Sanitas is a global healthcare organization expanding across United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.

Position Summary

The Coding Coordinator is responsible for support the admin operation in the coding and audit department. Support the coding department when needed coding all medical services procedures CPT and HCPCS codes, pharmaceuticals supplies, patients ICD-10 diagnoses, signs, and symptoms when applicable, ensuring that all assigned ICD-10-CM codes are supported by proper clinical documentation. This position will be reporting directly to the Risk Adjustment Manager and the Risk Adjustment and Quality Sanitas USA director.

Essential Job Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Prepare communications, such as memos, emails, reports and other correspondence
• Write and edit documents from letters to reports and instructional documents.
• Schedule and coordinate staff and other meetings.
• Support with timecard and payroll review.
• Effectively manage special projects and other tasks as assigned
• Utilizes ICD10 CPT and HCPCS codes for reporting diagnosis and procedures.
• Maintains performance and quality by conducting ongoing audits of physicians and mid-level providers medical records to ensure that submitted ICD-10-CM codes are fully supported by the clinical documentation.
• Assigns all potential HEDIS-allowable codes for appropriate services to be captured.
• Ensures progress notes are coded accurately and to the highest level of specificity following established coding guidelines. Ability to abstract valid codes from hospital claims data and outpatient providers.
• Queries the physician for clarification and to obtain accurate and complete documentation as needed.
• Maintains productivity goals set by the department.
• Enhances and maintains coding knowledge and skills.
• Provides feedback to Supervisor regarding any coding issues.
• Always maintains patients confidentiality, according to legal requirements and privacy laws. Follows established policies and procedures.
• Supports ongoing review and query process to ensure that any amendment occurs in a timely and compliant manner.
• Attends departmental meetings as required.
• Cooperates with other personnel to achieve department objectives and maintain good employee relations, and interdepartmental objectives.
• Hybrid position, 3 days onsite at Corporate office and 2 days working from home.

Supervisory Responsibilities

This position has no supervisory responsibilities.

Preferred Education and Experience

• Certified Professional Coder (CPC).
• Familiarity or experience with the Commercial and Medicare Risk Adjustment Payment Models is strongly preferred.
• Fluency in Spanish and English is strongly preferred.
• College or Associate degree in related field.