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Medical coder jobs in Carson City, NV

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Medical Coder
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  • Compliance & Records Specialist

    Cipher Billing

    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
    $33k-45k yearly est. 3d ago
  • Health Information Manager

    Pop-Up Talent 4.3company rating

    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
    $50k-80k yearly est. 2d ago
  • CMS HCC Coder

    Alignment Healthcare 4.7company rating

    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 ******************.
    $58.5k-87.8k yearly Auto-Apply 60d+ ago
  • Medical Coder

    Axis Community Health 4.3company rating

    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
    $58k-76k yearly est. 12d ago
  • Medical Device QMS Auditor

    Environmental & Occupational

    Medical coder job in Las Vegas, NV

    We exist to create positive change for people and the planet. Join us and make a difference too! Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 2d ago
  • Medical Records Clerk

    Steinberg Diagnostic Medical Imaging 3.7company rating

    Medical coder job in Las Vegas, NV

    is on site Schedule: M-F 8:30am - 5pm Rate: $16/ Hr Ensure all information being released is verified and checked for accuracy and follows all SDMI and Federal HIPAA and Privacy Regulations. Ensures that SDMI Core values are used when handling everyday concerns or issues with patients or staff. Must have strong Customer Service skills. Maintains a high level of privacy and security when it comes to the patient information, that you are releasing information to an approved person(s). Processes requests for medical records to patients, requesting physicians or outside facilities. Maintain accuracy of any outside records when received in the patient chart in the EMR. Prepare outside images for comparison to be read by Radiologist. May aide in preparing SDMI records that need to be sent with CRR out to doctors daily. Takes ACD calls from referring physicians , facilities, or patients and may aide patient with accessing the patient portal. Make sure all Emergent Records or requests sent via fax are handled in a timely manner. Maintain notes for each medical record request in the patient's chart in the EMR. Identify and fix any errors that are caught and report them upon discovery. Fax reports that are not sent by DDS will be identified and faxed upon discovery. Assist other departments as needed. May perform other job-related duties for the efficient operation of SDMI. MINIMUM SKILLS, ABILITY AND REQUIREMENTS: Must be a high school graduate or equivalent. Previous medical experience preferred. Read and write English. Any employee who discovers, is directly involved in or is responding to an event/occurrence/risk is required to complete or direct the completion of an occurrence report within 24 hours of event/occurrence/risk. My job performance, including current competencies will be reviewed by my supervisor on a periodic basis. If my job performance/ current competencies are not (or continue to not be) at required level this could result in additional training and/or disciplinary action. Staff members may be monitored at any time during business calls without notification. SDMI management may listen in on conversations for training, monitoring and other legitimate business purposes. Skill in organizing time to accommodate changes in workload and assignments in order to complete tasks in a timely manner. Skill to pay attention to details and accuracy in completing tasks. Responds positively to changes in assignments and priorities. Works as an effective team member with co-workers and other personnel. Able to identify hazardous material in immediate work area. Knows and follows all SDMI safety and evacuation guidelines, policies and procedures. Willingly participates in cross-training activities within the department in for own professional growth in order to contribute to the overall function of SDMI. Assumes responsibility for updating knowledge of current SDMI department policies and procedures, protocol and practices. Demonstrates punctuality by reporting to work on time/satisfactory attendance record that complies with SDMI attendance policy. Takes full responsibility for all functions within job description and assures that all functions are completed before leaving SDMI at the end of the shift. Communicates effectively when follow up is needed. Other duties as assigned.
    $16 hourly Auto-Apply 30d ago
  • Medical Coder

    Cypress Healthcare Partners 3.8company rating

    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
    $42k-57k yearly est. Auto-Apply 8d ago
  • Certified Medical Coder

    Roots Community Health Center 3.5company rating

    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
    $48k-60k yearly est. 60d+ ago
  • Health Information Management Coder

    Reno Behavioral Healthcare Hospital

    Medical coder job in Reno, NV

    Job Description Responsible for assisting in day-to-day operations of the HIM Department. Primary responsibilities include but are not limited to: KEY RESPONSIBILITIES: Answering phone calls; scanning documents; emptying binders Reviews medical documentation and reviews assigned medical codes. Tracking, processing, and evaluating requests for release of information (ROI). Demonstrates knowledge in HIPAA standards Demonstrates knowledge of existing and emerging requirements related to privacy and confidentiality of health information Follows all policies, protocols, and standards of the HIM process Demonstrates the ability to gather data, compile information for the preparation of reports Requirements Qualifications and Experience: High school diploma, GED or equivalent required Coding Certification Required. Minimum one (1) year administrative experience preferred Previous experience in a psychiatric setting preferred. Ability to maintain information as highly confidential. Knowledge of applicable laws, standards, and regulations affecting health information systems, specifically in behavioral health service areas. Physical Requirements: While performing the duties of this job, this position is frequently required to do the following: Use standard office equipment and access, input, and retrieve information from a computer. Use computer keyboard with manual and finger dexterity and wrist-finger speed sufficient to perform repetitive actions efficiently for extended periods of time. Communicate effectively in person or via telephone in a manner which can be understood by those with whom the person is speaking, including a diverse population. Give and follow verbal and written instructions with attention to detail and accuracy. Perform complex mental functions and basic arithmetic functions; interpret complex laws, regulations, and policies; collect, interpret, and/or analyze complex data and information. Vision: see details of objects at close range. Coordinate multiple tasks simultaneously. Reach forward, up, down, and to the side. Sit or stand for minimum periods of one hour at a time and come and go from the work area repeatedly throughout the day. Lift up to (30) pounds, exert up to 100 pounds of force occasionally, and/or up to 30 pounds of force frequently. Benefits We proudly offer the following benefits available 1st of the month following just one month of employment: Competitive rates Tuition reimbursement Comprehensive package of benefits to include: Medical Dental Vision Life, Pet, Identity Theft Insurance 401k Generous paid time off Short Term and Long Term Disability
    $52k-79k yearly est. 6d ago
  • Home Health and Hospice Coder

    Lorian Health 3.9company rating

    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
    $55k-68k yearly est. 60d+ ago
  • Medical Records Clerk

    Surgery Partners 4.6company rating

    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.
    $29k-36k yearly est. 37d ago
  • HIM Certified Coder Specialist

    Southern Inyo Healthcare District

    Medical coder job in Lone Pine, CA

    CERTIFICATION REQUIRED 2+ YEARS OF EXPERIENCE Pending job description
    $52k-78k yearly est. Auto-Apply 60d+ ago
  • HIM Coder I - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

    Usc 4.3company rating

    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. 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: *************************************************************
    $33-54 hourly Auto-Apply 60d+ ago
  • Fleet & Yard Specialist Class A Certified

    Studebaker Electric

    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
    $25-35 hourly 6d ago
  • Senior Medical Records Auditor

    UNLV Medicine 4.0company rating

    Medical coder job in Las Vegas, NV

    The Senior Medical Documentation Auditor works under the direction of the Chief Compliance Officer to support the UNLV Health Compliance Program. The auditor will design and execute audits of medical records, conduct educational training sessions with clinicians based on the audit results, and research and respond to inquiries. Identifies organizational risks and coding trends by performing audits and reviewing analytical data. Educate physicians and clinical staff to improve their medical documentation to be in line with medical record documentation requirements. Develops and executes audits, by applying their technical audit and computer software skills, to prepare accurate and detailed audit reports mitigating liability to the organization. Candidates must be legally authorized to work in the United States. Please Note: UNLV Health does not provide employment sponsorships or sponsorship transfers for any positions. ADVANTAGES OF WORKING FOR UNLV HEALTH Working Monday through Friday, 8AM to 5PM. (Actual hours may vary depending on business need) 12 Paid Holidays per year, starting with your first day of employment! 20 + PTO days per year! (Depending on Position) 3% 401K Contribution, even if you do not contribute! Medical, Dental, and Vision benefits that start the first of the month following your start date! And more! MAJOR RESPONSIBILITIES Plan, develop and execute reviews (i.e., audit, assessments, and investigations) to evaluate the medical records for compliance with established documentation, coverage, coding and billing guidelines. Develop and conduct education programs for physicians (i.e., attending, fellows, and residents) and clinical staff (PA, NP/APRN, RN, LPV/LVN, therapists, and medical assistants) on documentation, coverage, coding and billing guidelines. Prepare detailed audit reports and documentation to support findings of deficiencies and recommendations for improvements or corrections Ensure the correct application of ICD-10, CPT, and HCPCS codes for diagnoses, treatments, procedures, and services provided. Implement corrective actions and educate physicians and clinical staff to improve their medical documentation to be in line with medical record documentation requirements. Research and respond to inquiries submitted by providers, coders and administrative staff regarding medical records documentation and billing practices. Act as the compliance liaison with faculty members, developing relationships and functioning as a resource to all providers and their staff relating to documentation, coding and billing audits and results. Serve as an institutional subject matter expert and authoritative resource on medical record documentation requirements. Maintains up-to-date information on all the standards set by Medicare, Medicaid, and other entities relating to medical record documentation requirements. Analyze audit data to track trends, identify recurring issues, and provide feedback to improve overall coding accuracy. Assist with internal and external audits, responding to any documentation/coding-related queries. Support the development and implementation of a compliance program that includes regular audits, feedback mechanisms, and policy updates. Review clinical documentation and verify the accuracy of CPT/HCPCS and ICD-10 codes. Monitor regulatory and reimbursement updates to ensure organizational compliance. Participate in special assignments and compliance initiatives as requested by leadership. Provide onboarding education for new physicians and ongoing training to ensure continued compliance with current standards. EXPERIENCE, EDUCATION, AND CERTIFICATIONS Bachelor's Degree in Business, Healthcare, and/or related field preferred Minimum of five (5) years of experience in healthcare compliance, medical coding, and/or related field required or minimum of seven (7) years of experience in lieu of Bachelor's degree High School Diploma or GED equivalency required Relevant industry certifications (must have at least one): Certified Professional Medical Auditor certification (CPMA) required Certified Professional Coder (e.g., AAPC, AHIMA). Certified in Healthcare Compliance (CHC) certification or equivalent. KNOWLEDGE, SKILLS, AND ABILITIES Advanced knowledge and experience conducting Medical Record audits and ability to interpret and apply Federal and State regulations, coding and billing requirements Advanced knowledge of HIPAA and other information privacy and security requirements Advanced knowledge of medical diagnostic and procedural terminology Advanced knowledge of outpatient coding practices at both the clinical and inpatient settings Advanced knowledge of compliance and regulatory requirements including outpatient CMS regulations Demonstrated ability to constructively and sensitively provide feedback to providers and medical center leadership regarding federal and state coding, medical documentation and compliance guidelines, audit results and risk areas Must have the aptitude to learn, comprehend and assess complex administrative, clinical and operational processes, and workflow and business arrangements to identify deficiencies, opportunities and risks Strong critical thinking, problem solving, and analytical skills Demonstrated proficiency in Microsoft Office (Word, Outlook, and Excel) Excellent verbal and written communication skills Must be able to work independently with minimal supervision Must be able to work within a team environment Must be able to multitask and prioritize work in a fast-paced environment Must be able to maintain confidentiality Must be able to pay close attention to details PHYSICAL REQUIREMENTS May include standing, sitting, and/or walking for extended periods May include performing repetitive tasks May include working on a special schedule (i.e., evenings and weekends) May include working with challenging patients and clients May include lifting up to 25 pounds UNLV Health will provide equal opportunity employment to all employees and applicants for employment. No person shall be discriminated against in employment because of race, color, gender, age, national origin, ancestry, religion, physical or intellectual disability, marital status, parental status, sexual orientation, or any other category protected by law. If you have any questions about our interview and hiring procedures, please contact Recruitment at ****************************
    $36k-55k yearly est. Auto-Apply 60d+ ago
  • Medical Records Clerk

    Indianhealth Center of Santa Clara Valley 4.3company rating

    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.
    $32k-38k yearly est. Auto-Apply 60d+ ago
  • Coder 3-HIM

    City of Loma Linda 3.7company rating

    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.
    $43k-52k yearly est. Auto-Apply 34d ago
  • PA UCC Certified Code Specialist

    Barry Isett & Associates 3.7company rating

    Medical coder job in Lancaster, CA

    Barry Isett & Associates (Isett) is an employee-owned multi-discipline engineering/consulting firm headquartered in Allentown, PA, with additional offices throughout eastern and central PA. Isett associates get the opportunity to perform meaningful work that helps enrich our community each and every day. Our company is a values-based organization which has been recognized for its award-winning culture through several regional and statewide programs: Best Places to Work in PA (annually since 2019) The Morning Call's Top Workplaces (annually, since 2013) Empowering Women Award by Central Penn Business Journal and Lehigh Valley Business (2023) Philadelphia Inquirer's Top Workplaces (2023) Corporate Citizen of the Year (by the Lehigh Valley Business Journal) The Societas Award for Responsible Corporate Conduct (for Ethics). Barry Isett & Associates is looking for ICC/PA UCC Certified Code Specialists to perform inspections and plan reviews for commercial (and residential) properties for clients throughout eastern PA. We are looking for additional associates to work for our municipal clients in the Lancaster area on a full-time or part-time basis. Through performing these inspections, we are beautifying our community and upholding safety standards. Benefits Career advancement and continuing education opportunities Employee engagement events and parties Work-life balance & flexible working schedules Paid vacation/holiday/sick time Employee Stock Ownership Plan (ESOP) Medical, dental, vision, life, and disability insurances Discounted and/or free Isett wear Parental leave 401k/Roth match In additional to standard company benefits, our code professionals also receive: Company supplied cell phone, or opt out credit Company vehicle Requirements Multiple ICC/PA UCC Commercial certifications and a willingness to continue training. (Commercial certifications preferred but the right candidate with all residential certifications, including residential electric inspector will be considered.) Valid driver's license and the ability to travel to client sites. Ability to establish and maintain professional working relationships with our clients and other Isett associates. Demonstrated skills in organizing resources and establishing priorities. Plan review certification/experience a plus. Candidates will be encouraged (and supported) to obtain additional certifications. Ability to work independently/remotely. Ability to obtain Act 34, 151 and 114 clearances as needed for residential inspections. We are an equal opportunity employer and welcome applications from all qualified candidates. We are committed to a diverse and inclusive workplace and do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation or gender identity), nation origin, age (40 or older), disability or genetic information (including family medical history). Please, no third-party recruiters.
    $59k-75k yearly est. 60d+ ago
  • Medical Billing Reimbursement Specialist - Multi Specialty

    Bass Computers 4.4company rating

    Medical coder job in Walnut Creek, CA

    Join our exciting Billing Team! If you are looking for some challenges, career growth, step up in your billing knowledge this is the right opportunity for you! We are looking for detailed, energetic, focused medical billers who are high achievers and take their career seriously. Job Opening Opportunities: Charge Entry/AR Follow up Specialists openings are available in the following specialties: Imaging, Thoracic, General Surgery, Colorectal, Podiatry, Pain Management, Orthopedics, Radiation Oncology and Call Center. Previous medical billing experience or experience with EPIC/ECW/Athena software is a plus About Us: BASS Medical Group is a large physician owned, physician directed, and patient centered organization. Our goals are to provide high quality, cost effective, integrated, healthcare and physician services. To preserve community based independent physician practice locations throughout California. At BASS Medical Group, our practices are closer and more connected to the people and neighborhoods we serve. With a more personal touch to healthcare and easier access to the care you need, we help guide patients to the best possible outcome. Requirements Recommend knowledge and skills : Superior phone communication skills with providers, carriers, patients, and employees Exceptional written and verbal communication skills Strong attention to detail Ability to work in a fast-paced, high-volume work environment Positive attitude Great attendance and punctuality Knowledge of modifiers, insurance plans, and follow up techniques Job Duties but are not limited to: Perform the day-to-day billing and follow-up activities within the revenue operations Work all aging claims from Work Ques or Aging reports Present trends or issues to supervisor, and work together to make improvements Resolve denials or correspondences from patients and insurance carriers Assist in patient calls and questions Follow team and company policies Meet productivity standards Write clear and concise appeal letters Minimum qualifications: High School diploma or equivalent Medical Billing Certificate preferred or At least a year of Medical billing experience Proficiency with Microsoft office applications Basic typing skills Location: Walnut Creek, CA or Brentwood, CA (Depending on Experience) Salary: based on experience Pay Scale/Ranges: $21.00 - $32.00/hour *Employees actual pay rate will depend on a host of factors including, without limitation, job location, specialty, skillset, education, and experience. The pay scale/ranges shown are representative of the pay rates for the job title reflected above, but an employees actual pay rate will be determined on a case-by-case basis. Benefits: Medical, Dental, Vision, LTD, Life, AD&D, Aflac insurances, Nationwide Pet Insurance, FSA/HSA plans, Competitive 401K retirement plan. Vacation & Sick Leave, 13 Paid Holidays per year Job Type: Full-time Salary Description $16.50-$32.00/hour
    $21-32 hourly 56d ago
  • Orthodontic Dental Biller and Coder

    Dental Administrators Inc.

    Medical coder job in Los Angeles, CA

    Job DescriptionBenefits: 401(k) 401(k) matching Competitive salary Dental insurance Health insurance Opportunity for advancement We are seeking a motivated, punctual, and outgoing Orthodontic Dental Biller and Coder to join our team! In this role, you will be responsible for customer focused, compassionate, and dedicated to facilitating solutions to patients dental health needs. The Orthodontic Dental Billing Specialist will work in a growing practice with a great team that makes coming to work engaging and supportive. We offer training to those who are looking for a career with growth potential and the opportunity to fulfill our mission to provide quality affordable dental care to our patients. In working with new & existing team members with an open heart & mind; additional responsibilities including the below: SPECIFIC DUTIES Accurately prepare and submit insurance claims, including working with state-sponsored insurance programs Ensure all billing codes are accurate and comply with regulatory requirements, minimizing claim rejections and delays. Masterfully present financial plans and address patient concerns. Ensure exceptional patient experience and office efficiency. Follow the Orthodontists instructions and adhere to the Orthodontists directives on billing. Make welcome calls to all new patient starts, answer initial questions, set and manage expectations for the patient's treatment financially Track and follow up on outstanding claims to ensure timely payment, addressing any issues such as appeals or discrepancies as they arise Assist with patient billing inquiries, providing clear and accurate information regarding their insurance coverage and out-of-pocket costs Present and explain all treatment plans involving out of pocket costs again to patients, if needed Ensure effective communication when explaining financial options. Take ownership for all treatment, payment, and appointment related needs and inquiries from patients in person and over the phone Continuously assist patients in offering (payment plans including) Care Credit payment options. Ensure all patient payments and insurance statements are up to date and current Keep detailed records of all billing activities, ensuring compliance with legal and regulatory standards Work with team members in other departments to ensure seamless billing operations Assist in identifying, alerting front desk, and collecting previous balances and current copays Keep up to date with changes in insurance regulations, billing practices, and coding requirements to ensure compliance and accuracy Performs miscellaneous job-related as assigned Full Time position that will lead to full benefits.
    $38k-48k yearly est. 29d ago

Learn more about medical coder jobs

How much does a medical coder earn in Carson City, NV?

The average medical coder in Carson City, NV earns between $40,000 and $82,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Carson City, NV

$57,000

What are the biggest employers of Medical Coders in Carson City, NV?

The biggest employers of Medical Coders in Carson City, NV are:
  1. Humana
  2. Datavant
  3. Cognizant
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