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Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do?. A medical billing and coding specialist processes and

Responsible for receipt and documentation of Safety information for Marketed and Investigational Products. Interacts with health professionals and consumers to obtain and follow-up reports of possible adverse events with company products. Provides product information to health care professionals, consumers, and sales representatives. Codes and enters information into the global safety database. Verifies the accuracy, completeness and validity of information for each adverse event report for which he/she is responsible. Assures consistency of case records and documentation. Creates and ensures distribution of regulatory reports for FDA and other regulatory health authorities. Accurate and timely data entry of both domestic and foreign adverse event and serious adverse event information into the PSSS (Product Safety Surveillance System) consistent with the ARISg coding manual, SOPs/WIDs, process flows and established time frames within the ARISg workflow. Full understanding of the products’ company Core Data sheet, PI, and/or IB for accurate labeling and listedness. Perform appropriate and timely follow-up per department guidelines, including accurate and thorough communication documentation within the case. Maintain proficiency in the utilization of the PSSS, including MedDRA coding. This may include participating in the validation process for the PSSS. Ensure accurate and timely submissions to regulators, co-marketing partners and affiliates within company and regulatory timeframes. Utilize ARISg for all reporting and confirmation of successful distribution and acknowledgement. Maintain sufficient knowledge of all company products to ensure professional and knowledgeable discussions with consumers and healthcare providers and dissemination of accurate product information in response to queries. Provide high level customer service to consumers, health care professionals and internal customers. Complete all required training within the timelines provided so as to ensure knowledge of all relevant corporate and departmental SOP’s, SWP’s and WID’s. Ensure timeliness in regulatory compliance Gather sufficient information to assess the medical significance of an adverse event report, while at the same time assuring the information provided adequately addresses the concerns of the health care provider and/or consumer. Required Qualification & Skills: Bachelor’s degree in Medical field with RN or RPh licensure, or PharmD/MD degree required. Minimum 2 to 4 years in industry application of clinical medicine/pharmacy with a minimum of 1 year in pharmaceutical drug safety Experience in verbally interviewing and/or providing medical information to health care professionals and consumers Application of clinical medicine to patient care Medical terminology and standards of patient care Computer proficiency

Job Description Overview Job Title: HCC Risk Adjustment Coder Location: Hybrid - Verona, NJ & Remote Schedule: Monday through Friday; 40 hours/week Employment Type: Full Time; Exempt Reports To: Director, Clinical Quality & Transformation The HCC Coder is an essential administrative member of our dynamic health care team, focused on supporting the activities of the Population Health Department through various clerical duties. Excellent time management and an ability to work as part of a team are essential skills for this role. Willing to train the right candidate. Responsibilities ESSENTIAL DUTIES AND RESPONSIBILITIES (included but not limited to): • Accurate data management including the retrieval of hospital records and obtaining reports from specialists and health care providers., • Manage data entry on multiple spreadsheets to track workflows and outcomes., • Ability to review documentation and abstract all codes with specific emphasis on identifying the most accurate severity of illness according to CMS HCC (Hierarchical Conditions Categories) guidelines., • Effectively uses computer assisted coding tools to review and interpret medical records and applies in-depth knowledge of coding principles to validate missing, incomplete or incorrect CPT and diagnosis codes., • Abstracts, sequences and assigns diagnosis and procedures codes according to CMS HCC and all CPT and ICD 9 & 10 guidelines., • Demonstrates advanced knowledge of medical terminology, anatomy and physiology., • Follows up on all outstanding and incomplete provider billing summaries to ensure proper coding., • Attend training, meetings and presentations associated with the Population Health Department and the Vanova Health organization as required., • Perform administrative duties including copying, report collation, organizational tasks, and other duties as assigned by Manager., • Serve as the subject matter expert on HCC documentation requirements and ICD-10 coding guidelines., • Strong understanding of the HCC concepts and impact on Population Health Risk Adjustment reimbursement initiatives., • Effectively use computer assisted coding tools to review and interpret medical records and apply knowledge of coding principles to validate missing, incomplete, or incorrect CPT and diagnosis codes., • Assists in orienting, training, and mentoring new staff and physicians., • Review HCC suggestions from 3rd party HCC platforms daily. Advance suggestions to providers base on patient’s documented history. Suggestions must be reviewed prior to a patient next visit., • Demonstrates knowledge of medical terminology, anatomy, and physiology., • Follows up on all outstanding and incomplete provider billing summaries to ensure proper coding., • Ascertain that coding efficiency and accuracy are improved by performing independent audits of physician records., • Maintain at least 95% on both coding accuracy and completeness audits., • Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Personal Health Information. WORK ENVIRONMENT/PHYSICAL DEMANDS • Office setting, with extended periods of sitting and computer work Qualifications Qualifications: • Associate’s degree minimum, bachelor’s degree preferred, • Work experience in a community or medical health care setting is a plus., • Previous HER knowledge required, Athena a plus, • 1+ year of auditing experience, • Proficient use of Microsoft Office Applications (Excel, Word, PowerPoint)., • Coding Certification (CPC, CRC, CCS-P, CCA, RHIT, or RHIA) – highly preferred. TOTAL REWARDS AT VANOVA HEALTH SOLUTIONS: At Vanova, we see Total Rewards as more than just a paycheck and recognize that value comes in many forms. It is the full experience of being a part of our incredible team working toward a shared, mission-driven purpose. We’re proud to offer competitive compensation, health and wellness benefits, a retirement savings plan, time off to recharge, learning opportunities to continually grow, and meaningful work in a collaborative culture that fosters team connection through shared celebrations and appreciation events. We are committed to investing in the future of our people and focused on expanding our total rewards to support every stage of your journey with us. • The anticipated pay range for this role is: $23/hr-$25/hr, • This position offers an opportunity for annual target bonus based on individual performance and company financial performance., • Comprehensive benefits based on eligibility include a 401K retirement savings plan with company match, paid time off, and health benefits (medical, prescription drug, dental and vision insurance)., • Please note that individual total compensation for this position will be determined at the Company’s sole discretion and may vary based on several factors, including but not limited to location, skill level, years and depth of relevant experience, and education. EEOC Statement: Vanova Health is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. This job description is intended to describe the general nature and level of work performed and is not an exhaustive list of all responsibilities, duties, and skills associated with it. Duties and expectations may be subject to change with or without notice. #LI DNI

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