Certified Medical Coder

About the Role

The day-to-day responsibilities of this position will involve performing complex coding for CPT, HCPCS, and ICD-10, with a focus on high-impact, payer-sensitive services. You will also lead the expansion and validation of billable services, ensuring that Cartwheel's coding strategy is optimized for maximum reimbursement.

Cartwheel is committed to tackling the student mental health crisis, and this role is a key part of that effort. By joining the team, you will be contributing to a mission-driven organization that is dedicated to making a positive impact on the lives of students.

What You Will Do

• Perform complex coding for CPT, HCPCS, and ICD-10 with a focus on high-impact, payer-sensitive services
• Lead the expansion and validation of billable services, ensuring accuracy and compliance
• Partner with the RCM Director to translate complex coding requirements into operational workflows and systems
• Develop and implement coding strategies to optimize reimbursement
• Collaborate with cross-functional teams to ensure seamless integration of coding processes
• Stay up-to-date on industry developments and coding regulations, applying this knowledge to improve Cartwheel's coding strategy
• Analyze and resolve coding-related issues, ensuring that Cartwheel's coding processes are efficient and effective
• Develop and maintain documentation of coding processes and procedures
• Provide training and support to other team members on coding-related topics

What We Are Looking For

• Certified Medical Coder (CMC) certification
• 3+ years of experience in medical coding, preferably in a mental health or healthcare setting
• Deep expertise in Medicaid and Managed Care Organizations (MCOs)
• Advanced modifier application and research of new/complex codes
• Strong understanding of coding regulations and industry developments
• Experience with coding software and systems
• Excellent analytical and problem-solving skills
• Strong communication and collaboration skills
• Ability to work in a fast-paced environment and prioritize multiple tasks

Nice to Have

• Experience with automated coding systems
• Knowledge of mental health-specific coding regulations and guidelines
• Familiarity with Cartwheel's mission and values
• Experience working in a remote or distributed team environment

Benefits and Perks

• Competitive hourly rate ($30-40/hour)
• Opportunity to work with a mission-driven organization
• Remote work environment with flexible scheduling
• Professional development and growth opportunities
• Access to cutting-edge coding software and systems
• Collaborative and supportive team environment
• Comprehensive benefits package (including health, dental, and vision insurance)

• Be sure to highlight your experience with Medicaid and MCOs in your application, as this is a key requirement for the role.
• Showcase your analytical and problem-solving skills by providing examples of complex coding issues you've resolved in the past.
• Familiarize yourself with Cartwheel's mission and values, and be prepared to discuss how your skills and experience align with the company's goals.
• Consider creating a portfolio of your coding work to demonstrate your expertise and attention to detail.
• Don't be afraid to ask questions during the interview process - this will show that you're engaged and interested in the role.
• When negotiating salary, be sure to highlight your relevant experience and certifications, and be prepared to discuss your expected hourly rate.
• Be wary of any red flags during the interview process, such as a lack of transparency about the company's coding processes or a emphasis on quantity over quality.