Job Description

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.



Job Ad

Medical Coding Associate is responsible for effective and efficient operations by enhancing various operational procedure in the areas of information flow and management, business processes, enhanced management reporting and looks for opportunities to expand and improve business outcomes. Should possess multi-specialty coding knowledge and be able to perform root cause analysis.

Essential Functions (Duties and Responsibilities):

60% Perform Medical coding related responsibilities and ensure seamless assignment codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes



Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations



Ensure that defined processes where client interaction are monitored and solved for in the areas where documentation is insufficient or unclear



Search for information in cases where the coding is complex or unusual



Receive and review patient charts and documents for accuracy



Ensure that all codes are current and active



Analyze and resolve root-cause issues by working with vendors, payers and various athena departments that are stakeholders



Analyze reports at a day to day operations level and provide insights to the management team indicating sharp spikes or dips in volume



Use baseline research and analysis to advocate for product and process improvement



Work closely with outside organization to support and solve outstanding process issues



30% Identify and quantify work trends



Propose solutions to improve internal processes to facilitate a "touchless" revenue cycle with broader stakeholder groups



Drive meaningful co-ordination and results with BPO teams and with internal divisions



Work with internal teams across the company to prioritize and implement process improvements appropriately prioritized based on impact and business need



10% Accept full ownership and responsibility for special projects



Work with internal stakeholders and client-facing teams to identify and resolve claim issues impacting individual clients and/or discrete lines of business



Communicate effectively the status and resolution of special projects, adhere to established timelines, and serve as a valued subject matter expert for internal teams.

Education & Experience Required:

Bachelor's degree or equivalent



5-7 years' experience in fast paced environment



Previous experience in healthcare RCM environment, mandatory

Knowledge & Skills:

CPC or CCS or equivalent



Preferred Surgery coders



CIC or in-patient understanding or experience, mandatory



Healthcare RCM knowledge, mandatory



Analytical skills and excellent communication skills



Problem framing and problem-solving skills



Ability to perform root cause analysis



About athenahealth

Our vision:

In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients -- powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Our company culture:

Our talented employees -- or athenistas, as we call ourselves -- spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.

Our DEI commitment:

Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.

What we can do for you:

Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces -- some offices even welcome dogs.



We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.



In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.

Learn more about our culture and benefits here:

athenahealth.com/careers

https://www.athenahealth.com/careers/equal-opportunity