A leading healthcare provider in San Diego, California, seeks a professional to provide coding support and appeal guidance related to reimbursement issues. The ideal candidate has at least 5 years of experience in coding and auditing, and is a Certified Professional Coder (CPC). Responsibilities include acting as a liaison between departments, researching policies, and ensuring timely follow-up collections. A Bachelor's degree is preferred. This role offers competitive hourly pay between $36.830 and $53.230.
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$36.8-53.2 hourly 4d ago
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Senior HIM Director: Compliance, CAC & Operations
Cadem Consulting
Medical coder job in San Jose, CA
A healthcare consulting firm seeks an experienced Health Information Management (HIM) Director for a 474-bed facility in San Jose, CA. Responsibilities include managing HIM operations, ensuring compliance, and optimizing systems. A Bachelor's in Health Information Management, RHIA or RHIT certification, and three years of HIM Director experience in hospitals are required. The role offers a competitive salary of $100,000-$130,000 and comprehensive benefits, including medical insurance, a 401(k) plan, and tuition reimbursement.
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$100k-130k yearly 2d ago
Medical Records Specialist
Us Tech Solutions 4.4
Medical coder job in Whittier, CA
Shift/Schedule: Onsite, M-F 8am-4:30pm.
This position processes health information under the direction of the HIM Director or designated supervisor. This position is responsible for coordinating physician medical record completion and the quantitative analysis of all medical record patient types based upon standards established by Title 22, CIHQ, Conditions of Participation and the Medical Staff Rules and Regulations.
Responsibilities:
Safeguards and preserves the confidentiality of patient's protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital, and departmental policies.
Ensures a safe patient environment and adherence to safety practices per policy.
With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational, and environmental needs of patient/significant other when administering care.
Notifies physicians of medical records requiring their completion in accordance with Medical Staff Bylaws, Rules and Regulations, Title 22, and Center for Improvement in Healthcare Quality (CIHQ) and all other applicable regulatory agencies. Maintains documentation of the notifications.
Administers all medical staff guidelines as it pertains to the medical record completion, uniformly and consistently among all members of the medical staff. May perform daily counts of number of records pending completion using the computer-generated reports. Monitors unsigned and refused electronic orders, tasks, and documents.
Retrieves incomplete records and/or assists physicians on a one-to-one basis in completing their records electronically.
Activates temporary suspension of medical staff privileges when records are not completed in a timely manner. Communicates suspension information to other departments per Health Information Management Department procedures. Maintains documentation of days on suspension to fulfill mandated reporting requirements and Medical Staff reappointment/credentialing needs.
Analyzes and re-analyzes incomplete paper and electronic medical records to assure the completeness of information. Updates chart tracking system to reflect the current status of the incomplete record.
Scans loose filing into the ChartMaxx System.
Utilizes ChartMaxx to accomplish deficiency analysis and reporting.
Adheres to daily productivity standards provided in separate documentation.
Oversees all incomplete medical record activities and functions.
Assists physicians with record completion issues and escalates them if resolution cannot be achieved in a timely manner.
Completes a RLDatix Incident Report for any potential compensable event identified during the record review or completion process.
Conducts record review function with established criteria and provides data to Director or designated supervisor.
Able to perform basic eScription1 monitoring, pending and look up functions
Operates the office equipment normally used in the routines of daily work, such as photocopy machine, facsimile (FAX) equipment, computers, scanners, and telephones.
Must be able to communicate effectively with all ages of customers served.
Abides by and strongly enforces all compliance requirements and policies and performs his/her responsibilities in an ethical manner consistent with the organization's values.
Experience:
3-5 years of Medical Record experience in an acute care setting
Previous experience with electronic health record applications
Skills:
Medical Record documents. Able to categorize forms/documents within the medical record. Physician chart completion and chart deficiency analysis
Basic keyboarding skills. Typing speed of 35 wpm
Must be knowledgeable of medical terminology and familiarity with computers. Must be detailed oriented, self-motivated
Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements
Ability to use standard office equipment including computers, photocopy, facsimile (FAX) and scanners
Knowledge of Title 22, CIHQ, Conditions of Participation, Medical Staff Bylaws and Medical Staff Rules and Regulations.
Education:
High School Diploma/GED
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************
US Tech Solutions is an Equal Opportunity Employer.All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Recruiter's detail:
Name: Vivek Kumar
Email: **********************************
Internal ID: 26-01166
$32k-39k yearly est. 1d ago
Billing Medical Coder
Insight Global
Medical coder job in Sacramento, CA
Insight Global's client within the healthcare industry is looking to hire a Billing MedicalCoder for a direct hire, hybrid role onsite in Sacramento, CA. The Billing MedicalCoder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances.
REQUIRED SKILLS AND EXPERIENCE
• Current CPC certification through AAPC or AHIMA, must be kept current and in good standing. • Minimum of 2 years of experience in medical coding.
• Knowledge and understanding of medical coding including insurance payor guidelines, ICD1O, CPT Billing, E/M coding.
• Ability to work in collaboration with the Billing Manager to provide clinician education on coding guidelines.
• Ability to analyze medical records in an Electronic Health Record system to identify documentation deficiencies and verify documentation supports diagnoses, procedures and treatments.
NICE TO HAVE SKILLS AND EXPERIENCE
• FQHC experience.
• Ochin Epic or Epic experience.
$39k-54k yearly est. 2d ago
HIM Data Specialist
Valley Children's Healthcare 4.8
Medical coder job in Madera, CA
Health Information Management Data Specialist
Responsible for case identification, accessioning, and data abstraction for multiple clinical registries, including the California Perinatal Quality Care Collaborative (CPQCC), ImproveCareNow (ICN), and the Pediatric Cardiac Critical Care Consortium (PC4). Accurately abstracts required data elements from the medical record and enters, validates, and maintains data within Valley Children's Healthcare comparative database systems and registries. Supports both internal and external administrative, clinical, and statistical reporting needs.
Experience
Minimum of one (1) year of related experience required
Education / Licenses / Certifications
Associate degree (2-year) in Health Information Technology required
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required
Active California Registered Nurse (RN) license preferred
About Valley Children's Healthcare
The award winning Valley Children's Healthcare, is located in the heart of the affordable, Central Valley of California in Madera, just a short drive to 3 national parks and your choice of California coastline beaches. The hospital is one of the largest pediatric healthcare networks in the Country with a 358-bed hospital and several outpatient clinics.
$130k-183k yearly est. 1d ago
Medical Records Clerk
Managed Staffing, Inc. 4.4
Medical coder job in Downey, CA
Job Title: Medical Records Specialist / Health Information Management Technician
This position processes health information under the direction of the HIM Director or designated supervisor. This position is responsible for coordinating physician medical record completion and the quantitative analysis of all medical record patient types based upon standards established by Title 22, CIHQ, Conditions of Participation and the Medical Staff Rules and Regulations.
SPECIFIC SKILLS NEEDED
Demonstrates knowledge of the following:
Medical Record documents
Physician chart completion and chart deficiency analysis
Basic keyboarding skills
Must be knowledgeable of medical terminology and familiarity with computers
Typing speed of 35 wpm
Able to categorize forms/documents within the medical record
Must be detailed oriented, self-motivated
Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements
Ability to concentrate and maintain accuracy despite frequent interruptions
Ability to be courteous, tactful, and cooperative throughout the workday
Ability to use standard office equipment including computers, photocopy, facsimile (FAX) and scanners
Knowledge of Title 22, CIHQ, Conditions of Participation, Medical Staff Bylaws and Medical Staff Rules and Regulations.
EDUCATION/EXPERIENCE/TRAINING
Required:
Knowledgeable of Windows Software
3-5 years of Medical Record experience in an acute care setting
Previous experience with electronic health record applications
Preferred:
High School graduate or equivalent
Knowledge of physician record completion and HIPAA
Knowledge of medical terminology
$30k-37k yearly est. 1d ago
Medical Records Clerk
Prokatchers LLC
Medical coder job in Hanford, CA
Prepares medical records for scanning efficiency according to established procedures, guidelines, and productivity standards.
Retrieves and files old paper records required for patient care, assists with release of information services.
Interviews mothers for birth certificate information and enters the information into electronic birth certificate system.
Reviews upended transcription queues and releases to PowerChart.
HIM certification that is preferred.
$32k-40k yearly est. 2d ago
Medical Records Clerk
Lifelong Medical Care 4.0
Medical coder job in Berkeley, CA
Come join a dynamic care team at LifeLong Medical Care. We are looking for a Medical Records Clerk at our Central Triage office. The Medical Records Clerk is responsible for implementing day-to-day Medical Records assignments and assuring timely response to the provider team. Under general supervision of the Medical Records Lead, the Medical Records Clerk is responsible for the maintenance of patient medical records, implementation of systems for the retrieval of medical records and for supporting effective department workflow.
This is a full time, 40 hours/week, benefit eligible position.
This position is represented by SEIU-UHW. Salaries and benefits are set by a collective bargaining agreement (CBA), and an employee in this position must remain a member in good standing of SEIU-UHW, as defined in the CBA.
LifeLong Medical Care is a multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. Our patient-centered health home is a dynamic place to work, practice, and grow. We have over 15 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more.
Benefits
Compensation: $20 - $21/hour. We offer excellent benefits including: medical, dental, vision (including dependent and domestic partner coverage), generous leave benefits including ten paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan.
Responsibilities
Maintains medical records system, including: pulling charts for patient appointments, re-filing charts, assembling new charts and integrating them into files, filing lab reports, repairing charts, and locating charts for medical providers and other staff members.
Assists triage nursing team by pulling charts for triage calls.
Duplicates immunization records when requested by patients.
Responds to written requests for patient information and calls from other facilities by pulling charts and forwarding to appropriate provider in timely fashion.
Assists chart prep personnel by locating results when requested to do so the day prior to the patient's appointment.
Receives daily incoming mail, distributes with charts as needed to appropriate recipients.
Manages retrieval of charts from storage, purges charts and manages storage of purged charts.
With instruction from provider, arranges for copying patient records requests and/or complete records requests from outside sources, adhering to timelines for completion.
Other duties as assigned by Medical Records Supervisor.
Qualifications
Ability to prioritize work and ability to multitask.
Ability to read and comprehend instructions, procedures, and emails
Strong clerical and computer skills, experience with practice management systems.
Excellent internal and external customer service skills and ability to maintain a positive attitude under pressure.
Strong organizational, administrative and problem-solving skills, and ability to be flexible and adaptive to change.
Ability to seek direction/approval from on essential matters, yet work independently with little onsite supervision, using professional judgment and diplomacy.
Work in a team-oriented environment with a number of professionals with different work styles and support needs.
Excellent interpersonal, verbal, and written skills and ability to effectively work with people from diverse backgrounds and be culturally sensitive.
Conduct oneself in internal and external settings in a way that reflects positively on LifeLong Medical Care as an organization of professional, confident and sensitive staff.
Ability to see how one's work intersects with that of other departments of LifeLong Medical Care and that of other partner organizations.
Make appropriate use of knowledge/ expertise/ connections of other staff.
Be creative and mature with a “can do”, proactive attitude and an ability to continuously “scan” the environment, identifying and taking advantage of opportunities for improvement.
Job Requirements
High school diploma or GED.
Two years' experience in medical records.
One-year experience using electronic health records system.
Knowledgeable in basic medical terminology.
Proficient in Microsoft office suite.
Job Preferences
Community Health Care setting
Epic Systems EHR
Bilingual English/Spanish.
$20-21 hourly Auto-Apply 11d ago
Certified Medical Coder
Omnifamilyhealth 4.1
Medical coder job in Bakersfield, CA
Title: Certified MedicalCoder
Performs all coding for Omni Family Health practices to ensure consistency and meet compliance guidelines needed to ensure appropriate and effective reimbursement. Supports Omni Family Health Physicians and hospital-based providers with monthly physician reimbursement and act as a back up to the department supervisor. Develops policies and procedures to support coding guidelines.
Job Duties:
The following are essential job accountabilities:
1. Ensures completion of documentation and coding on billing slip and HER when needed for correct and complete claim.
2. Read and interpret patient medical information and apply correct ICD- 10, CPT and I-ICPCS codes as needed for optimal reimbursement.
3. Research documentation with physician and/or Non Physician Provider (NPP).
4. Post charges for both out-patient and in-patient facilities for multiple providers to ensure accuracy of coding and patient accounts including following up with providers and putting together a complete file for accurate posting of charges
5. Schedules and coordinates monthly and quarterly coder educational seminars. Provides documentation and feedback to Supervisor, Coding & Compliance as needed to support certified coders on-going education.
6. Supports the incoming charges processed through NextGen EHR including monthly reconciliation and finalizing.
7. Acts as a coding resource for Omni Family Health physicians and clinic staff.
8. Various other work-related duties as assigned by supervisor. These duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.
Additional Duties
1. HIPAA compliance - Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential.
2. Compliance - Ensure compliance with all local, state, and federal regulations.
3. QA/QI - Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
4. IT - Required to learn and use the Electronic Health Record and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures.
5. All employees will participate in Patient Centered Home Health Model at Omni Family Health.
Qualifications, Education, and Experience Education:
1. High school graduate
Experience:
l. Possess three years of medical billing and accounts receivable experience.
Certification:
l. CPC, CPCH, and /or CCS-P certification required
Skills:
1. Basic knowledge of CPT and ICDI 0 codes.
2. Minimum of 5 years multi-specialty physician billing and leadership experience.
3. Ability to operate computers, Microsoft operating system and provide direction to staff as needed.
4. Must be able to take responsibility and work under pressure.
5. Ability to work under pressure.
6. Ability to handle multiple functions.
7. Demonstrate effective communication skills with medical/dental providers and staff.
Responsible to: Coding Coordinator
Classification: Full-time, Non-exempt
$47k-60k yearly est. Auto-Apply 46d ago
Medical Device QMS Auditor
Bsigroup
Medical coder job in California
We exist to create positive change for people and the planet. Join us and make a difference too!
Do you believe the world deserves excellence?
BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
Associate's degree or higher in Engineering, Science or related degree required
Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
Knowledge of business processes and application of quality management standards.
Good verbal and written communication skills and an eye for detail.
Be self-motivated, flexible, and have excellent time management/planning skills.
Can work under pressure.
Willing to travel on business intensively.
An enthusiastic and committed team player.
Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
$98.1k-123.9k yearly Auto-Apply 48d ago
Medical Records Coder
Charter Healthcare
Medical coder job in Rancho Cucamonga, CA
A MedicalCoder possesses the ability to work with other members of the company. Needs to be a driven and goal-oriented individual that can organize, coordinate, and manage documents from the whole Interdisciplinary Team. An attention to detail is necessary to achieve quality assessments and auditing paperwork. They must have a sympathetic attitude toward overall goal of giving the patient quality care while demonstrating positive communication skills in interacting with other members of the team.
REPORTS TO: Billing Manager
SUPERVISES: None
QUALIFICATIONS:
Credentials: CCS (Certified Coding Specialist) license is preferred.
Experience: At least one year of health care experience.
Core Competencies: Knowledge of state and federal regulations for clinical aspects of Home Health. Abilities in data entry. Possesses excellent verbal, written, and computer skills.
FUNCTIONS & RESPONSIBLITIES:
1. Analyzes and obtains information from a patient's chart
2. Responsible for abstracting appropriate ICD-9 diagnosis codes necessary for claims filing
3. Clarifies with clinicians for corrections and completion of charts
4. Audits visit frequency
5. Responsible for the accuracy and auditing of OASIS and 485
6. Responsible for a smooth, timely, professional, and appropriate flow and sharing of information between staff
7. All other tasks and duties deemed necessary and appropriate.
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$59k-84k yearly est. 60d+ ago
Pro Fee Coder - Behavioral Health
Savista
Medical coder job in California
Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder II may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder II performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder II may interact with client staff and providers.
DUTIES AND RESPONSIBILITIES:
Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.
Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record.
Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
Complete assigned work functions utilizing appropriate resources. May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
Maintain strict patient and provider confidentiality in compliance with all HIPPA Guidelines.
Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required.
Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing.
Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.
SKILLS AND QUALIFICATIONS:
Candidates must successfully pass pre-employment skills assessment. Required:
An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential.
Two years of recent and relevant hands-on coding experience
Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets
Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or Savista production and/or quality standards
Proficient computer knowledge including MS Office including the ability to enter data, sort and filter excel files, (Outlook, Word, Excel)
Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers
PREFFERED SKILLS:
Recent and relevant experience in an active production coding environment strongly preferred
Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience
Experience using Athena, Optum (a plus)
Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $22.08 - $34.69 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.
SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.
California Job Candidate Notice
$22.1-34.7 hourly Auto-Apply 16d ago
Coder II, HIM - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Usc 4.3
Medical coder job in Los Angeles, CA
In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses, surgical procedures, and other significant invasive and non-invasive procedures documented by any physician in outpatient medical records (i.e. OP Ancillary/Clinic Visits, and an assorted outpatient surgeries: GI Lab, Heart Cath Lab, Pain Management surgery, and Invasive Radiology, etc.). Address OCE/NCCI edits within 3M-CRS and those returned from the Business Office. Understands PFS coding/billing processes & systems such as PBAR and nThrive/MedAssets/XClaim in a manner to assure claims drop timely with appropriate codes. Performs other coding department related duties as assigned by HIM management staff.
Essential Duties:
Ambulatory Surgery coding of all diagnostic and procedural information from the medical records using ICD-10-CM, ICD-10-PCS, and CPT/HCPCS, and Modifier classification systems and abstracting patient information as established and required by official coding laws, regulations, rules, guidelines, and conventions.
Reviews the entire medical record; accurately classify and sequence diagnoses and procedures; ensure the capture of all documented conditions that coexist at the time of the encounter/visit, all medical necessity diagnoses, complications, co-morbidities, historical condition or family history that has an impact on current care or influences treatment, and all external causes of morbidity.
Enter patient information into inpatient and outpatient medical record databases (ClinTrac/HDM). Ensures accuracy and integrity of medical record abstracted UB-04 & OSHPD data elements prior to billing interface and claims submission.
Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and ensure optimal and accurate assignment of diagnosis & procedure codes.
Assists in the correction of regulatory reports, such as OSHPD data, as requested.
Attendance, punctuality, and professionalism in all HIM Coding and work related activities.
Consistently assumes responsibility and displays reliability for completion of tasks, duties, communications and actions. Completes tasks accurately, legibly, and in a timely fashion.
Performs other duties as requested/assigned by Director, Manager, Supervisor, or designee.
Ability to achieve a minimum of 95% coding accuracy rate as determined by any internal or external review of coding and/or department quality review(s).
Ability to achieve a minimum of 95% abstracting accuracy rate of UB-04 and OSHPD data elements as determined by any internal or external review of coding and/or department quality review(s).
Assist in ensuring that all medical records contain information necessary for optimal and accurate coding and abstracting.
Recognizes education needs of based on monthly reviews and conducts self-improvement activities.
Ability to act as a resource to coding and hospital staff on coding issues and questions.
Ability to improve MS-DRG assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions.
Ability to improve APR-DRG, SOI, and ROM assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions.
Ability to improve APC/HCC assignments specific to medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in accordance with official coding laws, regulations, rules, guidelines, and conventions.
Maintains at minimum, expected productivity standards (See HIM Practice Guidelines) and strives to maintain a steady level of productivity and provides consistent effort.
Works coding queues/task lists to ensure 95% of patient bills are dropped within 5 days after patient discharge/date of service.
Works coding queues/task lists to ensures the remaining 5% of patient bills are dropped within 2 weeks of discharge/date of service.
Assist other coders in performance of duties including answering questions and providing guidance, as necessary.
Assists Patient Financial Services (PFS), Patient Access, and other departments in addressing coding issues/questions and/or providing information so that an interim bill can be generated. Assists with physicians, physician office staff and hospital ancillary department staff with diagnostic or procedural coding issues/questions, as needed.
Assists in the monitoring unbilled accounts to ensure that the oldest records are coded and/or given priority.
Maintains AHIMA and or AAPC coding credential(s) specified in the job description.
Attend coding & CDI seminars, webinars, and in-services to maintain the required annual continued education units (CEU).
Keep up-to-date and reviews ICD-10 Official Guidelines for Coding & Reporting, AHA Coding Clinic, and CPT Assistant to maintain knowledge of the principles of coding.
Keep up-to-date and reviews other professional journals and newsletters in a timely fashion to maintain knowledge of the principles of coding.
Consistently attend and actively participate in the daily huddles.
Consistently adhere to HIM policies and procedures as directed by HIM management.
Demonstrates an understanding of policies and procedures and priorities, seeking clarification as needed.
Participates in continuously assessing and improving departmental performance.
Ability to communicate changes to improve processes to the director, as needed.
Assists in department and section quality improvement activities and processes (i.e. Performance Improvement).
Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel.
Ability to communicate effectively intra-departmentally and inter-departmentally.
Ability to communicate effectively with external customers.
Provides timely follow-up with both written and verbal requests for information, including voice mail and email.
Working knowledge and efficient navigation of the Electronic Health Record (EHR): Cerner/Powerchart & Coding mPage.
Working knowledge, efficient navigation, & full use of 3M-CRS Encoder system; utilize to expedite coding process; utilize all references.
Knowledge & understanding of PFS system (PBAR) functionality and any interface with the coding abstracting system: ClinTrac.
Working knowledge, efficient navigation, & full use of ‘HDM/HRM/ARMS Core' coding & abstracting software.
Working knowledge, efficient navigation, & full use of ‘3M 360 Encompass/CAC'.
Performs other duties as assigned.
Required Qualifications:
Req High school or equivalent
Req Specialized/technical training Successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding course
Req 1 year Experience in ICD-9 & ICD-10 (combined) and CPT/HCPCS coding of ambulatory surgery medical records in hospital or outpatient surgical center.
Req Experience in using computereized coding & Abstracting database software and encoding/code-finder systems.
Req Knowledge of federal coding compliance regulations and guidelines.
Req Knowledge of medical terminology.
Req Strong computer skills.
Preferred Qualifications:
Required Licenses/Certifications:
Req Certified Coding Specialist - CCS (AHIMA) or AHIMA Certified Coding Specialist - Physician (CCS-P); or AAPC Certified Professional Coder (CPC); or AAPC Certified Outpatient Coding (COC) If there is the absence of a national coding certificate and the coder possesses any one of the following national certifications, the coder will be required to pass any of the national coding examinations Re: the aforementioned coding certificates within six (6) months of employment: 1. AHIMA Registered Health Information Technician (RHIT) 2. AHIMA Registered Health Information Administrator (RHIA) Successful completion of the hospital specific coding test - with a passing score of ≥70%. The coding test may be waived for former USC or agency/contract HIM Coding Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code.
Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
The hourly rate range for this position is $39.00 - $63.95. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.
We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at **************, or by email at *************. Inquiries will be treated as confidential to the extent permitted by law.
Notice of Non-discrimination
Employment Equity
Read USC's Clery Act Annual Security Report
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If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser:
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$39-64 hourly Auto-Apply 10d ago
HIM Certified Coder Specialist
Southern Inyo Healthcare District
Medical coder job in Lone Pine, CA
CERTIFICATION REQUIRED
2+ YEARS OF EXPERIENCE
Pending job description
$52k-78k yearly est. Auto-Apply 60d+ ago
Medical Records
Pain Clinics of Central California
Medical coder job in Bakersfield, CA
Pain management clinic seeking Medical Records clerk with strong communication and time management skills.
Duties include but not limited to:
Processing Medical Records Request
Processing Subpoenas
Answering incoming calls
Upload Documentation
Data Entry
Reviewing Medical Records for completeness and accuracy
Benefits:
401(k)
Paid time off
Pay Holidays
Dental insurance
Health insurance
Vision insurance
Requirements
1year of Medical Records experience
Valid Driver's License
HIPAA Compliance
$32k-40k yearly est. 60d+ ago
PA UCC Certified Code Specialist
Barry Isett & Associates 3.7
Medical coder job in Lancaster, CA
Barry Isett & Associates (Isett) is an employee-owned multi-discipline engineering/consulting firm headquartered in Allentown, PA, with additional offices throughout eastern and central PA. Isett associates get the opportunity to perform meaningful work that helps enrich our community each and every day. Our company is a values-based organization which has been recognized for its award-winning culture through several regional and statewide programs:
Best Places to Work in PA (annually since 2019)
The Morning Call's Top Workplaces (annually, since 2013)
Empowering Women Award by Central Penn Business Journal and Lehigh Valley Business (2023)
Philadelphia Inquirer's Top Workplaces (2023)
Corporate Citizen of the Year (by the Lehigh Valley Business Journal)
The Societas Award for Responsible Corporate Conduct (for Ethics).
Barry Isett & Associates is looking for ICC/PA UCC Certified Code Specialists to perform inspections and plan reviews for commercial (and residential) properties for clients throughout eastern PA. We are looking for additional associates to work for our municipal clients in the Lancaster area on a full-time or part-time basis.
Through performing these inspections, we are beautifying our community and upholding safety standards.
Benefits
Career advancement and continuing education opportunities
Employee engagement events and parties
Work-life balance & flexible working schedules
Paid vacation/holiday/sick time
Employee Stock Ownership Plan (ESOP)
Medical, dental, vision, life, and disability insurances
Discounted and/or free Isett wear
Parental leave
401k/Roth match
In additional to standard company benefits, our code professionals also receive:
Company supplied cell phone, or opt out credit
Company vehicle
Requirements
Multiple ICC/PA UCC Commercial certifications and a willingness to continue training. (Commercial certifications preferred but the right candidate with all residential certifications, including residential electric inspector will be considered.)
Valid driver's license and the ability to travel to client sites.
Ability to establish and maintain professional working relationships with our clients and other Isett associates.
Demonstrated skills in organizing resources and establishing priorities.
Plan review certification/experience a plus.
Candidates will be encouraged (and supported) to obtain additional certifications.
Ability to work independently/remotely.
Ability to obtain Act 34, 151 and 114 clearances as needed for residential inspections.
We are an equal opportunity employer and welcome applications from all qualified candidates. We are committed to a diverse and inclusive workplace and do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation or gender identity), nation origin, age (40 or older), disability or genetic information (including family medical history).
Please, no third-party recruiters.
$59k-75k yearly est. 60d+ ago
Medical Billing Reimbursement Specialist - Multi Specialty
Bass Computers 4.4
Medical coder job in Walnut Creek, CA
Join our exciting Billing Team! If you are looking for some challenges, career growth, step up in your billing knowledge this is the right opportunity for you!
We are looking for detailed, energetic, focused medical billers who are high achievers and take their career seriously.
Job Opening Opportunities:
Charge Entry/AR Follow up Specialists openings are available in the following specialties: Imaging, Thoracic, General Surgery, Colorectal, Podiatry, Pain Management, Orthopedics, Radiation Oncology and Call Center.
Previous medical billing experience or experience with EPIC/ECW/Athena software is a plus
About Us:
BASS Medical Group is a large physician owned, physician directed, and patient centered organization. Our goals are to provide high quality, cost effective, integrated, healthcare and physician services. To preserve community based independent physician practice locations throughout California. At BASS Medical Group, our practices are closer and more connected to the people and neighborhoods we serve. With a more personal touch to healthcare and easier access to the care you need, we help guide patients to the best possible outcome.
Requirements
Recommend knowledge and skills :
Superior phone communication skills with providers, carriers, patients, and employees
Exceptional written and verbal communication skills
Strong attention to detail
Ability to work in a fast-paced, high-volume work environment
Positive attitude
Great attendance and punctuality
Knowledge of modifiers, insurance plans, and follow up techniques
Job Duties but are not limited to:
Perform the day-to-day billing and follow-up activities within the revenue operations
Work all aging claims from Work Ques or Aging reports
Present trends or issues to supervisor, and work together to make improvements
Resolve denials or correspondences from patients and insurance carriers
Assist in patient calls and questions
Follow team and company policies
Meet productivity standards
Write clear and concise appeal letters
Minimum qualifications:
High School diploma or equivalent
Medical Billing Certificate preferred or
At least a year of Medical billing experience
Proficiency with Microsoft office applications
Basic typing skills
Location: Walnut Creek, CA or Brentwood, CA (Depending on Experience)
Salary: based on experience
Pay Scale/Ranges:
$21.00 - $32.00/hour
*Employees actual pay rate will depend on a host of factors including, without limitation, job location, specialty, skillset, education, and experience. The pay scale/ranges shown are representative of the pay rates for the job title reflected above, but an employees actual pay rate will be determined on a case-by-case basis.
Benefits: Medical, Dental, Vision, LTD, Life, AD&D, Aflac insurances, Nationwide Pet Insurance, FSA/HSA plans, Competitive 401K retirement plan. Vacation & Sick Leave, 13 Paid Holidays per year
Job Type: Full-time
Salary Description $16.50-$32.00/hour
$21-32 hourly 60d+ ago
Temporary HIM/Medical Records Coordinator - 34th St
Clinica Sierra Vista 4.0
Medical coder job in Bakersfield, CA
Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient.
As we grow our team, we are looking for individuals who believe the patient is always #1.
Why work for us?
Competitive pay which matches your abilities and experience
Health coverage for you and your family
Generous number of vacation days per year
A robust wellness plan and health club discounts
Continuing education assistance to grow and further your talents
403(B) plan with company matching
Intrigued? We'd love to hear from you! Please review the job details below and then click “apply.”
We're looking for someone to join our team as a HIM/Medical Records Coordinator who:
Under general supervision and in accordance with established policies and procedures, analyzes and maintains electronic medical charts filing system with accuracy, consistency, and completeness. Reviews and processes request for subpoenas received from outside attorneys, agencies, providers, and schools in compliance with applicable state laws. Performs a variety of clerical duties related to processing of electronic medical records and requests. Assist in the preparation of charts for patient's visits, audits, and to file their patients' reports.
Essential Functions:
Upholds Clinica Sierra Vista's Policies and Procedures, HIPAA, Compliance, Principles of responsibilities, and applicable state, federal, and local laws.
Generate barcodes in EPIC EMR system module to identify patient data and demographic for electronic filing and analyzes electronic charts for accuracy, consistency and completeness.
Usage of OnBase scanning module in order to scan batches of various medical records documents to upload documents through batch to index interphase into OnBase Indexing processing module.
Usage of OnBase Production module for processing with incorporated data fields with attention to detail in the description to index, commit, and batch various types of patient medical records documents and/or reports through OnBase Production mode module to interphase in EPIC EMR files for end-user accessibility of records for continuity of care and services.
Through automatization workflows, maintains EPIC ROI electronic Module for various types of Release of Information requests and identifying the requestor as Third Party, Patient, relation, and/or Provider request by verifying demographics. Fills in data with hard stops to complete module.
Determines Medical Records Billing flow as “Do Not Bill, Pre-Pay, and/or Post-Pay. Enters all aspects and information of the billing and release address within the ROI module.
Identifies the Release type and purpose of the request within the ROI module. Scans the authorization type documents and/or request by identifying the authorization type, the description, and expiration within the ROI module.
Filters and identifies the request date range and type of information requested and produces a query within the ROI module. Keep track of comments, dates of requests, Date Need by, priority, and assignment of HIM/Medical Records Clerk in the data fields within the EPIC ROI Production Module system.
Filters and generates outputs of EMR reports in order to fulfill to fulfill the requests based on the requestor's instructions. Completes the status of the Release through EPIC ROI module for tracking purposes.
Maintains assigned ROI Releases for tracking purposes of all requests, ensuring the ROI functions for HIPAA is completed.
Generates and electronically save Medical Records Invoices through incorporated EPIC Letters Modules ensuring the correct information and patient is extracted from the patient's demographic electronic medical record file.
You'll be successful with the following qualifications:
High school Diploma required.
EMR experience. EPIC experience preferable.
Typing a minimum 35 WPM and proficient computer skills; including but not limited to Microsoft products and use of outlook
Ability to communicate effectively, verbal and written; work without close supervision, detail oriented and well organized.
Customer service skills: communication, empathy, patience, and technical knowledge
Work in team-oriented environment, and work well under deadlines.
Previous experience in a community clinic setting
Bi-lingual English and Spanish.
Ability to handle multiple tasks and work in a busy environment.
Ability to work evenings and weekends
Ability to work at multiple clinic sites.
Valid CA Driver's License and proof of insurance.
Must adhere to Clinica Sierra Vista's employee health/immunization requirements or provide a valid exemption request for subsequent approval.
Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they're counting on us.
Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!
$32k-38k yearly est. Auto-Apply 60d+ ago
Orthodontic Dental Biller and Coder
Cb 4.2
Medical coder job in Los Angeles, CA
Benefits:
401(k)
401(k) matching
Competitive salary
Dental insurance
Health insurance
Opportunity for advancement
We are seeking a motivated, punctual, and outgoing Orthodontic Dental Biller and Coder to join our team! In this role, you will be responsible for customer focused, compassionate, and dedicated to facilitating solutions to patient's dental health needs. The Orthodontic Dental Billing Specialist will work in a growing practice with a great team that makes coming to work engaging and supportive. We offer training to those who are looking for a career with growth potential and the opportunity to fulfill our mission to provide quality affordable dental care to our patients. In working with new & existing team members with an open heart & mind; additional responsibilities including the below:
SPECIFIC DUTIES
Accurately prepare and submit insurance claims, including working with state-sponsored insurance programs
Ensure all billing codes are accurate and comply with regulatory requirements, minimizing claim rejections and delays.
Masterfully present financial plans and address patient concerns.
Ensure exceptional patient experience and office efficiency.
Follow the Orthodontist's instructions and adhere to the Orthodontist's directives on billing.
Make welcome calls to all new patient starts, answer initial questions, set and manage expectations for the patient's treatment financially
Track and follow up on outstanding claims to ensure timely payment, addressing any issues such as appeals or discrepancies as they arise
Assist with patient billing inquiries, providing clear and accurate information regarding their insurance coverage and out-of-pocket costs
Present and explain all treatment plans involving out of pocket costs again to patients, if needed
Ensure effective communication when explaining financial options. Take ownership for all treatment, payment, and appointment related needs and inquiries from patients in person and over the phone
Continuously assist patients in offering (payment plans including) Care Credit payment options.
Ensure all patient payments and insurance statements are up to date and current
Keep detailed records of all billing activities, ensuring compliance with legal and regulatory standards
Work with team members in other departments to ensure seamless billing operations
Assist in identifying, alerting front desk, and collecting previous balances and current copays
Keep up to date with changes in insurance regulations, billing practices, and coding requirements to ensure compliance and accuracy
Performs miscellaneous job-related as assigned
Full Time position that will lead to full benefits. Compensation: $24.00 - $28.00 per hour
$24-28 hourly Auto-Apply 60d+ ago
Orthodontic Dental Biller and Coder
Dental Administrators Inc.
Medical coder job in Los Angeles, CA
Job DescriptionBenefits:
401(k)
401(k) matching
Competitive salary
Dental insurance
Health insurance
Opportunity for advancement
We are seeking a motivated, punctual, and outgoing Orthodontic Dental Biller and Coder to join our team! In this role, you will be responsible for customer focused, compassionate, and dedicated to facilitating solutions to patients dental health needs. The Orthodontic Dental Billing Specialist will work in a growing practice with a great team that makes coming to work engaging and supportive. We offer training to those who are looking for a career with growth potential and the opportunity to fulfill our mission to provide quality affordable dental care to our patients. In working with new & existing team members with an open heart & mind; additional responsibilities including the below:
SPECIFIC DUTIES
Accurately prepare and submit insurance claims, including working with state-sponsored insurance programs
Ensure all billing codes are accurate and comply with regulatory requirements, minimizing claim rejections and delays.
Masterfully present financial plans and address patient concerns.
Ensure exceptional patient experience and office efficiency.
Follow the Orthodontists instructions and adhere to the Orthodontists directives on billing.
Make welcome calls to all new patient starts, answer initial questions, set and manage expectations for the patient's treatment financially
Track and follow up on outstanding claims to ensure timely payment, addressing any issues such as appeals or discrepancies as they arise
Assist with patient billing inquiries, providing clear and accurate information regarding their insurance coverage and out-of-pocket costs
Present and explain all treatment plans involving out of pocket costs again to patients, if needed
Ensure effective communication when explaining financial options. Take ownership for all treatment, payment, and appointment related needs and inquiries from patients in person and over the phone
Continuously assist patients in offering (payment plans including) Care Credit payment options.
Ensure all patient payments and insurance statements are up to date and current
Keep detailed records of all billing activities, ensuring compliance with legal and regulatory standards
Work with team members in other departments to ensure seamless billing operations
Assist in identifying, alerting front desk, and collecting previous balances and current copays
Keep up to date with changes in insurance regulations, billing practices, and coding requirements to ensure compliance and accuracy
Performs miscellaneous job-related as assigned
Full Time position that will lead to full benefits.
The average medical coder in Arvin, CA earns between $43,000 and $86,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.