• Source and enrich transactional data elements based on defined standards relative to medical surgical devices and supplies to ensure data quality for the GHX customer base
• Ensure timely delivery of accurate data
• Work closely with Product Operations Manager to provide timely feedback for requirements supporting operational needs
• Contribute to the development of processes and procedures that support Content Operations goals and objectives
• Contribute different thoughts, ideas and viewpoints that lead to greater innovation on projects and cross-functional collaborative efforts

Preferred Qualifications

• Have project management skills
• Have supply chain knowledge
• Have a basic understanding of the UNSPSC
• Have an understanding of distributor/manufacturer relationships
• Have SQL knowledge
• Have knowledge of ICD-9, CPT Procedural Codes and/or UNSPSC
• Be able to travel up to 15% annually

Benefits

• Health, vision, and dental insurance
• Accident and life insurance
• 401k matching
• Paid-time off
• Education reimbursement