Coding Educator for Virtua Medical Group - CPC (Remote) at Virta Health

Mt Laurel, New Jersey, United States

Apply Now

Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

CPC certification
Expertise in ICD-10-CM, CPT, and HCPCS coding for Virtua Medical Group and Pro-Fee coding department
Ability to work 100% remote from specified states: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV
Availability for shift schedule between 7am-7pm depending on meetings with clinicians
Full-time commitment (40 weekly hours)

Responsibilities

Designs audit tools to monitor coding and abstracting quality and compliance; performs audits; provides timely feedback to staff and providers; makes recommendations for improvement
Performs special audits to facilitate quality improvements and compliance, including External Coding Audit Response: conducts exit interviews with external auditors, prepares rebuttals and appeals, takes appropriate action with responses (including correcting data and educating coders and providers)
Conducts meetings to discuss outcomes, reviews reports, works with physicians to provide appropriate clinical documentation to ensure compliant assignment of codes
Responds to daily questions from coders and providers regarding correct application of coding guidelines to individual accounts
Assists with monitoring of Discharge Not Final Billed reports, troubleshooting, resolving complex problems with individual accounts to facilitate appropriate reductions in A/R and accounts held for coding
Codes charts when urgently needed to facilitate A/R goals
Works closely with all areas to provide efficiencies in operational coding workflow, adjustment in workflow queues
Works closely with Patient Accounting vendor to resolve coding and reimbursement issues, serves as an escalation point, answers questions regarding coding requirements
Develops policies and procedures on coding and data
Develops, implements, and maintains compliance plan for provider coding and abstracting for VMG coding and abstracting
Provides coding quality audits, education, and training
Participates in system administration maintenance duties for coding and abstracting software

Skills

CPC

Medical Coding

Coding Audit

Coding Education

Clinical Data Quality

Profee Coding

Virta Health

Reverses type 2 diabetes through personalized care

About Virta Health

Virta Health focuses on reversing type 2 diabetes through a combination of personalized nutrition, continuous remote care, and behavioral science. Their treatment is designed for individuals diagnosed with type 2 diabetes, healthcare providers, and enterprise partners like employers and health plans. Unlike many competitors, Virta Health operates on a performance-based model, meaning they only receive payment if they achieve successful outcomes for their patients. This aligns their financial incentives with patient health improvements. The company's goal is to reverse type 2 diabetes in 100 million people, making their approach not just about managing diabetes but actively working towards its reversal.

Denver, ColoradoHeadquarters

2014Year Founded

$362.8MTotal Funding

SERIES_ECompany Stage

Biotechnology, HealthcareIndustries

501-1,000Employees

Benefits

Remote-first work environment

Flexible work hours & time off policy

Health insurance

Paid parental leave

Free Virta treatment & family discount

Internet, home office, learning & development stipends

Employee resource groups

401K & ROTH contribution

Risks

Increased competition in diabetes reversal could threaten Virta's market share.

Rising popularity of GLP-1 medications may divert clients from Virta's approach.

Regulatory changes in GLP-1 prescriptions could impact Virta's business model.

Differentiation

Virta Health offers a medication-free approach to reversing type 2 diabetes.

Their performance-based model aligns financial incentives with patient outcomes.

Virta's continuous remote care platform provides personalized nutrition and behavioral support.

Upsides

Virta Health has achieved over $100M in annualized revenue with sustainable weight loss solutions.

Partnerships with major payers like U-Haul enhance Virta's market reach and credibility.

Growing skepticism about GLP-1 medications boosts demand for Virta's alternative treatments.

Land your dream remote job 3x faster with AI

Try Jobo Free