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Job DescriptionDescription: Who is Gather Health? We are a new and growing healthcare organization with a unique and innovative approach to healthcare. Our mission is to improve lives and communities through socially supported primary care for older adults. Our innovative business model allows our clinicians to treat the whole patient - not just their clinical needs. We do this by having a dedicated care team that supports our clinicians by addressing our patients’ social determinants of health and providing the highest quality of service possible. Our ultimate vision is creating generational health and equity for communities across the country, one patient at a time. Position Overview Gather Health is seeking a Risk Adjustment Coding Specialist to join our growing team. This role is critical to ensuring the accuracy and completeness of diagnosis documentation and coding to support value-based care under Medicare Advantage and ACO REACH contracts. The ideal candidate has a deep understanding of HCC and CPT coding, is detail-oriented, and has strong interpersonal skills to provide feedback and education to PCPs. This role is primarily remote but may require periodic onsite meetings for one-on-one or group provider educational sessions, and team meetings as needed. Duties • Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations, • Complying with medical coding guidelines and policies, • Reviewing patients’ charts and documents for verification and accuracy (retrospective, prospective and Concurrent Chart Review), • Maintaining productivity and quality standards as set by the company, • Communicating professionally with co-workers regarding clinical and reimbursement issues, • Two (2)+ years previous experience as a certified professional coder, • Certified Professional Coder through the American Academy of Professional Coders (AAPC) or Certified Coding Specialist through the American Health Information Management Academy (AHIMA), • High school diploma or equivalent; AS degree in accounting, health care administration, finance, business, or related field preferred, • Able to multitask, prioritize, and manage time efficiently, • Self-motivated and self-directed; able to work without supervision, • Excellent verbal, written, and interpersonal communication skills Gather’s model achieves superior care by individualizing care and is reinforced by a three-prong approach: a unique care model quarterbacked by PCPs and supported by multi-disciplinary care teams, tailored Social Care Plans that are led by Gather Guides and facilitated by deeply rooted community partners, and a proprietary “Tech Enabled Home Model.” Founded in 2022 and born out of the Healthcare Foundry Portfolio, Gather Health is addressing a $1 trillion market in primary care for older adults. Today, Gather Health operates in Massachusetts and is working with a multitude of payer partners on aligning value-based care economics to deliver integrated care. Gather’s leadership team has a track record of building and scaling innovative primary care platforms focused on vulnerable populations, including VillageMD and Commonwealth Care Alliance. Gather has raised $30M backed by Maverick Ventures, Khosla, and HC9 Ventures. We are committed to supporting every aspect of your life by offering a total rewards package designed to support your health, financial security, and work-life balance: • Health: Comprehensive medical, dental, and vision with day-one eligibility, • Protection: Company-paid Life, Short-Term, and Long-Term Disability insurance, • Retirement: 401(k) with company match and immediate vesting, • Time Off: Generous PTO that increases with tenure and 11 paid company holidays, • Wellness: Employee Assistance Program (EAP) and supplemental benefit options Gather Health is an Equal Opportunity Employer. All employment decisions are made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, or any other basis as protected by federal, state, or local law. Requirements:

Department Description: The Critical Care Auditor/ Coder position will be working directly with the Department of Anesthesia, Critical Care and Pain Medicine and will have the opportunity to work remotely following an initial onsite training period. The incumbent will be required from time-to-time to attend billing onsite staff meetings and meetings with the physicians they support. AFS, LLC is located in Needham Heights, Massachusetts. Job Location: Virtual Job Summary: Performs professional certified coding and provides administrative and project support to the department. Analyzes surgical-medical documentation, provides the individual surgeon/physician with the application of appropriate ICD-10/CPT/HCPCS descriptor codes including the appropriate use of modifiers to ensure compliance for reimbursement. Essential Responsibilities: • Analyzes evaluation and management, including critical care, procedures and other notes and documents to determine the scope and complexity of the services provided., • Utilizes professional coding knowledge, applies ICD10/CPT/HCPCs codes to the services delineated in the operative note., • Reviews documentation and codes to ensure appropriate capture of all billable services. Provides ongoing feedback and education to the applicable clinical staff regarding appropriate documentation and coding of services., • Interacts with physicians and other professional staff on documentation issues related to coding data., • Conducts coding review for medical policy and coding denials, while continually providing feedback to the department for clinical documentation improvement., • Remains current with any changes in ICD-10 and CPT-4 coding and remains current with Medicare, federal insurance and third-party billing compliance regulations. Works collaboratively with the Executive Director and coding management to ensure all the division charge tickets are compliant, accurate and updated annually or as new procedures are added to the division., • Maintains accurate and current codes in the system by working collaboratively with IS department. Maintains the department Practice and Procedure manual and updates quarterly with new or modified practices or procedures. Required Qualifications: 1. High School diploma or GED required., 2. Certificate 1 Certified Professional Coder required, CPMA preferred., 3. A MINIMUM of 5-7 years related work experience required., 4. Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis, and maintain databases. Competencies: 1. Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area., 2. Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents., 3. Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager., 4. Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers., 5. Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers., 6. Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations., 7. Teamwork: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments., 8. Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations. Physical Nature of the Job: Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally

Find your next job here! Will train the right candidate! Average salaries from $20 - $37/Hr, full time and part time shifts available now! Hiring for: Medical Coder.

Department Description: The Critical Care Auditor/ Coder position will be working directly with the Department of Anesthesia, Critical Care and Pain Medicine and will have the opportunity to work remotely following an initial onsite training period. Analyzes surgical-medical documentation, provides