Certified Coder

<div class="content-intro"><div class="et_pb_module et_pb_text et_pb_text_0 et_pb_text_align_left et_pb_bg_layout_light"><div class="et_pb_text_inner">At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation.</div></div></div> Position Summary We are seeking an experienced Certified Coder to support medical review activities through complex coding validations and quality assurance efforts. This role requires deep expertise in Medicare coding guidelines, DRG validation, and CMS FFS RAC Program requirements.Education<ul data-start="604" data-end="677"><li data-start="604" data-end="636">High School Diploma required</li><li data-start="637" data-end="677">Associate degree or higher preferred</li></ul>Licensure / Certifications<ul data-start="710" data-end="978"><li data-start="710" data-end="888">Certification from an accredited organization such as:<ul data-start="769" data-end="888"><li data-start="769" data-end="825">American Association of Professional Coders (AAPC), or</li><li data-start="828" data-end="888">American Health Information Management Association (AHIMA)</li></ul></li><li data-start="889" data-end="978">RHIA or RHIT credentials accepted if issued by AHIMA in the field of health information</li></ul>Experience<ul data-start="995" data-end="1171"><li data-start="995" data-end="1089">Minimum of five (5) years of direct coding or billing experience in the applicable specialty</li><li data-start="1090" data-end="1171">Five (5) years of Diagnosis-Related Groups (DRG) validation experience required</li></ul>Additional Qualifications<ul data-start="1203" data-end="1365"><li data-start="1203" data-end="1248">Extensive knowledge of the Medicare program</li><li data-start="1249" data-end="1365">Working knowledge of CMS Fee-for-Service (FFS) Recovery Audit Contractor (RAC) Program requirements and activities</li></ul>Key Responsibilities<ul data-start="1392" data-end="1699"><li data-start="1392" data-end="1518">Perform complex coding validations for accuracy reviews, disputes/disagreements, special studies, and review topic proposals</li><li data-start="1519" data-end="1593">Contribute documentation and analysis for coding validation deliverables</li><li data-start="1594" data-end="1699">Participate in quality assurance activities to ensure consistency and accuracy of coding determinations</li></ul> <div class="content-conclusion">What to Expect Next:After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting.Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law.Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).</div>

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