Green Key Resources

A small managed care company is looking for a Coder/CDI Specialist to focus on Medicare members. Risk adjustment coding professional who has strong knowledge of HCC, RAF methodology, and CMS risk adjustment guidelines and is comfortable serving as a senior-level resource for coding quality and provider education. Key Responsibilities Audit and perform QC of coding team output for accuracy and compliance with HCC/ICD-10-CM guidelines Conduct second-level reviews and serve as an escalation point for complex charts and coding questions Identify documentation gaps and communicate directly with providers regarding documentation queries Educate physicians and clinical teams on documentation practices that support accurate risk adjustment coding Track coding errors, trends, and quality patterns and report findings Identify opportunities related to over/under-utilization and collaborate with teams and provider groups on solutions Support development of processes around right-coding,...

Green Key Resources seeks a Coder/CDI Specialist focused on Medicare members to lead risk adjustment coding quality and education. The role requires expertise in HCC, RAF methodology, and CMS risk guidance, with the ability to mentor the coding team and coordinate with providers on documentation gaps. The successful candidate will audit outputs, conduct second-level reviews, and drive solutions to improve accuracy and utilization, while acting as a senior-level resource for complex coding #J-18808-Ljbffr

This role ensures accurate, compliant inpatient coding by developing and maintaining rules, policies, and procedures aligned with national billing and coding standards. It supports claims payment, reimbursement, system configuration, and health data analytics to improve cost efficiency and compliance. The position also reviews coding in provider contracts, recommends reimbursement standards, and participates in developing coding guidelines. Education: High school diploma required; Associate’s degree preferred. Credentials: CCS required. Experience: Minimum 5 years of inpatient coding experience . Skills: Experience with encoder and EMR systems; strong organizational, communication, and interpersonal skills; denials management experience preferred. Other: Ability to manage multiple projects and work efficiently in a fast-paced environment. Essential Functions Ensure accurate assignment of diagnoses and procedures in compliance with state and federal regulations. Serve as the...

Medical Billing Specialist - Surgical Practice A well-established surgical practice with 10+ affiliated offices is seeking an experienced Medical Billing Specialist to join its growing revenue cycle team. This is a great opportunity for a detail-oriented billing professional with strong medical coding knowledge and operative report experience who enjoys working in a fast-paced surgical environment. Responsibilities Verify insurance coverage for patient encounters Update patient demographics and insurance information in Nextech Accurately enter medical charges and ensure timely claim submission Review and analyze operative reports to abstract information for accurate coding Maintain EMR and Scheduled Not Billed reports Complete workers' compensation and no-fault forms Review daily charge-entry reports for accuracy and completeness Send non-participating letters to new patients Assist with additional billing and revenue cycle responsibilities as needed...

Green Key Resources seeks a Medical Billing Specialist for a well-established surgical practice with 10+ affiliated offices in the NY/NJ market. The role focuses on accurate coding, charge entry, and revenue cycle support in a fast-paced surgical environment. The ideal candidate has 3+ years of medical billing experience, strong ICD-10/CPT coding knowledge, and CPC certification preferred. Nextech experience is a plus and high attention to detail is essential. #J-18808-Ljbffr