Compliance & Records Specialist
Medical coder job in Costa Mesa, CA
JOB PURPOSE: Ensure medical records are accurate, compliant, and complete to support successful claims and minimize denials. Manage record reviews, audits, and appeals while collaborating with internal teams and BPO counterparts to maintain updated guidelines and drive process improvements.
Job Duties and Responsibilities
Ensure accurate record reviews, retrieve medical records, and send out medical record requests as needed within the required time frame.
Ensure medical records are compliant with payer-specific guidelines before submission.
Investigate medical record denials, and communicate actions that need to be taken to resolve them and document findings on CMD and the Jira Project.
Initiate appeals to the payer as necessary to resolve medical record denials.
Thoroughly navigate and manage post-payment and pre-payment reviews, ensuring proper documentation, timely responses, and compliance with regulatory and contractual requirements.
Research and update payer-related guidelines regularly, ensuring all departments follow best practices and have access to the most current documentation.
Support training and day-to-day guidance for BPO team members by sharing knowledge, addressing questions, and escalating needs or issues to the lead or supervisor to strengthen performance and ensure aligned, efficient operations.
Participate in the department's L10 meetings, identify and bring issues, and develop and execute quarterly rocks to drive alignment and improvements toward Cipher VTO.
Ensure clear and efficient communication by responding to partner emails and requests promptly.
Perform facility spot checks to maintain charts/documentation up to date with payer guidelines.
Perform other related duties as assigned.
Minimum Qualifications
Education / Experience
High School Diploma or equivalent
2 years' experience
Proficient with Microsoft Office Suite
Adobe Acrobat Experience
EOS Knowledge/Understanding Preferred
Proficient in Atlassian Products (Jira & Confluence) preferred
Experience in Insurance Payers compliance preferred
Health Information Manager
Medical coder job in Oakland, CA
Oakland, CA 94609
Shift: Day 5x8-Hour (08:00 - 16:30)
Schedule: Monday to Friday, 8:00 AM - 4:30 PM
Note: MUST be legally authorized to work in the United States.
Qualifications:
Experience with Epic
Scanning of medical records
Phone support
General office setting experience
We are an equal opportunity employer, and we are an organization that values diversity. We welcome applications from all qualified candidates, including minorities and persons with disabilities.
req3107205
CMS HCC Coder
Medical coder job in Orange, 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 ******************.
Auto-ApplyMedical Coder
Medical coder job in Pleasanton, CA
Job Details Pleasanton, CA Full Time $30.00 - $40.00 HourlyDescription
:
Axis Community Health, a nonprofit established in 1972, provides comprehensive healthcare services to over 15,000 individuals across all age groups in the Tri-Valley area. The mission of Axis Community Health is to provide quality, affordable, accessible and compassionate health care services that promote the well-being of all members of the community.
Our mission is rooted in delivering high-quality patient care, encompassing primary healthcare, mental health support, and dental services. We are committed to ensuring access to essential healthcare services for every member of our community, irrespective of financial status, living situation, or insurance coverage.
Job Summary:
The Medical Coder is responsible for reviewing, coding, and processing medical, dental, and behavioral health encounters to ensure accurate and compliant documentation, coding, and billing specific to a Federally Qualified Health Center (FQHC). This role assigns appropriate ICD-10, CPT, and HCPCS Level II codes in accordance with federal, state, and payer-specific guidelines, including FQHC billing rules. The Medical Coder also resolves coding-related denials, supports timely reimbursement, and helps maintain compliance with Medi-Cal, Medicare, HRSA, and commercial insurance requirements. This position may assist with staff training, process improvements, and collaboration across billing, compliance, and clinical teams to ensure accurate encounter data and strengthen revenue cycle operations.
Qualifications:
High school diploma or equivalent; Associates degree in Health Information Technology or related field preferred.
Minimum two years of outpatient medical coding experience, preferably in a community health center, FQHC, or similar ambulatory care setting.
Current coding certification from CPC, CCA, CCS, RHIT, or RHIA.
Strong knowledge of ICD-10, CPT, HCPCS Level II, and outpatient coding guideline.
Familiarity with FQHC specific coding and billing, including PPS, wrap/PPS add-on, and documentation requirements.
Proficiency in reviewing clinical documentation for accuracy and completeness.
Ability to analyze and resolve coding-related denials.
Advanced knowledge of FQHC coding standards, encounter-based reimbursement models, and HRSA/UDS reporting requirements.
Experience processing specialty billing for chiropractic, acupuncture, podiatry, cardiology, and others.
Knowledge of outside entity account reconciliation.
Ability to retrieve patient information, input information, and locate information and resources.
Knowledge of EPIC EPM/EHR is highly desirable.
Wisdom dental software knowledge is a plus.
Excellent time management skills to meet goals and objectives and the ability to be at work regularly and on time.
Strong analytical, employee relations, and interpersonal skills.
Excellent writing, business communication, editing, and proofreading skills.
Ability to interact effectively, professionally, and in a supportive manner with persons of all backgrounds.
Proactive, self-motivated and able to work independently as well as on a team with the ability to exercise sound independent judgment.
Ability to maintain a high level of confidentiality and a professional demeanor and must positively represent the organization at all times.
Must be able to adjust priorities quickly as circumstances dictate.
Must be a dynamic self-starter with demonstrated ability to work independently or in a group setting.
A can-do attitude, attention to detail, ability to organize and set priorities, with ability to multi-task effectively.
Ability to type a minimum of 35 WPM with minimal errors.
Must have good computer skills using Microsoft Office and the ability to use Axis departmental systems.
Must be able to use office equipment (i.e. copier, fax, etc.).
Essential Duties/Responsibilities
Review and assign accurate ICD-10, CPT, and HCPCS codes for medical, dental, and behavioral health encounters.
Ensure all coding complies with federal, state, Medicaid/Medi-Cal, Medicare, commercial payer, and FQHC-specific billing guidelines.
Verify that provider documentation supports the codes billed and request clarifications when needed.
Review and correct encounter data prior to claim submission to reduce errors and delays.
Work closely with providers to improve documentation accuracy and coding completeness.
Analyze and resolve coding-related denials rejections; submit corrected claims as needed.
Support the billing team with research on payer guidelines and policy updates.
Maintain proficiency in UDS reporting requirements and ensure accurate coding for quality metrics.
Collaborate with senior management to ensure adherence to HRSA, PPS, and encounter documentation standards.
Conduct internal chart audits as assigned to verify coding accuracy and identify training needs.
Assist in training clinical and billing staff on coding updates, documentation requirements, and best practices.
Stay current on changes in coding regulations, payer updates, E/M guidelines, and FQHC billing requirements.
Collaborate with the CFO and Billing Manager to enhance workflows aimed at improving overall efficiency and effectiveness of the billing department.
Participate in staff meetings, and attend other meetings and training events as assigned.
May be required to perform other related duties, responsibilities, and special projects as assigned.
Benefits:
Employer paid health, dental, and vision benefits to the employee.
Option to participate in a 403(B) retirement plan with employer matching contribution.
Partial educational reimbursement.
12 paid holidays.
Accrued paid time off with each pay period.
Employee discount programs.
Connect with Axis:
Company Page: **************************
Facebook: ********************************************
LinkedIn: ******************************************************
Annual Gratitude Report: **************************************************************
Physical, Cognitive, and Environmental Working Conditions:
Work is normally performed in a typical clinic office work environment (and, in some cases, telecommuting sites). The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations can be made to enable individuals with disabilities to perform the essential functions of this position if the accommodation request does not cause an undue hardship
Physical: Occasionally required to carry/lift/push/pull/move up to 20lbs. Frequently required to perform moderately difficult manipulative tasks such as typing, writing, reaching over the shoulder, reaching over the head, reaching outward, sitting, walking on various surfaces, standing, and bending. Occasional travel to other Axis health centers and other occasional travel will be required.
Equipment: Frequently required to use repetitive motion of hands and feet to operate a computer keyboard, telephone, copier, and other office equipment for extended periods.
Sensory: Frequently required to read documents, written reports, and signage. Must be able to distinguish normal sounds with some background noise, as in answering the phone, interacting with staff etc. Must be able to speak clearly, understand normal communication, and be understood.
Cognitive: Must be able to analyze the information being received, count accurately, concentrate and focus on the given task, summarize the information being received, accurately interpret written data, synthesize information from multiple sources, write summaries as needed, interpret written or verbal instructions, and recognize social or professional behavioral cues.
Environmental Conditions: Frequent exposure to varied office (medical clinic/office) environments. Rare exposure to dust and loud noises.
Disclaimer: This job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, Axis Community Health reserves the right to modify or change the requirements of the job based on business necessity.
Key Search Words: Medical Coder, Billing and Coding Specialist, Health Information Coder, Clinical Coder, Coding Specialist, Revenue Cycle Coder, Coding Compliance Specialist, Outpatient Coder, Documentation Specialist, Revenue Cycle Department, Patient Financial Services, Coding and Compliance, Billing and Coding Team, Communication Skills, Multitasking, Problem Solving, Organizational Skills, Customer Relations, Administrative Procedures, Microsoft Office, EHR, EPIC, Medi-Cal, Medicare, #LI-Onsite
Coder FT Days
Medical coder job in Monterey Park, CA
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
Auto-ApplyCertified Coder
Medical coder job in Oakland, CA
SUMMARY: Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement. Performs related duties as required. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
1. Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the cooperating parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets.
2. Selection and sequencing of diagnoses and procedures must meet the definitions of required data sets. Utilizes up-to-date versions of CPT and ICD-10-CM resources and remains current on changes in coding and billing standards.
3. Strives for the optimal payment to which the facility is legally entitled, remembering that it is unethical and illegal to maximize payment by means that contradict regulatory guidelines.
4. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record.
5. Diagnosis coding must be accurate and carried to highest level of specificity; assigns and reports codes that are clearly and consistently supported by documentation in the health record.
6. Follow up status of charges held for clearance; work error reports.
7. Responsible for properly performing month end tasks within the established time-frame including running month end reports for each center assigned and tracking of cases that are not yet billed for the month.
8. Provides feedback and education to physicians regarding billing and documentation.
9. Works with the Billing & Collection team to resolve coding issues.
10. Performs professional fee and documentation audits for a wide variety of specialties.
11. Manage work files to resolve coding edits by researching and using the most up-to-date tools available in order to make the appropriate and compliant corrections for reimbursement.
MINIMUM QUALIFICATIONS:
Education: High School Diploma or equivalent required, Associate's degree preferred.
Minimum Experience: Five years relevant coding experience.
Minimum Experience: Experience coding and auditing professional fee surgical procedures and office visits. Required
Licenses/Certifications: Certified Coding Specialist (CCS-P) or Certified Professional Coder (CPC) certification required from AHIMA or AAPC.
PAY RANGE: $29.59 - $49.31/ hour
The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate's experience, education, skills, licenses and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program.
Certified Medical Coder
Medical coder job in Novato, CA
Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administrations (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all.
The Certified Medical Coder is responsible for reviewing and interpreting medical documentation to assign appropriate diagnosis and procedure codes for billing and reimbursement purposes. The ideal candidate will have a deep understanding of coding guidelines and regulations and be able to ensure the accuracy and completeness of all coding work.
Requirement:
* You must have either a Certified Professional Coder (CPC) certification or a Certified Coding Specialist (CCS) certification.
Responsibilities
* Review and analyze medical documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes.
* Ensure all coding is completed in a timely and accurate manner, with a high level of attention to detail.
* Maintain knowledge of current coding guidelines and regulations.
* Work collaboratively with medical staff and other healthcare professionals to ensure appropriate documentation and coding of services.
* Participate in ongoing training and professional development to maintain certification and stay up-to-date on changes in coding guidelines and regulations.
* Provide feedback and recommendations to management to improve the accuracy and efficiency of coding processes.
* Maintain patient confidentiality and comply with all HIPAA regulations.
* Other duties as may be assigned.
Qualifications
Education and Experience:
* High school diploma or equivalent (GED) required.
* Successful completion of a medical coding program.
* Certified Professional Coder (CPC) certification is required.
* Certified Coding Specialist (CCS) certification is required.
* Familiarity with medical terminology, anatomy, and physiology.
* Experience working in an FQHC clinic is preferred.
* Proficiency in computer applications, including EPIC Electronic Health Records and coding software.
Required Skills and Abilities:
* Strong attention to detail and problem-solving skills.
* Excellent communication and interpersonal skills.
* Ability to work independently and as part of a team.
Physical Requirements and Working Conditions:
* Fulfill immunizaton and fit for duty regulatory requirements.
* FProlonged periods of sitting at a desk and working on a computer.
* Use of mouse, keyboard and headset.
* Must be able to lift up to 15 pounds at times.
Benefits:
Our benefits program is designed to protect your health, family and way of life. We offer a competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short term and Long Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement, Employee Assistance Programs, Paid Holidays, Personal Days of Celebration, Paid time off, and Extended Illness Benefits.
Marin Community Clinics is an Equal Employment Opportunity Employer
Min
USD $25.00/Hr.
Max
USD $35.00/Hr.
Auto-ApplySr. Certified Coder, Acute SDS-OBSV
Medical coder job in Roseville, CA
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Reviews SDS and OBV records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including same day surgery and observation encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.
Job Requirements:
Education and Work Experience:
* High School Education/GED or equivalent: Required
* Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
* Working knowledge of hospital Cerner EMR (electronic medical record): Required
* Three years' coding and health care experience: Required
Licenses/Certifications:
* AHIMA Certified Coding Specialist (CCS): Required
Essential Functions:
* Abstracts and assigns ICD-10-CM diagnosis codes and CPT procedure codes from the SDS and OBV patient record to ensure accurate APC assignment and to provide information required for reimbursement and statistical data submissions. Validates appropriate dates of service against documentation in the EMR for SDS/OBV encounters. Completes required abstract fields in registration conversation on SDS/OBV encounter for OSHPD and other data submissions. Uses knowledge of modifier use to ensure accurate application on various payor types. Communicates with appropriate departments related to charge corrections/modifications.
* Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory agencies. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. Reviews, understands and applies quarterly coding clinics, coding guidelines and coding conventions of ICD-10-CM references. Collaborates to provide coding feedback and education to departmental leadership regarding completeness and accurateness of documentation and physician coding practices. Analyzes content of reports and software edits to facilitate revisions with appropriate departments - NCCI edits.
* Follows up coding holds, revenue cycle department holds including related and all other email communication.
* Collaborates to provide coding feedback and education to departmental leadership regarding completeness and accuracy of documentation and physician coding practices. Maintains required online Healthstream education courses.
* Attends meetings and training pertaining to coder education, audit reviews, staff meetings, outpatient coder roundtable meetings, and SDC to OBV charges.
* Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Auto-ApplyMedical Coder
Medical coder job in Monterey, CA
.
This position is responsible for abstracting provider services accurately into billable codes from the medical documentation in accordance to the coding ethics of American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) and/or National Alliance of Medical Auditing Specialists (NAMAS) and payer coverage guidelines. Furthermore, responsible for posting and reconciling charges and communicating with provider/staff of medical necessity of services, unspecified, truncated, and lack of supporting diagnoses along with incomplete or missing documentation.
KEY RESPONSIBILITIES & DUTIES:
Responsible for abstracting provider services into billable codes (CPT, HCPCS, & ICD-10) from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS and payer coverage guidelines in an accurate and timely manner.
Post and reconcile hospital setting (IP/OP/OBS) charges daily.
Communicate inefficiencies to the coding supervisor such as the medical necessity of services; unspecified truncated and lack of supporting diagnoses; incomplete or missing documentation along with any inappropriate coding and documentation trends.
Reference coding and payer resources to accurately code and bill the provider documented services.
When needed, assist the AR Specialist with a complicated coding denial. Furthermore, the coder assists with creating an appeal letter regarding the coding denial along with any supporting documentation. Coder will forward the appeal documentation(s) to the AR Specialist to handle.
Continue education with coding and billing via Encoder Pro, coding subscriptions and resources provided by CHP.
Other duties as assigned.
KNOWLEDGE, SKILLS, AND ABILITIES
Have experience properly coding (CPT, HCPCS, & ICD-10) services from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS.
Must be able to communicate effectively in English, verbally, and written. Additional languages are desirable.
Excellent customer service and phone etiquette skills.
Must be able to maintain a high degree of confidentiality and work well under productivity standards.
Able to prioritize and balance the workload on short and long-term company needs.
Must be able to work independently and be able to solve problems efficiently and accurately.
Able to create channels of communication to obtain information necessary to perform job tasks.
Strong organizational skills with the ability to prioritize a high-volume workload.
Helpful attitude, positive teamwork spirit with a willingness to help.
CREDENTIALS/EDUCATION/EXPERIENCE
High School Diploma or Equivalent required.
Minimum of 2 years of experience in medical billing and/or coding.
Certifications in Medical Billing and Coding highly desirable
Auto-ApplyCertified Medical Coder
Medical coder job in Oakland, CA
Temporary Description
The Certified Medical Coder represents Roots Community Health Center, working as part of a team in a highly visible setting. This position provides support to the Director of Billing, Billing and Coding Administrator. This position works in collaboration with the providers, billing specialist and finance team, using efficient medical coding. The Certified Medical Coder provides coding audits of all billing providers within the practice based on documentation guidelines, Medicare Guidelines and coding initiatives. As the coder audits and interprets patient medical records, transcriptions, test results, and other documentation, we'll rely on the coder to ask questions, make coding recommendations, research billable procedures and codes - all to ensure a smooth billing process. This is a 6-month temporary position.
Duties and Responsibilities:
Code office visits and procedures using CPT, ICD-10 codes
Audit and review coding (CPT, ICD-10) physician notes in the EHR
Manage Coder Correct/ Super Coder Codify Platforms (AAPC)
Make coding recommendations; working with providers to ensure accuracy using billing/payer guidelines.
Educate providers on coding policies and guidelines, medical necessity criteria, programs correct billing methods and procedure codes by written and verbal communication
Correspond or meet with providers to resolve billing practices
Audit documentation to ensure it supports complete, accurate and compliant billing with both CMS and payer requirements
Assist practice physicians and managers with all coding errors, denials, or issues encountered in the billing process
Monitor charge review queues to ensure that all accounts flow through to billing appropriately
Submit all charges into billing EHR system AdvancedMD for claims processing
Act as liaison between billing department and clinic management/physicians
Translate written policy interpretation into CPT, HCPC, ICD-10 codes for input into systems
This position is responsible for ensuring compliance with all aspects of applicable regulations, payer billing guidelines.
Identify specific billing and reimbursement projects as they arise
Conduct research coding on denied claims and take steps toward resolution
Correct coding errors in coordination with the billing specialist
Reviews insurance plans and carrier information for appropriate coding regulations per payer contracted services
Verify insurance information/PCP assignment
Ensure/verify the accuracy of patient demographics and insurance information in Electronic Health Record
Report trends and denial patterns to the Director of Billing
Participate in internal chart audits, billing audits, and other compliance programs
Makes recommendations for policies and procedures relating to payer billing guidelines
Attending Billing and Interdepartmental meetings.
Requirements
Competencies:
High School Diploma or GED, Billing/Coding Certification
Must have experience working in non-profit organization or a community clinic preferred, but not required.
Certification in medical billing/coding
Minimum 1 years' experience performing medical billing, claims review
Minimum 1 years' experience with claims follow-up from physician office, third-party setting
Familiarity with medical terminology and the medical record coding process
In-depth knowledge/ awareness of all areas related to Payer-specific (Medicare Medi-Cal Medicaid and/or Private) Claims and how they interrelate
Knowledge of principles methods and techniques related to compliant healthcare billing/collections - Familiarity with Payer-specific (Medicare Medi-Cal Medicaid -CalAim, Private) Claims management
Previous experience with either Electronic Health Record and Practice Management Systems
Full understanding of insurance denials, EDI coding rejections and exclusions
Previous experience with HCFA 1500 claim forms and electronic billing.
Interest/experience working with low-income communities of color
Excellent written and verbal communication skills
Solid organizational skills including attention to detail and multi-tasking skills.
Demonstrates ability to manage time efficiently and multi-task effectively.
Clear and effective external and internal, verbal and written, communication skills.
Strong critical thinker and problem solver
Excellent team-player
Ability to work with patients from different backgrounds (culture competency)
Ability to communicate clearly and respectfully with co-workers and clients
Strong working knowledge of Microsoft Office (Word, Excel, PowerPoint)
Ability/willingness to learn Electronic Health Records Insight reporting
Roots Community Health Center is proud to be an Equal Employment Opportunity/Affirmative Action Employer and values diversity of culture, thought and lived experiences. We seek talented, qualified individuals regardless of race, color, religion, sex, pregnancy, marital status, age, national origin or ancestry, citizenship, conviction history, uniform service membership/veteran status, physical or mental disability, protected medical conditions, genetic characteristics, sexual orientation, gender identity, gender expression regardless of physical gender, or any other consideration made unlawful by federal, state, or local laws. Roots uses E Verify to validate the eligibility of our new employees to work legally in the United States.
Salary Description $31.00-$36.00
Home Health and Hospice Coder
Medical coder job in San Diego, CA
Job Details LHSD - SAN DIEGO, CA Fully RemoteDescription
Who We Are:
Lorian Health is a home health and hospice agency seeking energetic candidates to join our team of skilled professionals. Come join a home health agency that is thoughtful, generous, and family-oriented, placing focus on taking the best care of our patients and our employees!
Lorian Health sets the highest quality standards for home health services in existence today. Foremost of these, is our belief in equanimity in regard to the treatment of all our patients.
Lorian Health is committed to fostering a socially responsible environment within our organization and community and is determined to provide the highest caliber of health care for our patients and their families
What We Offer:
We offer a comprehensive employee benefits package that includes, but is not limited to:
Health, Dental, Vision, 401K with company match
Competitive pay
Paid vacation, holidays, and sick leave
Full time includes company paid health insurance, dental insurance, vision insurance, paid life insurance, supplemental insurance and 401(k) plan with 4% match, as well as annual accrual of 10 vacation days,10 sick days, 9 holidays.
Join our innovative team to help patients empower themselves to improve self-care.
Qualifications
Requirements:
MUST live in the next locations with Pacific Standard Time (PTS): California, Washington, Oregon, Nevada, Idaho.
Completion of coding specific coursework
Current ICD-10 Coding Certification (HCS-D, BCHH-C, or HCS-H)
Minimum of 1 year previous experience with Home Health ICD-10 coding with verified employment/experience are required.
Minimum of 1 year previous experience with Hospice ICD-10 coding with verified employment/experience are required.
Knowledge of and ability to follow appropriate skilled documentation under Medicare guidelines and conditions of participation.
Knowledge of Patient Driven Grouping Models (PDGM)
Knowledge of insurance reimbursement procedure.
Ability to maintain confidentiality of records and information.
Ability to be flexible, follow verbal and written instruction while working in a team oriented environment.
Detail oriented with critical thinking and strong clinical judgement and analytical skills.
Ability to demonstrate flexibility in response to unexpected changes in work volume and work schedule.
Excellent interpersonal relation skills including active listening, conflict resolution, and team building.
Communicates effectively with the clinical and office staff involved in any given case in a constructive, goal directed, and professional manner
Excellent computer skills to include Microsoft applications (i.e. Word/Excel) and ability to type at least 40 wpm
Must be available to work 9am to 6pm Pacific Time Zone.
Preferred:
OASIS certification (COS-C, HCS-O)
Background on OASIS E
Graduate of Bachelor is Science in health field
Experience with HCHB software
HIM Certified Coder Specialist
Medical coder job in Lone Pine, CA
CERTIFICATION REQUIRED
2+ YEARS OF EXPERIENCE
Pending job description
Auto-ApplyCoordinator, Patient Scheduling and Medical Records
Medical coder job in San Marcos, CA
What Patient Scheduler contributes to Cardinal Health
Practice Operations Management oversees the business and administrative operations of a medical practice. Patient Schedulers are responsible for booking and managing appointments for patients at a clinic, ensuring they see the right doctor at the appropriate time by coordinating schedules and minimizing wait times .
Responsibilities
Scheduling:
Schedule, cancel, and reschedule appointments for patients
Coordinate with doctors, nurses, and other healthcare professionals to set up appointments
Manage and prioritize appointment requests based on urgency and availability
Communicate with patients regarding their appointment details, changes, and cancellations
Maintain a high level of confidentiality regarding patient information
Monitor and manage patient wait lists
Medical Records:
Compiles, verifies, and files medical records.
Reviews medical records for completeness, assembles records into standard order, and files records in designated areas or electronic medical records system.
Files processed labs, pathology reports and loose correspondence into patient records once physician has reviewed and signed appropriately.
Perform any other functions as required by management.
Qualifications
1-3 years of experience, preferred
High School Diploma, GED or equivalent work experience, preferred
Medical Office experience required
Patient scheduling and Medical Records experience highly desired
Work on-site, M-F at cCARE San Marcos, CA. **This is not a remote position
What is expected of you and others at this level
Applies acquired job skills and company policies and procedures to complete standard tasks
Works on routine assignments that require basic problem resolution
Refers to policies and past practices for guidance
Receives general direction on standard work; receives detailed instruction on new assignments
Consults with supervisor or senior peers on complex and unusual problems
Position Location:
cCARE San Marcos
838 Nordahl Road, Suite 300
San Marcos, CA 92069
Anticipated hourly range: $21.00 per hour - $25.30 per hour
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with my FlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs
Application window anticipated to close: 12/2/2025 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
To read and review this privacy notice click
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Auto-ApplyMedical Records Clerk
Medical coder job in Los Angeles, CA
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.
Medical Records Clerk
Medical coder job in San Jose, CA
: Medical Records Clerk
Reports To: Clinic Manager
Status: Full-Time Regular, Non-Exempt
Maintains complete medical records for order, accuracy and confidentiality. The incumbent will scan medical records into our Electronic Health Records system, process subpoenas, pre-authorizations, Diagnostic Imaging, and referrals follow up. Provides back up to the Medical Dept receptionists and other functions as needed. The IHC is a Patient Centered Health Home and all employees are an integral part of this model of care delivery.
Duties & Responsibilities:
Arranges and maintain medical records to ensure proper order and easy retrieval and maintains confidentiality and security of records
Verifies chart order, ensures that identification is on each page, and ensures that all forms have the appropriate signatures
Process insurance verification and schedule appointments for diagnostic imaging
Participates in the tracking process for the Cancer Detection Program
Process and track incoming subpoenas/depositions Scans documentation of lab results, hospitalization and discharge forms and other documents pertaining to the patient
Copies and releases medical records following proper policies and maintains HIPAA procedures
Provides back-up to medical reception when needed: answers the telephone and triages calls; greets all patients arriving in the medical department in a friendly manner
Performs various clerical tasks such as processing durable medical equipment, , scanning various documents and files, operating various office machines, and maintaining up-to-date office materials
Maintains inventory of supplies when necessary to fulfill the function of the medical records clerk
Attends appropriate meetings or in-service trainings as directed
Maintains complete management of medication refills including: retrieval of medication refill faxes, handling of pharmacy/patient refill request messages, proper medication refill issuance in patient chart, faxing refill authorizations to the pharmacies, calling in refill authorizations over the phone, and filing all paper refill authorizations in the patients chart
Recall inactive charts from the Re-Call off site management system
Participate as a proactive representative of the Patient Centered Health Home
Perform duties utilizing the Team-Based Approach
Performs other duties as assigned
Required Qualifications, Knowledge & Abilities:
High school degree or equivalent required with a medical administration certification
Will need 1 year of experience working in medical records department doing similar or like duties as described. Prefer clinical setting
Able to read, write and speak English fluently
Bi-lingual in Spanish preferred
Excellent organizational and customer service skills
Ability to follow written and oral instructions and learn new procedures quickly
Ability to stay calm while working quickly and with a high degree of accuracy
Experience handling incoming calls from patients
Knowledge of medical terminology, procedure codes, diagnosis codes, and medical records procedures preferred
Flexibility, initiative, and reliability
Familiarity with medical computer software and data entry
Experience using Microsoft Office software packages (Word, Excel, and PowerPoint)
Knowledge of & ability to work with the American Indian community & other minority populations
Ability to maintain strict confidentiality
Ability to function independently and as a team member within diverse environments as well as with a diverse staff composition
Demonstrated ability to perform multiple administrative functions simultaneously in an accurate, organized, & efficient manner. Ability to multitask & thrive in a fast-paced, constantly changing environment
Ability to carry out all responsibilities in an honest, ethical & professional manner and demonstrate good judgment
Physical Requirements:
Ability to sit, stand and walk for extensive periods of time
Manual and finger dexterity and eye-hand coordination sufficient to accomplish the duties associated with your job description
Ability to lift up to 35 pounds
Ability to stoop, squat, or bend frequently
Corrected vision and hearing within normal range to observe and communicate with patients and professional staff
Working Conditions:
Exposure to all patient elements, including communicable disease and blood borne pathogens. Will be working in a fast paced medical environment which can be stressful and constantly changing conditions. Normal working hours are from 8:00 am until 5:00 pm with one hour for lunch. However, working hours may vary depending upon need. Will need to be flexible in performing tasks with limited discretion in making judgment decisions.
Preference is given to qualified American Indians/ Alaskan Native in accordance with the American Indian Preference Act (Title 25, U.S. Code Section 472, 473 and 473a). In other than the above, the Indian Health Center of Santa Clara Valley is an equal opportunity employer including minorities, women, disabled and veterans.
Auto-ApplyCoder 3-HIM
Medical coder job in San Bernardino, CA
Job Summary: The Coder 3-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 abstracted 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. Coder 3-HIM performs coding in all areas including, Inpatient, Outpatient, Emergency, Interventional Radiology etc. Performs secondary coding reviews as needed. 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 five years of experience coding in an acute care facility required. Experience may be considered in lieu of formal education.
Knowledge and Skills: Extensive knowledge of ICD and CPT coding systems is required. Medical terminology required. 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.
Auto-ApplyHIM Coder I - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Medical coder job in Alhambra, 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 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.
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Auto-ApplyFleet & Yard Specialist Class A Certified
Medical coder job in Loomis, CA
Job DescriptionSalary: $25-$35 per hour
We are seeking a dedicated Warehouse Associate who will take direction from our Shop Foreman to pull material, clean trucks/equipment, clean-up, and make daily jobsite deliveries. This position requires a clean driver record, applicants with Class A CDL. Knowledge in construction preferred.
Primary responsibilities:
Take direction and job tasks on a day-to-day basis from Shop Foreman.
Jobsite deliveries to various sites across Sacramento and the Central Valley.
Ensure material is pulled correctly, checked, delivered and shop/trucks are kept organized, orderly, clean and safe.
Properly load, deliver, and unload contruction equipment.
Equipment Safety Inspections.
Essential Skills:
Experience driving/backing trailers/ Strapping down equipment (Class A CDL Required)
Clean driving record
Experience/certification with forklifts.
Experience loading/unloading trucks including semi-tractor trailers and basic knowledge of equipment operation( Backhoe, Mini ex, Skid, Etc.)
Able to take direction from others on a daily basis, communicate and work well with others, understand directions and communicate them with others, as well as understand the job tasks and instructions given.
Ability to work independently once tasks are assigned, must be organized.
Knowledge with air tools, jack hammers, pavement breakers, concrete saws, concrete vibrators, small gas generators.
Basic mechanics knowledge/Troubleshooting
Work Hours:
Monday thru Friday 7:00a to 3:30p hourly
Occasional weekend and overtime hours will be required
Hourly Wage $25-35/hr depending upon experience.
Benefits:
Health insurance
Dental insurance
Vision insurance
Sick Pay (beginning on 90th day of employment at 40hrs per year)
Job Type: Full-time
Pay: $25.00 - $35.00 per hour
PA UCC Certified Code Specialist
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.
Medical Billing Reimbursement Specialist - Multi Specialty
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