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Company Description
Gulf Coast RCM and Billing Solutions is a high-growth startup on a mission and we are on a mission to redefine "Concierge-Level" high-performance RCM and clinical solutions. We help specialized medical practices across the US build elite remote teams for Scribing, Coding, Billing, and Front-Office operations.
Our mission is centered on our Clients, our People, and Operational Excellence, ensuring that every interaction adds value to the healthcare ecosystem.
Distinguished by our pursuit of "Concierge-Level" standards, Gulf Coast excels in:
- Scale-Up Culture: We are a lean, agile startup looking to scale rapidly. You won’t just be a number here; you will be a foundational member of our core team.
- Expert Recruitment: We selectively hire only the top industry professionals; established experts who are already HIPAA-certified and highly experienced.
- Peak Performance: We provide an environment built for elite talent to excel. We don't do basic training; we focus on high-level execution and operational precision.
- Secure Infrastructure: We provide a premium, high-security workspace equipped with cutting-edge technology and a professional corporate culture.
Join us at the ground floor of a company designed to lead. Experience unparalleled professional growth with Gulf Coast RCM and Billing Solutions; where we are redefining the essence of offshore healthcare management.
Role Description
You will be the final technical gatekeeper for our revenue cycle. You will translate complex clinical narratives into accurate codes, ensuring our US physician partners achieve a >95% First-Pass Clean Claim Rate.
Key Responsibilities
- Advanced Coding: Assign ICD-10-CM, CPT, and HCPCS Level II codes for complex multi-specialty clinical encounters.
- Documentation Audit: Review charts created by Virtual Scribes to ensure "Concierge-Level" specificity and compliance.
- Denial Defense: Analyze clinical rejections and draft technical appeals to overturn insurance denials.
- Compliance: Ensure 100% adherence to NCCI edits, LCD/NCD guidelines, and HIPAA regulations.
- Quality Coaching: Provide feedback to the scribing team to improve Clinical Documentation Improvement (CDI) metrics.
Qualifications
- Experience: 5+ years in US Physician/Pro-fee coding (Startup experience is a plus).
- Certification: CPC (AAPC) or CCS-P (AHIMA) would be a plus
- Tech Stack: Expert proficiency in Availity/Waystar and top-tier EHRs (Athena, eCW, or Epic).
- Environment: Comfortable working in a high-security Thin Client/VDI environment with a strict Clean Desk Policy.
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