Medical coder jobs in Buena Park, CA

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to Centers for Medicare and Medicaid Services (CMS). Provide coding expertise as well as administrative oversight to ensure successful integration of AHC's HCC initiatives. GENERAL DUTIES/RESPONSIBILITIES 1. Monitors coding & abstracting quality by conducting &/or coordinating ongoing audits to ensure coding quality & performance improvement standards are maintained, achieved & improved. 2. Develops, implements, evaluates & improves IPA's educational tools for their respective providers in order to accurately capture acute and chronic conditions. 3. Tracks & reports progress of the audits performed on the coding vendors in order to assure the coding accuracy and quality of the data submitted to CMS. 4. Works with Risk Adjustment Management on any Data Validation and /or RADV coding audit to ensure completeness and coding accuracy of all submissions to CMS. 5. Maintains a comprehensive tracking and management tool for assigned IPA's within Alignments Healthcare provider network. 6. Tracks all Risk Adjustment activities for assigned medical groups and ensure that all tasks are completed in a timely manner. Correlate activities, processes, and HCC results/ metrics to evaluate outcomes. 7. Ensures compliance with all applicable federal, state &local regulations, as well as with institutional/organizational standards, practices, policies & procedures. 8. Supports the Risk Adjustment Management Team in scheduling/training activities. Maintain records of training. 9. Suggests new Physician Group Risk Adjustment coding initiatives. Participate in SCITs/ Education meetings as needed 10. Coordinates Risk Adjustment audit activities as it relates to the assigned groups. Assist with CMS Data Validation activities, including suggested record selections, tracking and submission, in conjunction with Risk Adjustment Healthcare Management 11. Educates and updates: a. Regularly updates all Risk Adjustment materials for clinical and official guideline changes. b. Updates all education materials based on CMS-HCC Model and ICD-9/ ICD-10 annual changes c. Suggests, updates, and enhances clinical educational materials to assist in training physicians and clinical staff on Risk Adjustment Healthcare Programs including CMS-HCC Models, Clinician Chart Reviews, and Encounter Documentation. d. Suggests customizations of Risk Adjustment education for various audiences, Support Staff, PCPs, Specialists, Employees vs. contracted and Central Departments e. Stays current of industry coding, compliance, and HCC issues. f. Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; and participating in professional societies. 12. Contributes to team effort by accomplishing related results as needed. 13. Other duties as assigned to meet the organization's needs. Job Requirements: Experience: • Required: Minimum 3+ years of coding in a medical group or health plan setting required; Professional Coding experience required. Minimum 1 year experience with strategic planning in risk mitigation. •Work Hours: Pacific Standard Time • Preferred: Previous experience and use of Epic, Allscripts, EZCap a plus Education: • Required: High School Diploma or GED. Training: • Preferred: Certified Coder training courses Specialized Skills: • Required: Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution. Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Report Analysis Skills: Comprehend and analyze statistical reports. • Preferred: Proficient user in MS office suite, MS access a plus Licensure: • Required: Certified Coder required, HCC/Risk Adjustment experience, Experience with Athena EHR • Preferred: CCS, CCS-P, CPC, Certified Auditor a plus. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1 While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 2 The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $58,531.00 - $87,797.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.

Creative Audio is a centralized team that touches every product Meta produces, making our team integral to the company. We collaborate with product and creative teams across Meta to design audio for video, post-production audio, final mixing and mastering, audio field recording, sound effects, and large scale content projects across a wide range of software and hardware, including but not limited to your phone, glasses, VR headsets a mix of Augmented Reality/Mixed Reality across these devices. We're a team of over 60 audio experts who design the experiences that connect people through the power of sound.The Creative Audio team is seeking a Creative Coder for the Tech & Prototypes department. This role collaborates closely with Engineering and Product Design to define sound functionality and deliver advanced audio features. It involves developing advanced audio solutions, optimizing performance, refining tools, leveraging machine learning and generative AI, and solving complex technical challenges at the intersection of audio and artificial intelligence. As a key contributor to Meta's day-to-day sound design, the Creative Coder provides creative and technical insights to drive innovative, immersive audio experiences offering a long runway for creativity, innovation, and empowerment to push the boundaries of sound technology and make a meaningful impact. **Required Skills:** Creative Audio - Creative Coder Responsibilities: 1. Collaborate with design and engineering teams to deliver cutting-edge audio functionality, tooling, and pipeline solutions 2. Provide technical audio leadership, empowering sound designers, composers, and creators, while elevating audio quality across all Meta products and platforms 3. Apply creativity and product thinking to develop innovative, audio-focused prototypes and experiences that enhance user experience and drive team and company success 4. Build functional prototypes from early concepts at various levels of fidelity, utilizing a range of design tools and programming languages, and implement them across multiple platforms 5. Translate emerging technical domains and knowledge into actionable ideas and explorations 6. Clearly articulate prototype design decisions to internal stakeholders and offer constructive feedback to partners 7. Collaborate closely with a global team to create unique sonic experiences and drive projects to completion 8. Prepare and test for implementation accuracy, working with internal and external teams to resolve bugs and optimize audio within products 9. Leverage code as a design medium to bridge the gap between product goals and engineering implementation, as well as unlock features for external developers 10. Establish pipelines & best practices for leveraging ML / AI models in prototypes 11. Work closely with PMs, engineers, researchers, sound designers to lead the creation and execution of engaging audio-driven user experiences **Minimum Qualifications:** Minimum Qualifications: 12. 6+ years implementing and coding sonic experiences for products in mobile, hardware, and/or non-traditional immersive environments 13. 5+ years development experience with Python, C#, Kotlin, JavaScript, or C++ 14. Experience with object-oriented programming and design 15. Experience with game engine audio implementation and middleware (e.g., Wwise, FMOD Studio, Unreal MetaSounds) 16. Understanding of DSP and audio signal processing 17. Hands-on experience integrating machine learning models (TensorFlow, PyTorch, ONNX) into production pipelines for tasks such as inference, data processing, and generative workflows 18. Experience debugging code across various development environments 19. Experience managing collaboration tools and version control systems (e.g., GitHub, Perforce) 20. Experience prioritizing tasks and adapting quickly to changes in scope 21. Time-management and organizational skills to meet delivery specifications and deadlines 22. BA/BS in Audio or Music Technology, Computer Science, Transmedia, or equivalent work experience 23. Technical skills and a track record of leading cross-functional teams, bridging design and engineering to create impactful audio experiences **Preferred Qualifications:** Preferred Qualifications: 24. Audio Implementation experience and/or design for shipping AR and VR experiences using platforms such as Unity, Unreal Engine, Spark, React, Snap, and MARS 25. Experience with large language models (LLMs), prompt engineering, and retrieval-augmented generation (RAG) methodologies 26. Understanding of Spatial Audio, DSP, and experience implementing immersive sound experiences 27. Experience with generative sound or music creation, speech synthesis, and natural language processing (NLP) 28. Experience with WebAudio, Tone.js, and OpenAL for interactive audio applications 29. Knowledge of acoustics, equipment set ups and calibration experience with hardware and electronic prototypes and configuration **Public Compensation:** $153,000/year to $212,000/year + bonus + equity + benefits **Industry:** Internet **Equal Opportunity:** Meta is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. Meta participates in the E-Verify program in certain locations, as required by law. Please note that Meta may leverage artificial intelligence and machine learning technologies in connection with applications for employment. Meta is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know at accommodations-ext@fb.com.

Job DescriptionDescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. *Requires travel to provider sites in surrounding areas Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC) Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements. Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives. Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work. Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I Qualifications Must possess and maintain AAPC or AHIMA certification - Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC 3-5+ years of experience in risk adjustment coding and/or billing experience required Reliable transportation/Valid Driver's License/Must be able to travel up to 75% of work time, if applicable. PC skills and experience using Microsoft applications such as Word, Excel, and Outlook Excellent presentation, verbal and written communication skills, and ability to collaborate Must possess the ability to educate and train provider office staff members Proficiency with healthcare coding software and Electronic Health Records (EHR) systems. You're great for this role if: Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage Strong PowerPoint and public speaking experience Strong experience with Excel - pivot tables, VLOOKUP, etc. Ability to work independently and collaborate in a team setting Experience with Monday.com Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting Environmental Job Requirements and Working Conditions The total pay range for this role is $75,000 - $85,000 per year. This salary range represents our national target range for this role. This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in the surrounding areas in Central Georgia. The work hours are Monday through Friday, standard business hours. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at ************************************ to request an accommodation.

JOB SUMMARY: Under the direction of the Director of Health Information Management, Identifies and codes Newborns, Obstetrics, ER's and outpatient records for the purpose of reimbursement, research, and compliance with Federal Regulations using the ICD-10-CM/CPT coding classification systems. EDUCATION, EXPERIENCE, TRAINING Current coding certification-RHIA, RHIT, or CCS 1-2 years of coding experience in acute hospital setting Knowledge and application of ICD10 classifications, CPT-4 and HCPCS with an accuracy level of 95% Must be able to work in a very challenging environment. Exceptional written and verbal communication skills Excellent computer skills, including Microsoft Office, EHRs, Encoders Analytical/critical thinking and problem solving Knowledge of information privacy laws and high ethical standards

Be Part of A Team That Believes in True Partnership, Continuous Improvement, and Collaboration to Deliver High-Quality Professional Solutions! We are currently recruiting for a remote ED facility medical coding specialists with at least 3 years' experience in addition to any formal training. If you are a successful Emergency Department medical coding professional that will bring a wealth of experience to our team, apply today to take advantage of our flexible remote coding career opportunities. This is a W-2 employee, working from your home office that is temp full time for 4-5 months. The position could extend. Responsible for coding all diseases, on ED according to ICD-10-CM, UHDDS, American Medical Association's CPT-4, according to client specifications. (No injection/infusion required) Responsible for keeping current on all Aviacode and client coding policies and procedures while ensuring all procedure changes and additions are understood. Responsible to discuss any unclear information needing clarification with supervisor and/or data quality specialist. Works with 3M Encoder and EPIC EMR system Mantains production of 12 CPH Keeps abreast of regulatory changes and communicates these changes to Coding Supervisor Requirements:Requirements AHIMA: RHIT, RHIA, CCS credentials required Minimum of 3 years Emergency Department coding experience (recent) Principals of ICD-10 Outpatient Coding Maintains accuracy of diagnosis code assignment per client and GeBBS Healthcare Solutions policies. Maintains productivity levels per client and GeBBS policies. Maintains reports and their integrity by insuring that all data is entered and recorded as directed by supervisor and director. Communicates in a responsible manner according to GeBBS policies Working hours must be between 6a-6:30p Pacific time Mon-Fri only.

Job Summary Coder III The Coder III is responsible for analyzing medical records for completion by Medical Staff, clinical or ancillary department; performing coding and abstracting functions; efficiently navigate the electronic medical record to find patient information required for coding; and accurately abstract medical records for quality assessment screens. Licensure and Certification: * CCS required * RHIT or RHIA strongly preferred Education: * Associate Degree in Health Information Technology or Information Technology or equivalent is minimum requirement * Medical Terminology * Anatomy and Physiology * AHIMA approved coding program or equivalent with documentation of successful completion. Experience: * Acute hospital experience in an acute care hospital, with three years of inpatient and outpatient coding experience utilizing automated encoder. Knowledge and Skills: * Extensive knowledge of ICD-9-CM and CPT * Understanding of UHDDS * Computerized medical records coding and abstracting experience - at least one year. * Experience analyzing and manipulating data from medical records coding and abstracts. Knowledge of APCs, E&M coding, Modifier usage. * Ability to utilize encoder at advanced level * Ability to utilize computer to maintain current status of coding process * Ability to code advanced level inpatient, outpatient and Emergency Department records Physical Demands - Clerical/Administrative Non-Patient Care: * Frequent sitting and standing/walking with frequent position change. * Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level. * Occasional/intermittent reaching at or above shoulder level. * Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting, and climbing. * Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds. * Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties. Key for Physical Demands Continuous 66 to 100% of the time Frequent 33 to 65% of the time Occasional 0 to 32% of the time

The Jr. Coder is responsible for accurately assigning standardized codes to diagnoses, procedures, and treatments for patient records, insurance claims, and billing processes. This role ensures compliance with applicable coding standards, regulations, and payer policies to facilitate timely and accurate reimbursement. Core Duties and responsibilities, include but are not limited to: * Reviewing patient charts to accurately assign the appropriate billing codes (ICD-10-CM, CPT, HCPCS) for diagnoses, procedures, and services rendered, in accordance with FQHC requirements across all lines of business * Assist in the submission of accurate claims to payers after correction * Ensuring coding compliance with federal and state regulations as well as insurance requirements * Communicate with patients and insurance companies to resolve billing discrepancies * Maintain knowledge of the latest coding updates, billing rules, and medical terminology * Collaborating with healthcare providers and other personnel to clarify documentation and ensure accurate coding * Payment tracking on the procedures based on payer contract. * Assist with internal charts audits for all lines of business to ensure accurate coding practices are followed * Provide the team with billing procedures guideline * You may be assigned additional tasks and projects based on the billing and coding department's needs * This job description in no way states or implies that these are the only duties to be performed by the employee. He or she will be required to follow any other instructions and to perform other duties, within scope, as assigned by his or her supervisor. Education, Qualifications, and Experience: * Certified Professional Coder (CPC) credential or equivalent certification (e.g., CCS, CCS-P) * Strong knowledge of medical terminology, anatomy, physiology, and disease processes * Familiarity with coding systems (ICD-10-CM, CPT, HCPCS) and coding guidelines * Attention to detail and accuracy in coding assignments * Ability to work independently and as part of a team * Good communication and interpersonal skills * Coding certification is required * Minimum 1 year of related experience. * Must excel in multitasking within a high-paced environment * Experience with EHR and practice management systems (e.g., NextGen, eClinicalWorks, EPIC) * Strong computer skills, acute attention to detail, confident and professional communication * Responsiveness to the needs of both internal/external stakeholders in a professional and personable manner is expected Work Schedule: * FTOC is an in-person organization first, and foremost. Employees are expected to be on-site for their scheduled shifts. * Hours of operation are Monday to Friday 8 a.m. to 8 p.m., however, employee schedules vary, depending on organizational, staffing, community, and patient needs. As such, FTOC may need to modify work schedules to meet such needs. * Holidays and weekends may be required depending on an employee's department due to organizational, staffing, community, and patient needs as FTOC continues to grow and expand work days and hours. * Overtime may also occur due to organizational, staffing, community, and patient needs.

Brault is a practice management, billing and coding company exclusively serving acute care independent physician practices. Due to recent growth and expansion, we are seeking a strong and skilled coding professional with pro-fee and/or facility coding experience for Emergency Medicine, Hospitalist, and Urgent Care, to provide accurate coding to our physician and healthcare system clients. Requirements Qualifications: Certified Professional coder (AAPC or AHIMA) 5 years' experience required 5-7 years in Professional Fee or Facility Coding Cerner and Epic (preferred) Emergency Medicine experience (preferred) Meet quality and production requirements Salary Description $22 - $27

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Serves as the primary resource for medical coding updates and information. Advises client on coding issues, provides in-depth research on new or unusual procedures, and makes recommendations when appropriate. Qualifications Coding Certification - Active CCS, or CPC credentialing Coding guidelines knowledge Claims experience Additional Information Advantages of this Opportunity: Pay $17 - $19 per hour, negotiable based on experience Weekly Pay Healthcare Benefits Work for a Fortune 500 company who pride themselves on partnership, integrity, teamwork, and accountability Be a part of a team who serves the full spectrum of member needs If you are interested, please call, Maro at 407-636-7030 ext. 204 and email your resume to Maro. The greatest compliment to our business is a referral. If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses for each placement.

General Information Press space or enter keys to toggle section visibility Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 8:00am - 5:00pm PST Posted Date 12/02/2025 Salary Range: $40.04 - 52.83 Hourly Employment Type 2 - Staff: Career Duration Indefinite Job # 27468 Primary Duties and Responsibilities Press space or enter keys to toggle section visibility Take on a significant role within a world-class health organization. Elevate the operational effectiveness of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital responsibilities, including: * Reviewing physicians' notes to determine if documentation requirements are met * Extrapolating and Applying surgical codes as applicable across anatomical subsections for general coding in work queues. * Analyzing medical documentation to assess accuracy * Entering charges in EPIC * Identifying and reporting any potential compliance risks Salary Range: $40.04 - $52.83 Hourly Job Qualifications Press space or enter keys to toggle section visibility We're seeking a self-directed, detail-oriented professional with: * Current Certified Professional Coder (CPC) certification, must have been certified a minimum of 2 years required * Additional specialty certification a plus, multi-specialty group experience a plus * Minimum of 2 years of pro fee coding experience is required * 3 or more years surgical and/or evaluation and management experience preferred * Experience as Medical Record Abstractor * Detailed knowledge of Medical Terminology and its application * Detailed knowledge and understanding of ICD-10, CPT, and HCPCS coding systems * Working experience with 2021 E&M guidelines preferred * Knowledge of CMS and local carrier regulations and guidelines for teaching hospital preferred * Computer proficiency with MS Office * Superior ability to research coding guidelines and payor policies a must * Previous Epic or Cerner experience preferred Note: Skills may be subject to test.

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 and minor invasive and non-invasive procedures, documented by any physician in outpatient medical records (i.e. OP Ancillary visits: Laboratory, Radiology etc.; Clinic Visits; Radiation Oncology; Recurring Visits, 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: Outpatient Ancillary/Clinic Visit/Emergency Department 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. 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 Experience in using a computerized coding & abstracting database software and an encoding/codefinder systems are required. Preferred Qualifications: Pref Prior experience in ICD-9 & ICD-10 (combined) and CPT/HCPCS coding of Outpatient Ancillary/ED medical records in hospital and/or outpatient clinic preferred. 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) 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 $33.00 - $54.02. 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 USC is a smoke-free environment Digital Accessibility 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: *************************************************************

JOB TITLE: Medical Records Clerk * Under direct supervision, assembles and maintains complete medical records according to established procedures. * Files and retrieves patient records; prepares new files; may open and distribute mail. * Organizes and evaluates patient medical records. * Reviews medical records for accuracy and completeness. * Responsible for filing and retrieving medical records. REQUIREMENTS: * 6 months experience directly related to the duties and responsibilities specified preferred. Benefits: * Comprehensive health, dental, and vision insurance * Health Savings Account with an employer contribution * Life Insurance * PTO * 401(k) retirement plan with a company match * And more! Equal Employment Opportunity & Work Force Diversity Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

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 and minor invasive and non-invasive procedures, documented by any physician in outpatient medical records (i.e. OP Ancillary visits: Laboratory, Radiology etc.; Clinic Visits; Radiation Oncology; Recurring Visits, 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: Outpatient Ancillary/Clinic Visit/Emergency Department 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. 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 Experience in using a computerized coding & abstracting database software and an encoding/codefinder systems are required. Preferred Qualifications: Pref Prior experience in ICD-9 & ICD-10 (combined) and CPT/HCPCS coding of Outpatient Ancillary/ED medical records in hospital and/or outpatient clinic preferred. 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) 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 $33.00 - $54.02. 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 USC is a smoke-free environment Digital Accessibility 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: *************************************************************

Job Summary: The Coder 1-HIM performs International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding and abstracts data the legal medical record for facilities, licensed under LLUMC and contracted other LLUH facilities. Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures the quality and accuracy of coding and abstract information are in compliance with federal and state regulations, government and contract payers, and grant funding. Quality of data collected impacts the facility in multiple ways, including finance, legal, research, teaching, quality assurance, etc. The Coder 1-HIM must be able to perform coding in Outpatient and/or Emergency area. Works with students and coding interns as requested. Performs other duties as needed. Education and Experience: Completion of Coding Certificate program or Associate's Degree in Health Information Management required. Minimum one year of coding experience in an acute care facility preferred. Experience may be considered in lieu of formal education. Knowledge and Skills: Knowledge of Medical Terminology preferred. Knowledge of the standards of Coding as set forth by the American Health Information Management Association. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position; Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position. Licensures and Certifications: Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) credentials through AHIMA required.

GeBBS Healthcare Solutions is a leader in Health Information Management and Revenue Cycle Management. We are dedicated to fostering a culture of excellence and collaboration in the healthcare industry. We are currently seeking credentialed Outpatient Facility Coding Specialists with a minimum of 3 years of experience to join our dynamic team. Position Overview: As an Outpatient Facility Coding Specialist, you will play a crucial role in coding all diseases, operations, and procedures for outpatients in accordance with ICD-10-CM, UHDDS, and AMA CPT-4 standards. Your expertise in large trauma Level I facilities will be invaluable in ensuring the accuracy and compliance of our coding practices. Key Responsibilities: Code all outpatient procedures according to client specifications. Abstract patient data, ensuring accuracy and compliance with client policies. Stay updated on coding policies and procedures; seek clarification on ambiguous information. Utilize healthcare abstracting software and ICD-10 data sets. Initiate physician queries following client-specific procedures. Monitor and communicate regulatory changes to the Coding Supervisor. Requirements:Requirements Credentialed medical coder with at least 3 years of experience. AHIMA preferred, AAPC may be considered Experience in facility OP & ED coding for large trauma Level I facilities (SDS, OBS, ED) is essential; IR/Cath experience is preferred Strong attention to detail and commitment to accuracy. Working hours must be between 6a-6:30p Pacific time Mon-Fri only. This a permanent full time (40 hours/week) role. US Based

DescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. *Requires travel to provider sites in Inland Empire Area (Riverside and San Bernardino Counties) *May be open to considering Level I Specialists based on experience and skills Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC) Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements. Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives. Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work. Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I Qualifications Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC. 3-5+ years of experience in risk adjustment coding and/or billing experience required Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC Reliable transportation/Valid Driver's License/Must be able to travel up to 75% of work time, if applicable. PC skills and experience using Microsoft applications such as Word, Excel, and Outlook Excellent presentation, verbal and written communication skills, and ability to collaborate Must possess the ability to educate and train provider office staff members Proficiency with healthcare coding software and Electronic Health Records (EHR) systems. You're great for this role if: Bilingual in Chinese (Cantonese/Mandarin) Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage Strong PowerPoint and public speaking experience Ability to work independently and collaborate in a team setting Experience with Monday.com Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting Environmental Job Requirements and Working Conditions The total pay range for this role is $75,000 - $85,000 per year. This salary range represents our national target range for this role. This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in the surrounding areas. The home office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754. The work hours are Monday through Friday, standard business hours. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at ************************************ to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Take on a significant role within a world-class health organization. Elevate the operational effectiveness of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital responsibilities, including: + Reviewing physicians' notes to determine if documentation requirements are met + Extrapolating and Applying surgical codes as applicable across anatomical subsections for general coding in work queues. + Analyzing medical documentation to assess accuracy + Entering charges in EPIC + Identifying and reporting any potential compliance risks Salary Range: $40.04 - $52.83 Hourly Qualifications We're seeking a self-directed, detail-oriented professional with: + Current Certified Professional Coder (CPC) certification, must have been certified a minimum of 2 years required + Additional specialty certification a plus, multi-specialty group experience a plus + Minimum of 2 years of pro fee coding experience is required + 3 or more years surgical and/or evaluation and management experience preferred + Experience as Medical Record Abstractor + Detailed knowledge of Medical Terminology and its application + Detailed knowledge and understanding of ICD-10, CPT, and HCPCS coding systems + Working experience with 2021 E&M guidelines preferred + Knowledge of CMS and local carrier regulations and guidelines for teaching hospital preferred + Computer proficiency with MS Office + Superior ability to research coding guidelines and payor policies a must + Previous Epic or Cerner experience preferred Note: Skills may be subject to test. UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us apart.

Job Summary: The Coder 2-HIM performs International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding and abstracts data from the legal medical record for facilities, licensed under LLUMC and contracted other LLUH facilities. Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures the quality and accuracy of coding and abstracted information in compliance with federal and state regulations, government and contract payers, and grant funding. Quality of data collected impacts the facility in multiple ways, including finance, legal, research, teaching, quality assurance, etc. The Coder 2-HIM must be able to perform Inpatient and/or Outpatient Surgery coding. Works with students and coding interns as requested. Performs other duties as needed. Education and Experience: Completion of Coding Certificate program or Associate's Degree in Health Information Management required. Minimum three years of coding experience required, preferably in Inpatient coding and/or Outpatient Surgery coding. Experience may be considered in lieu of formal education. Knowledge and Skills: Knowledge of Medical Terminology preferred. Knowledge of the standards of Coding as set forth by the American Health Information Management Association. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position; Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position. Licensures and Certifications: Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) credentials through AHIMA required.

GeBBS Healthcare Solutions, an industry leader in Health Information Management (HIM) and Revenue Cycle Management (RCM) solutions, is seeking highly motivated individuals with a passion for excellence & collaboration, for careers in the healthcare industry. We are looking for a full-time Inpatient Facility Coder. This is a remote W-2 position with flexible work schedules. This position will be responsible for medical coding for one of facility clients. Coder will be responsible for reviewing charts, coding appropriate charges and ensuring high quality standards are achieved. The Inpatient Coder is responsible for assigning diagnostic and procedural codes to patient charts using ICD-10-CM, ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. The coder will abstract required clinical information. This position requires a thorough knowledge of medical terminology, disease processes, pharmacology, Medicare's Inpatient Prospective Payment System (IPPS), Official Coding Guidelines for ICD-10-CM and ICD-10-PCS codes, and documentation requirements for correct and accurate coding. Experience with trauma and highly complex cases, orthopedic, and cardiology preferred Requirements RHIA, RHIT, CCS certification through AHIMA required Minimum 3 years inpatient coding experience in facility setting (recent) Maintain standard industry productivity rates for Inpatient coding (3 charts/hour) Demonstrated ability to maintain high quality standards of 95% or greater Proficient in utilizing technology (computer, VPN, MS Office, coding software) to perform responsibilities Strong verbal and written communication skills Must have ICD-10 coding experience and have completed an ICD-10 course Experience with trauma and highly complex cases, orthopedic, and cardiology preferred Hours must to be worked between 6a-6:30p Pacific time Mon-Fri only. Hours can flex between those times daily to reach 40 hrs/week.