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Overview
Gather Health delivers Social Primary Care to older adults. Through our unique care model and proprietary technology, Gather Health’s solution drives care outcomes by addressing the whole person needs of dual eligible populations. Our Social Primary Care solution encompasses care and community within Gather Health Centers and in the homes of patients, aiming for dramatically better outcomes and a sustainable, equitable healthcare model. We are looking for talented professionals to help us build the platform, scale our operations, and create health for communities across the country. Responsibilities
Lead the Gather Disease Detection and Treatment (DDAT) program to ensure screening, documentation, and coding practices are aligned with CMS and organizational goals. Lead the Gather coding team to ensure chart reviews (pre, concurrent, and post) accurately represent patients’ health by identifying opportunities to improve accuracy of diagnoses documentation and coding. Participate in chart reviews as needed. Collaborate with providers and clinic staff to share observations and trends related to documentation and coding practices in the center. Provide education to providers and staff on compliant and accurate documentation and coding (e.g., CMS Medicare Risk Adjustment procedures and regulations, documentation guidelines, etc.). Audit charts and consult providers on opportunities to improve documentation and coding practices. Support coding compliance audits as necessary. Support Revenue Cycle team with claims corrections and denials as needed. Maintain current knowledge of medical coding and HCC risk adjustment guidelines. Requirements
4+ years working as a physician coder (including at least 2 years supporting risk adjustment coding). Deep understanding of Medicare Risk Adjustment and compliance requirements. Risk Adjustment Coder credential (e.g., AAPC CRC, or similar). Ability to work for any employer in the United States. Skills and Experience
Process improvement Experience working with electronic health records (EHR) systems Experience in a healthcare setting with a focus on quality improvement Experience working with data analytics and reporting tools Candidate Traits
Strong interpersonal skills; track record of building effective working relationships with providers Detail-oriented with exceptional attention to detail in coding and documentation review Proactive in identifying and addressing potential coding and compliance issues Adaptable; able to manage multiple tasks and adapt to regulatory changes Why Join Gather Health
We are a mission-based organization passionate about changing how seniors experience primary care Our business model is unique and cutting-edge in the primary care industry Leadership team is experienced and committed to excellent patient and employee experiences We are building a strong culture and a compassionate, joyful work environment Founded and led by experienced co-founders with a track record of success in healthcare Benefits for Full-Time Colleagues
Generous PTO Eleven Paid Holidays Medical insurance coverage (health, dental, vision) with no waiting period for enrollment Short- and Long-Term disability insurance at no cost to you Basic life insurance coverage at no cost to you 401K plan with 100% employer match, up to 4% of your salary Supplemental benefits available Gather Health is an Equal Opportunity Employer. All employment decisions are made without regard to race, color, creed, sex, national origin, ancestry, veteran status, disability, or any other basis as protected by federal, state, or local law.
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Gather Health delivers Social Primary Care to older adults. Through our unique care model and proprietary technology, Gather Health’s solution drives care outcomes by addressing the whole person needs of dual eligible populations. Our Social Primary Care solution encompasses care and community within Gather Health Centers and in the homes of patients, aiming for dramatically better outcomes and a sustainable, equitable healthcare model. We are looking for talented professionals to help us build the platform, scale our operations, and create health for communities across the country. Responsibilities
Lead the Gather Disease Detection and Treatment (DDAT) program to ensure screening, documentation, and coding practices are aligned with CMS and organizational goals. Lead the Gather coding team to ensure chart reviews (pre, concurrent, and post) accurately represent patients’ health by identifying opportunities to improve accuracy of diagnoses documentation and coding. Participate in chart reviews as needed. Collaborate with providers and clinic staff to share observations and trends related to documentation and coding practices in the center. Provide education to providers and staff on compliant and accurate documentation and coding (e.g., CMS Medicare Risk Adjustment procedures and regulations, documentation guidelines, etc.). Audit charts and consult providers on opportunities to improve documentation and coding practices. Support coding compliance audits as necessary. Support Revenue Cycle team with claims corrections and denials as needed. Maintain current knowledge of medical coding and HCC risk adjustment guidelines. Requirements
4+ years working as a physician coder (including at least 2 years supporting risk adjustment coding). Deep understanding of Medicare Risk Adjustment and compliance requirements. Risk Adjustment Coder credential (e.g., AAPC CRC, or similar). Ability to work for any employer in the United States. Skills and Experience
Process improvement Experience working with electronic health records (EHR) systems Experience in a healthcare setting with a focus on quality improvement Experience working with data analytics and reporting tools Candidate Traits
Strong interpersonal skills; track record of building effective working relationships with providers Detail-oriented with exceptional attention to detail in coding and documentation review Proactive in identifying and addressing potential coding and compliance issues Adaptable; able to manage multiple tasks and adapt to regulatory changes Why Join Gather Health
We are a mission-based organization passionate about changing how seniors experience primary care Our business model is unique and cutting-edge in the primary care industry Leadership team is experienced and committed to excellent patient and employee experiences We are building a strong culture and a compassionate, joyful work environment Founded and led by experienced co-founders with a track record of success in healthcare Benefits for Full-Time Colleagues
Generous PTO Eleven Paid Holidays Medical insurance coverage (health, dental, vision) with no waiting period for enrollment Short- and Long-Term disability insurance at no cost to you Basic life insurance coverage at no cost to you 401K plan with 100% employer match, up to 4% of your salary Supplemental benefits available Gather Health is an Equal Opportunity Employer. All employment decisions are made without regard to race, color, creed, sex, national origin, ancestry, veteran status, disability, or any other basis as protected by federal, state, or local law.
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