Shift/Schedule: Onsite, M-F 8am-4:30pm.
This position processes health information under the direction of the HIM Director or designated supervisor. This position is responsible for coordinating physician medical record completion and the quantitative analysis of all medical record patient types based upon standards established by Title 22, CIHQ, Conditions of Participation and the Medical Staff Rules and Regulations.
Responsibilities:
Safeguards and preserves the confidentiality of patient's protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital, and departmental policies.
Ensures a safe patient environment and adherence to safety practices per policy.
With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational, and environmental needs of patient/significant other when administering care.
Notifies physicians of medical records requiring their completion in accordance with Medical Staff Bylaws, Rules and Regulations, Title 22, and Center for Improvement in Healthcare Quality (CIHQ) and all other applicable regulatory agencies. Maintains documentation of the notifications.
Administers all medical staff guidelines as it pertains to the medical record completion, uniformly and consistently among all members of the medical staff. May perform daily counts of number of records pending completion using the computer-generated reports. Monitors unsigned and refused electronic orders, tasks, and documents.
Retrieves incomplete records and/or assists physicians on a one-to-one basis in completing their records electronically.
Activates temporary suspension of medical staff privileges when records are not completed in a timely manner. Communicates suspension information to other departments per Health Information Management Department procedures. Maintains documentation of days on suspension to fulfill mandated reporting requirements and Medical Staff reappointment/credentialing needs.
Analyzes and re-analyzes incomplete paper and electronic medical records to assure the completeness of information. Updates chart tracking system to reflect the current status of the incomplete record.
Scans loose filing into the ChartMaxx System.
Utilizes ChartMaxx to accomplish deficiency analysis and reporting.
Adheres to daily productivity standards provided in separate documentation.
Oversees all incomplete medical record activities and functions.
Assists physicians with record completion issues and escalates them if resolution cannot be achieved in a timely manner.
Completes a RLDatix Incident Report for any potential compensable event identified during the record review or completion process.
Conducts record review function with established criteria and provides data to Director or designated supervisor.
Able to perform basic eScription1 monitoring, pending and look up functions
Operates the office equipment normally used in the routines of daily work, such as photocopy machine, facsimile (FAX) equipment, computers, scanners, and telephones.
Must be able to communicate effectively with all ages of customers served.
Abides by and strongly enforces all compliance requirements and policies and performs his/her responsibilities in an ethical manner consistent with the organization's values.
Experience:
3-5 years of Medical Record experience in an acute care setting
Previous experience with electronic health record applications
Skills:
Medical Record documents. Able to categorize forms/documents within the medical record. Physician chart completion and chart deficiency analysis
Basic keyboarding skills. Typing speed of 35 wpm
Must be knowledgeable of medical terminology and familiarity with computers. Must be detailed oriented, self-motivated
Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements
Ability to use standard office equipment including computers, photocopy, facsimile (FAX) and scanners
Knowledge of Title 22, CIHQ, Conditions of Participation, Medical Staff Bylaws and Medical Staff Rules and Regulations.
Education:
High School Diploma/GED
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************
US Tech Solutions is an Equal Opportunity Employer.All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Recruiter's detail:
Name: Vivek Kumar
Email: **********************************
Internal ID: 26-01166
$32k-39k yearly est. 1d ago
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Medical Records Clerk
Managed Staffing, Inc. 4.4
Medical coder job in Downey, CA
Job Title: Medical Records Specialist / Health Information Management Technician
This position processes health information under the direction of the HIM Director or designated supervisor. This position is responsible for coordinating physician medical record completion and the quantitative analysis of all medical record patient types based upon standards established by Title 22, CIHQ, Conditions of Participation and the Medical Staff Rules and Regulations.
SPECIFIC SKILLS NEEDED
Demonstrates knowledge of the following:
Medical Record documents
Physician chart completion and chart deficiency analysis
Basic keyboarding skills
Must be knowledgeable of medical terminology and familiarity with computers
Typing speed of 35 wpm
Able to categorize forms/documents within the medical record
Must be detailed oriented, self-motivated
Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements
Ability to concentrate and maintain accuracy despite frequent interruptions
Ability to be courteous, tactful, and cooperative throughout the workday
Ability to use standard office equipment including computers, photocopy, facsimile (FAX) and scanners
Knowledge of Title 22, CIHQ, Conditions of Participation, Medical Staff Bylaws and Medical Staff Rules and Regulations.
EDUCATION/EXPERIENCE/TRAINING
Required:
Knowledgeable of Windows Software
3-5 years of Medical Record experience in an acute care setting
Previous experience with electronic health record applications
Preferred:
High School graduate or equivalent
Knowledge of physician record completion and HIPAA
Knowledge of medical terminology
$30k-37k yearly est. 1d ago
Coder (Billing)
Families Together of Orange County
Medical coder job in Tustin, CA
Description:
Job Title: Coder (Billing)
Salary: $30-$35hr DOE
Openings: 2
The Jr. Coder is responsible for accurately assigning standardized codes to diagnoses, procedures, and treatments for patient records, insurance claims, and billing processes. This role ensures compliance with applicable coding standards, regulations, and payer policies to facilitate timely and accurate reimbursement.
Core Duties and responsibilities, include but are not limited to:
Reviewing patient charts to accurately assign the appropriate billing codes (ICD-10-CM, CPT, HCPCS) for diagnoses, procedures, and services rendered, in accordance with FQHC requirements across all lines of business.
Assist in the submission of accurate claims to payers after correction.
Ensuring coding compliance with federal and state regulations as well as insurance requirements.
Communicate with patients and insurance companies to resolve billing discrepancies.
Maintain knowledge of the latest coding updates, billing rules, and medical terminology.
Collaborating with healthcare providers and other personnel to clarify documentation and ensure accurate coding.
Payment tracking on the procedures based on payer contract.
Assist with internal charts audits for all lines of business to ensure accurate coding practices are followed.
Provide the team with billing procedures guideline.
You may be assigned additional tasks and projects based on the needs of the billing and coding department.
*This job description in no way states or implies that these are the only duties to be performed by the employee. He or she will be required to follow any other instructions and to perform other duties, within scope, as assigned by his or her supervisor.
Education, Qualifications, and Experience:
Certified Professional Coder (CPC) credential or equivalent certification (e.g., CCS, CCS-P).
Strong knowledge of medical terminology, anatomy, physiology, and disease processes.
Familiarity with coding systems (ICD-10-CM, CPT, HCPCS) and coding guidelines.
Attention to detail and accuracy in coding assignments.
Ability to work independently and as part of a team.
Good communication and interpersonal skills.
Coding certification is requires
Minimum 1 years of related experience.
Must excel in multitasking within a high-paced environment.
Experience with EHR and practice management systems (e.g., NextGen, eClinicalWorks, EPIC).
Strong computer skills, acute attention to detail, confident and professional communication.
Responsiveness to the needs of both internal/external stakeholders in a professional and personable manner are expected.
Work Schedule:
FTOC is an in-person organization first, and foremost. Employees are expected to be on-site for their scheduled shifts.
Hours of operation are Monday to Friday 8 a.m. to 8 p.m., however, employee schedules vary, depending on organizational, staffing, community, and patient needs. As such, FTOC may need to modify work schedules to meet such needs.
Holidays and weekends may be required depending on an employee's department due to organizational, staffing, community, and patient needs as FTOC continues to grow and expand work days and hours.
Overtime may also occur due to organizational, staffing, community, and patient needs.
Requirements:
$30-35 hourly 2d ago
Risk Adjustment Coding Specialist II (Inland Empire, CA)
Astrana Health, Inc.
Medical coder job in Monterey Park, CA
DescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. *Requires travel to provider sites in Inland Empire Area (Riverside and San Bernardino Counties)
*May be open to considering Level I Specialists based on experience and skills
Our Values:
Put Patients First
Empower Entrepreneurial Provider and Care Teams
Operate with Integrity & Excellence
Be Innovative
Work As One Team
What You'll Do
Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company
Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines
Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.
Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work.
Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager.
May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I
Qualifications
Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC.
3-5+ years of experience in risk adjustment coding and/or billing experience required
Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC
Reliable transportation/Valid Driver's License/Must be able to travel up to 75% of work time, if applicable.
PC skills and experience using Microsoft applications such as Word, Excel, and Outlook
Excellent presentation, verbal and written communication skills, and ability to collaborate
Must possess the ability to educate and train provider office staff members
Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.
You're great for this role if:
Bilingual in Chinese (Cantonese/Mandarin)
Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience
Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
Strong PowerPoint and public speaking experience
Ability to work independently and collaborate in a team setting
Experience with Monday.com
Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting
Environmental Job Requirements and Working Conditions
The national target pay range for this role is $75,000 - $85,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in the surrounding areas. The home office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754.
The work hours are Monday through Friday, standard business hours.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at ************************************ to request an accommodation.
Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
$75k-85k yearly 16d ago
Medical Records Coder
Charter Healthcare
Medical coder job in Rancho Cucamonga, CA
A MedicalCoder possesses the ability to work with other members of the company. Needs to be a driven and goal-oriented individual that can organize, coordinate, and manage documents from the whole Interdisciplinary Team. An attention to detail is necessary to achieve quality assessments and auditing paperwork. They must have a sympathetic attitude toward overall goal of giving the patient quality care while demonstrating positive communication skills in interacting with other members of the team.
REPORTS TO: Billing Manager
SUPERVISES: None
QUALIFICATIONS:
Credentials: CCS (Certified Coding Specialist) license is preferred.
Experience: At least one year of health care experience.
Core Competencies: Knowledge of state and federal regulations for clinical aspects of Home Health. Abilities in data entry. Possesses excellent verbal, written, and computer skills.
FUNCTIONS & RESPONSIBLITIES:
1. Analyzes and obtains information from a patient's chart
2. Responsible for abstracting appropriate ICD-9 diagnosis codes necessary for claims filing
3. Clarifies with clinicians for corrections and completion of charts
4. Audits visit frequency
5. Responsible for the accuracy and auditing of OASIS and 485
6. Responsible for a smooth, timely, professional, and appropriate flow and sharing of information between staff
7. All other tasks and duties deemed necessary and appropriate.
View all jobs at this company
$59k-84k yearly est. 60d+ ago
Health Information Coder II - Health Information - FT Days
University of California System 4.6
Medical coder job in Irvine, CA
Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif.
, four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region.
Listed among America's Best Hospitals by U.
S.
News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center.
UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.
To learn more about UCI Health, visit www.
ucihealth.
org.
Your Role on the Team Position Summary: Reporting to the Assistant Director of HIM for Operations, the Coder II performs abstracting and coding, using ICD-9 CM and CPT, on all outpatient visits (including ED, Ambulatory Surgery and clinic visits) at UCI Medical Center.
Accounts are coded utilizing the 3M encoder and SMS/Invision computer systems for coding and data entry.
Additional duties include preparing and compiling daily, weekly and monthly production reports, participating in departmental PI projects, and performing related duties as assigned to meet operational needs.
What It Takes to be Successful Required Qualifications: Successful completion of twelve (12)-month AHIMA approved coding certificate program Skill, knowledge and ability essential to the successful performance of the job duties Skill to effectively assign codes Must possess the skill, knowledge and ability essential to the successful performance of assigned duties Must demonstrate customer service skills appropriate to the job Minimum two (2) years of acute hospital coding experience Knowledge of anatomy and physiology, disease process and medical terminology Knowledge of ICD-10, CPT, and HCPCS codes Excellent written and verbal English communication skills.
Credentialed as CCS, CCS-P, CPC, or CPC-H Ability to work independently and be a self starter Ability to maintain a work pace appropriate to the workload Ability to establish and maintain effective working relationships across the Health System Preferred Qualifications: Knowledge of University and medical center organizations, policies, procedures and forms Total Rewards We offer a wealth of benefits to make working at UCI even more rewarding.
These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks.
Please utilize the links listed here to learn more about our compensation practices and benefits.
Conditions of Employment: The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community.
As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment: Background Check and Live Scan Employment Misconduct* Legal Right to Work in the United States Vaccination Policies Smoking and Tobacco Policy Drug Free Environment *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.
California Child Abuse and Neglect Reporting Act E-Verify Pre-Placement Health Evaluation Details of each policy may be reviewed by visiting the following page: ***********
uci.
edu/new-hire/conditions-of-employment.
php Closing Statement: The University of California 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, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy.
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities.
Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request.
For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.
edu or at **************, Monday - Friday from 8:30 a.
m.
- 5:00 p.
m.
Consideration for Work Authorization Sponsorship Must be able to provide proof of work authorization
$67k-84k yearly est. 40d ago
Coder 1-HIM
Loma Linda University Medical Center 4.7
Medical coder job in San Bernardino, CA
Job Summary: The Coder 1-HIM performs International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding and abstracts data the legal medical record for facilities, licensed under LLUMC and contracted other LLUH facilities. Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures the quality and accuracy of coding and abstract information are in compliance with federal and state regulations, government and contract payers, and grant funding. Quality of data collected impacts the facility in multiple ways, including finance, legal, research, teaching, quality assurance, etc. The Coder 1-HIM must be able to perform coding in Outpatient and/or Emergency area. Works with students and coding interns as requested. Performs other duties as needed.
Education and Experience: Completion of Coding Certificate program or Associate's Degree in Health Information Management required. Minimum one year of coding experience in an acute care facility preferred. Experience may be considered in lieu of formal education.
Knowledge and Skills: Knowledge of Medical Terminology preferred. Knowledge of the standards of Coding as set forth by the American Health Information Management Association. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position; Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) credentials through AHIMA required.
$58k-72k yearly est. Auto-Apply 60d+ ago
Technician, Medical Records
Chaparral Medical Group 3.8
Medical coder job in Pomona, CA
Job Description
Over the past 40 years, Chaparral Medical Group (CMG) has established itself as a leading primary and multi-specialty care provider for California's Inland Empire. In 2022, CMG joined forces with Akido Labs, a tech-enabled healthcare company, to transform the healthcare experience from the ground up. This partnership joins CMG's medical services with Akido's innovative technology to relieve the frustrations felt by everyone involved in care delivery, from medical providers and their staff, to the patients and their families. Ultimately, this means our providers spend more time caring for patients and less time bogged down with administrative work.
As part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives. We're building a dynamic, diverse and driven team as we continue to grow and broaden our impact. We are seeking passionate people who care deeply about helping patients and communities. We hope you'll join our team
The Opportunity
We are seeking a detail-oriented and highly organized Medical Records Technician to join our team. Reporting to the Office Manager, this role plays a critical part in ensuring accurate, timely, and secure management of patient health records. Your work will directly support quality patient care, compliance, and data integrity across our organization. This is an exciting opportunity for someone passionate about healthcare operations and medical documentation to grow within a collaborative and mission-driven environment.
What You'll Do
Main focus is to be part of a larger project to digitize paper charts
Main function will be to scan paper charts to the electronic health record
Maintain and update electronic health records (EHR) with accuracy and confidentiality
Review patient records for completeness, accuracy, and compliance with regulations
Retrieve patient medical records for physicians, technicians, and other authorized personnel
Process patient requests for medical records in compliance with HIPAA and company policies
Support release of information processes and coordinate with third-party requesters
Stay updated on healthcare regulations and maintain certification requirements
Who You Are
High school diploma or equivalent (required)
Experience working with electronic medical records in a healthcare setting (preferred)
Knowledge of HIPAA regulations and medical terminology (preferred)
Experience with EHR systems (preferred)
Strong attention to detail, time management, and organizational skills (required)
Ability to work independently and collaboratively in a fast-paced environment (required)
Excellent written and verbal communication skills (preferred)
Benefits
Health benefits include medical, dental, and vision
401K
Long-term disability
Vacation Time
Sick Time
Life insurance
👉 Physical Demands:
Mostly sedentary work. Duties require exerting up to thirty pounds of force occasionally and/or small amounts of force frequently. Sedentary work typically involves sitting most of the time but may involve walking or standing for brief periods.
Hourly pay range$21-$23 USD
Chaparral Medical Group and Akido MSO are an equal opportunity employers, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.
$21-23 hourly 20d ago
Revenue Cycle Billing & Coding
Rancho Health MSO, Inc.
Medical coder job in Temecula, CA
The intent of this job description is to provide a summary of the major duties and responsibilities performed in this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.
The RCM Biller/Coder is responsible for the accurate coding and billing of professional services to ensure timely, compliant, and clean claim submission across all affiliate sites. This role supports both Athena and Epic workflows and applies current CPT, ICD-10-CM, and HCPCS coding guidelines in alignment with Rancho Family MSO Revenue Cycle Management (RCM) policies and payer requirements. The Biller/Coder works collaboratively with RCM leadership and team members to resolve coding issues, address denials, and support optimal revenue cycle performance.
Essential Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Accurately assign CPT, ICD-10-CM, and HCPCS codes based on provider documentation and established coding guidelines.
Code and bill claims in a timely manner to support clean claim submission and optimal first-pass resolution rates.
Manage assigned coding and billing work queues in Athena and Epic in accordance with established workflows and productivity standards.
Identify documentation gaps or inconsistencies and route for clarification or correction as appropriate.
Review and assist in resolving coding-related denials, medical necessity issues, and payer rejections.
Follow up on unpaid or denied claims requiring coding review to support prompt resolution and reduce rework.
Respond to internal billing and coding inquiries within defined escalation pathways.
Maintain compliance with payer policies, regulatory requirements, and internal RCM standards.
Stay current on coding updates, payer policy changes, and regulatory guidance relevant to assigned specialties.
Participate in team meetings, training sessions, and quality improvement initiatives as required.
Adhere to standardized workflows and documentation practices within Athena and Epic systems.
Perform other duties as assigned to support departmental and organizational needs.
Required education and experience: The requirements listed below are representative of the knowledge, skills, and/or ability required.
Minimum Education required:
High school diploma or equivalent required.
Associate or bachelor's degree in Health Information Management or a related field preferred.
Current coding certification required (CPC, CCS, or equivalent).
Minimum Experience Required:
Minimum of 2-4 years of medical billing and/or coding experience.
Experience in a multi-specialty and/or multi-site environment preferred.
Prior experience working in Athena and/or Epic required.
Experience supporting denial resolution and claim follow-up preferred.
Minimum Knowledge and Skills Required:
Working knowledge of CPT, ICD-10-CM, and HCPCS coding standards.
Understanding of payer requirements, claim submission processes, and denial workflows.
Strong attention to detail and commitment to accuracy.
Ability to manage assigned workloads and meet productivity and quality expectations.
Effective written and verbal communication skills.
Ability to work independently while collaborating within a team environment.
Proficiency navigating Athena and Epic billing and coding workflows.
Strong organizational and time-management skills.
Mon - Fri: 8 am - 5pm
$39k-53k yearly est. 3d ago
Medical Biller/Coder
Retina Associates of Orange County
Medical coder job in Laguna Hills, CA
Job DescriptionDescription:
We are seeking a detail-oriented and knowledgeable Medical Biller to join our medical practice. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding and submission of claims, and maintaining medical records. This role is crucial in facilitating the financial operations of our medical office while ensuring compliance with healthcare regulations.
Requirements:
Responsibilities
Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management
Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection
Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues
Follow up on claims using various systems, such as practice management, EHR, and clearinghouse.
Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings
Prepares and analyzes accounts receivable reports and weekly and monthly financial reports in concert with the Practice Administrator and Operations Manager. Collects and compiles accurate statistical reports
Audits current procedures to monitor and improve the efficiency of billing and collections operations
Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol and are in compliance with Federal, State, and payer regulations, guidelines, and requirements
Participates in the development and implementation of operating policies and procedures
Analyzes trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures with the approval of the Director of Operations.
Keep up to date with carrier rule changes and distribute the information within the practice
Performs physician credentialing actions
Required Skills
Proficiency in medical coding (ICD-10, ICD-9) and familiarity with DRG systems.
Strong understanding of medical records management and medical terminology.
Experience in a medical office setting with knowledge of billing software and systems.
Excellent attention to detail with strong organizational skills.
Ability to communicate effectively with patients, healthcare providers, and insurance representatives.
Problem-solving skills to address billing issues efficiently and effectively.
$39k-53k yearly est. 20d ago
Medical Records Coordinator
Pacific Cardiovascular Associates
Medical coder job in Costa Mesa, CA
The Medical Records Coordinator is responsible for maintaining accurate and confidential patient records in accordance with HIPAA regulations. This role includes managing electronic and paper filing systems, processing medical documentation, supporting healthcare professionals in accessing patient data, and assisting patients with record-related inquiries. The ideal candidate is detail-oriented, tech-savvy, and committed to safeguarding sensitive health information.
This is a hybrid position, offering a combination of remote and on-site work. Please note that work arrangements are subject to change at the discretion of the company based on business needs and operational requirements.
Responsibilities:
Organize, maintain, and update patient records in both electronic and paper formats.
Accurately retrieve, scan, evaluate, and index medical documents into the correct EHR location in a timely manner.
Document all medical record requests and outcomes in the patient chart.
Identify and correct misfiled or misplaced charts; merge duplicate records as needed.
Notify requestors of chart non-availability and escalate complex discrepancies to senior staff.
Verify and correct patient demographic information according to procedures.
Maintain confidentiality of patient information and apply knowledge of HIPAA regulations, particularly regarding release of information.
Review and route incoming eFax documents, prioritizing and distributing based on urgency and policy.
Compile and route clinical documentation and test results to the appropriate providers.
Assist in maintaining and updating the provider directory within the EHR system.
Retrieve and release medical records upon request in compliance with privacy regulations.
Prepare and process billable invoices for applicable medical record requests and collect payments.
Assist patients with navigating the patient portal and refer technical issues to senior staff when needed.
Operate and maintain office equipment including scanners, fax machines, and postage machines; process certified mailings as required.
Support clerical projects and assist the EHR department with additional tasks as assigned by senior staff.
Qualifications:
High School Diploma or equivalent required
Minimum of 2 years in an administrative or clerical support role
Experience with Electronic Health Record (EHR) systems preferred
Proficient in Microsoft Office, including Outlook, Word, and Excel
Excellent attention to detail and organizational skills
Strong communication and customer service abilities
Ability to work independently and manage multiple priorities in a fast-paced environment
Physical Requirements:
Prolonged sitting at a computer workstation.
Extensive telephone use and multitasking ability.
Detail-oriented data processing for extended periods.
Ability to lift light objects and retrieve files.
Clear vision for computer and paper-based tasks.
Effective verbal communication.
Disclaimer:
This job description is intended to describe the general nature and level of work being performed by individuals assigned to this position. It is not intended to be an exhaustive list of all duties, responsibilities, and skills required. Management reserves the right to modify, add, or remove duties and to assign other duties as necessary. This document does not constitute a contract of employment, and employment remains at-will unless otherwise specified. Employees with questions regarding their responsibilities are encouraged to consult their supervisor or Human Resources.
Pay Range:
$20.00 - $24.00 per hour
$20-24 hourly 14d ago
Experienced Home Health Medical Biller - Santa Ana Office
Green Meadows Home Health Care Inc.
Medical coder job in Fountain Valley, CA
Benefits:
401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance
Company: Green Meadows Home Health
Pay Rate: $25/hour
Schedule: Full-Time | MondayFriday, 9:00 AM5:30 PM
Job Description:
Green Meadows Home Health is seeking an experienced Home Health Medical Biller to provide coverage while a team member is on maternity leave. This is a full-time position, with the possibility of transitioning into a permanent role based on performance and business needs.
Key Responsibilities (include but are not limited to):
OASIS tracking and oversight until completion
Running monthly billing and status reports
Managing and resolving exporting issues
Pre-billing review and processing
Chart corrections and claim clean-up
Managing undrafted claims
Identifying and correcting diagnosis (DX) errors
Communicating with nurses to obtain complete and accurate documentation
Resolving Quest Diagnostics billing and diagnosis-related issues
Managing OASIS transfer information
Working efficiently under pressure and meeting billing deadlines
Qualifications:
Prior experience in medical billing (home health experience strongly preferred)
Strong knowledge of OASIS documentation and workflows
Familiarity with diagnosis coding and claim correction processes
Excellent communication skills, especially when working with clinical staff
Strong attention to detail and ability to manage multiple priorities
Why Join Green Meadows Home Health?
Competitive hourly pay
Full-time, consistent schedule
Opportunity for a temporary role to become permanent
Supportive and collaborative healthcare environment
$25 hourly 10d ago
Medical Records Clerk
Thewholechild
Medical coder job in Whittier, CA
FLSA: Non-exempt
DEPARTMENT: Service Coordination
STATEMENT OF PURPOSE:
Maintain accurate and complete client records in accordance with agency protocols/procedures.
SCOPE OF RESPONSIBILITY :
This position is responsible for the maintenance and accuracy of all client records (hard copy and/or electronic) that are accessed by clinical staff, directors, managers and psychiatrists. In addition, the position provides clerical/data entry support to the Quality Improvement Staff and Director.
ESSENTIAL FUNCTIONS:
Ensure that client records are organized, accurate and complete. To review client documentation prior to being uploaded in chart and if inaccurate notifying the appropriate party.
Create digital copies of paperwork (scanning) and store the records electronically (uploading documents).
Monitor protocols for off-site chart storage and access charts when needed.
Maintain inventory of charts identified for destruction.
Ensure that client records are protected and kept confidential.
Assist with the processing of requests for records.
Assist the Quality Improvement Department with data collection and data entry tasks.
Assist front office staff with clerical duties such as answering phones, shift coverage and assisting with completion of client documents.
Support psychiatrists with recording of medical information
Calling to confirm appointments for psychiatrists
Verifying MediCal status for intake appointments.
KNOWLEDGE, SKILLS AND ABILITIES:
General telephone etiquette.
Alphabetical and numerical filing.
Excellent organizational skills.
Ability to operate standard office equipment.
Experience with Microsoft Office, Excel and Adobe applications (preferred).
Ability to communicate courteously and tactfully with the public and agency staff.
Ability to deal with clients in a tactful and professional manner.
Ability to follow written and oral directions and request assistance when needed.
Ability to follow established procedures with minimal training.
REQUIRED LICENSES, CERTIFICATES, EDUCATION, EXPERIENCE OR TRAINING:
Must have a minimum of a High School degree
At least 1 year experience in an office environment, with alphanumeric filing experience
CONDITIONS OF EMPLOYMENT:
Employee may be asked to participate in cross-training programs, work overtime, or pursue additional education or training when it is determined to be in the best interest of the company by the Chief Operating Officer and Chief Executive Officer.
This description is only intended to identify the essential functions of the position and to illustrate the duties, responsibilities, and requirements for it. It is not intended, nor should it be interpreted to describe each and every duty employees assigned may be required to perform.
WORKING CONDITIONS : Work is performed in normal office setting. Noise level is moderate with occasional loud outbursts
PHYSICAL DEMANDS:
Must be able to remain in a stationary position 50% of the time
Needs to occasionally move about inside the office to access file cabinets, office machinery, etc.
Constantly operates a computer and other office machinery, (i.e., telephone system, calculator, copy machine and computer printer)
Constantly converses with staff and clients
The Whole Child is an equal employment opportunity employer and no candidate for employment will be rejected on account of race, color, religion, national origin, age, marital status, or sex. Candidates with physical impairments will be considered so long as it can be reasonably demonstrated that the duties and responsibilities can be effectively performed without hazard to the individual, fellow employees, or clientele.
$31k-39k yearly est. Auto-Apply 42d ago
Medical Records Clerk
Hurtt Family Health Clinic
Medical coder job in Tustin, CA
The Medical Records Clerk is responsible for maintaining accurate, complete, and confidential patient health records in accordance with federal and state regulations, including HIPAA and HRSA requirements. This role supports clinical operations by ensuring timely processing, organization, and release of medical records while safeguarding patient privacy and supporting continuity of care across the Hurtt Family Health Clinic (HFHC).
The Medical Records Clerk must be bilingual in Spanish and English.
This position is full-time with a schedule of Monday through Friday 8am to 5pm.
The best candidate for this position:
* is bilingual in Spanish, including medical terminology
* has experience with medical records, preferably in a community healthsetting
* has strong attention to detail and knowledge of faxes, mail, and email processing and distribution
* is a Medical Assistant (preferred)
* has previous successful experience working in a medical clinic or healthcare environment
* Knowledge of EMR systems
* has a positive, patient, and professional demeanor at all times to coworkers and patients and is dependable, self-motivated, proactive, and a team player
What You'll Do:
Job Responsibilities & Duties
* Routes all faxes, mail, email, etc. to appropriate staff in a timely and efficient manner
* Process requests for medical records in compliance with HIPAA, state law, and clinic policies
* Track, document, and log all requests and disclosures of protected health information (PHI). Investigates and satisfies subpoenas and high-level medical requests, involving the Patient Support Services Manager or COO as needed
* Accurately calculate and collect applicable processing fees
* Assemble, organize, and maintain patient medical records in eClinical Works in accordance with clinic policies and regulatory requirements
* Scan, upload, and index external records and documents into the eClinical Works accurately and timely.
* Assist with internal audits, compliance reviews, and responses to record-related inquiries
* Assist staff in obtaining external records, as needed
* As applicable, reroutes telephone messages and enters all requests directly into EMR and sends to appropriate staff
* Maintains confidentiality of all medical records, telephone calls, and messages as appropriate
These duties are not exclusive and with consideration of the job requirements and employee skills, this job description can be added to or taken away from at the discretion of the employee's immediate supervisor.
What You'll Bring:
Minimum Qualifications
* High School Education
* Bilingual in English and Spanish
* Ability to commit to a full-time schedule of Monday through Friday 8am-5pm
Preferred Qualifications
* Experience with medical records in a community health setting
* Medical Assistant certificate
* CPR/BLS certification
* Experience working in an electronic medical record (EMR)
* Knowledgeable of State/County program, Medi-Cal, CalOptima, CHDP, CDP, and F-Pact is preferred but not required.
$31k-39k yearly est. 11d ago
Release of Information Specialist
VRC Companies
Medical coder job in Orange, CA
Job DescriptionDescription:
Description: The Release of Information (ROI) Specialist I within the VitalChart department of VRC Companies, LLC (“VRC”) is responsible for processing all assigned requests for medical records in a timely, efficient manner while ensuring accuracy and the highest quality service to healthcare clients. This position must, always, safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all Release of Information requests follow the request authorization, VRC, and healthcare facility policies as well as federal/state statutes, such as HIPAA. Additionally, this position is required to continually perform at a high quality and productivity level. This position interacts with the ROI Area Manager and/or ROI Team Leader regularly and will keep them informed of any concerns or issues regarding quality, connectivity, client concerns, and requestor issues that may impact VRC performance or service expectations. This position must conduct interpersonal relationships in a manner designed to project a positive image of VRC.
Key Responsibilities / Essential Functions
Assigned Release of Information request types will primarily be Continuing Care and Disability Determination Services, with cross-training on other request types as supervisor deems appropriate based on experience and performance
Accesses Release of Information requests and medical records for healthcare client(s) according to the specific procedure and security protocol for each client
Completes Release of Information requests daily, prioritizing requests as needed based on turnaround timeframes and procedures of VRC and the service agreement between the healthcare facility and VRC
validates requests and signed patient authorizations for compliance with HIPAA, other applicable federal and state statutes, and established procedure
classifies request type correctly
logs request into ROI software
retrieves and uploads requested portions of the patient's medical chart (from electronic or physical repository)
performs Quality Control checks to ensure accuracy of the release and to avoid breaches of Protected Health Information (PHI)
checks for accurate invoicing and adjusts invoice as needed
releases request to the valid requesting entity
Rejects requests for records that are not HIPAA-compliant or otherwise valid
For records pulled from a physical repository, returns records to proper location per VRC and healthcare client procedure
Documents in ROI software all exceptions, communications, and other relevant information related to a request
Alerts supervisor to any questionable or unusual requests or communications
Alerts supervisor to any discovered or suspected breaches immediately
Alerts supervisor to any issues that will delay the timely release of records
Answers requestor inquiries about a request in an informative, respectful, efficient manner
Stores all records and files properly and securely before leaving work area.
Ensures adequate office supplies available to carry out tasks as soon as they arise
Is available and knowledgeable to take on additional healthcare facilities or request types to assist during backlogs
Understands that healthcare facility assignments (on-site and/or remote) are subject to change
Carries out responsibilities in accordance with VRC and healthcare facility policies and procedures as well as HIPAA, state/federal regulations, and labor regulations
Maintains confidentiality, security, and standards of ethics with all information
Works with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner
Alerts supervisor to any connectivity problems, malfunctions of software or computer/office equipment, or security risks in work environment
Must adhere to all VRC policies and procedures.
Completes required training within the allotted timeframe
Creating invoices and billing materials to send to our clients
Ensuing that client information details are kept up to date
All other duties as assigned.
Requirements:
Minimum Knowledge, Skills, Experience Required
High School Diploma (GED) required; degree preferred
Prior experience with ROI fulfillment preferred
Demonstrated attention to detail
Demonstrated ability to prioritize, organize, and meet deadlines
Demonstrated documentation and communication skills
Demonstrated ability to maintain productivity and quality performance
Basic knowledge of medical records and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) preferred
Prior experience with EHR/EMR platforms preferred
Prior experience with Windows environment and Microsoft Office products
Displays strong interpersonal skills with team members, clients, and requestors
Must have strong computer skills and Microsoft Office skills
Prior experience with operations of equipment such as printers, computers, fax
machines, scanners, and microfilm reader/printers, etc. preferred
Must be detailed oriented, self-motivated and can stay focused on tasks for extended periods of time.
Must be able to read, write, speak, and comprehend English. Bilingual skills are desirable.
$41k-79k yearly est. 1d ago
Release of Information Specialist
VRC Metal Systems 3.4
Medical coder job in Orange, CA
Requirements
Minimum Knowledge, Skills, Experience Required
High School Diploma (GED) required; degree preferred
Prior experience with ROI fulfillment preferred
Demonstrated attention to detail
Demonstrated ability to prioritize, organize, and meet deadlines
Demonstrated documentation and communication skills
Demonstrated ability to maintain productivity and quality performance
Basic knowledge of medical records and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) preferred
Prior experience with EHR/EMR platforms preferred
Prior experience with Windows environment and Microsoft Office products
Displays strong interpersonal skills with team members, clients, and requestors
Must have strong computer skills and Microsoft Office skills
Prior experience with operations of equipment such as printers, computers, fax
machines, scanners, and microfilm reader/printers, etc. preferred
Must be detailed oriented, self-motivated and can stay focused on tasks for extended periods of time.
Must be able to read, write, speak, and comprehend English. Bilingual skills are desirable.
$37k-51k yearly est. 60d+ ago
Health Information Specialist
Us Tech Solutions 4.4
Medical coder job in Whittier, CA
Duration :: 3 Months Contract
The HIM Clerk processes Health Information under the direction of the HIM Director or designated supervisor. This processing includes but is not limited to: collecting and/or delivering health information/hard copy medical records for patient care and processing the surgical list; retrieval of medical records, pick up of discharged patient records from nursing units, locating and following up on missing medical records, prepping, scanning and filing of medical records and loose reports, preparation of documents for storage via scanning or boxing, answering telephones; and/or assisting physicians and ancillary staff with health information requests. As time permits, may assists with preparation of medical records for destruction.
SPECIFIC SKILLS NEEDED
•Demonstrates knowledge of medical records and medical record documents.
•Ability to process work using both alphabetical and numerical filing systems.
•Must be well organized and demonstrates an aptitude for accuracy and attention to detail.
•Demonstrates effective communication, interpersonal skills, and ability to follow instructions.
•Ability to be courteous, tactful, and cooperative throughout the day.
•Ability to concentrate and maintain accuracy despite frequent interruptions.
•Legible writing and printing is mandatory.
•Basic computer skills and keyboarding skills; typing speed of 30 wpm.
EDUCATION/EXPERIENCE/TRAINING
Required:
• Knowledge of Windows Software
Preferred:
•Familiarity with electronic medical record systems
•Knowledge of medical terminology
•Previous HIM Department or medical office experience
•Valid California driver's license, motor vehicle, motor vehicle insurance and current registration.
• High School graduate or GED
PERSONAL QUALITIES
•Communicates effectively and express ideas clearly.
•Actively listens and always follows appropriate channels of communication.
•Detail oriented.
•Punctual.
•Ability to establish priorities.
•Organized and dependable with a positive appearance and attitude.
•Always strives to make good use of time, seeks out work that needs to be completed
•Reports free time to supervisor
•Ability to work in a high activity area.
•Maintains a safe, neat, and orderly workstation.
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Recruiter Details:
Recruiter name: Ajeet Kumar
Recruiter's email id : *****************************
JobDiva ID :: JobDiva # # 25-55116
$35k-44k yearly est. 4d ago
Coder 2-HIM
Loma Linda University Medical Center 4.7
Medical coder job in San Bernardino, CA
Job Summary: The Coder 2-HIM performs International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding and abstracts data from the legal medical record for facilities, licensed under LLUMC and contracted other LLUH facilities. Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures the quality and accuracy of coding and abstracted information in compliance with federal and state regulations, government and contract payers, and grant funding. Quality of data collected impacts the facility in multiple ways, including finance, legal, research, teaching, quality assurance, etc. The Coder 2-HIM must be able to perform Inpatient and/or Outpatient Surgery coding. Works with students and coding interns as requested. Performs other duties as needed.
Education and Experience: Completion of Coding Certificate program or Associate's Degree in Health Information Management required. Minimum three years of coding experience required, preferably in Inpatient coding and/or Outpatient Surgery coding. Experience may be considered in lieu of formal education.
Knowledge and Skills: Knowledge of Medical Terminology preferred. Knowledge of the standards of Coding as set forth by the American Health Information Management Association. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position; Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) credentials through AHIMA required.
$58k-72k yearly est. Auto-Apply 60d+ ago
Health Information Medical Records Clerk (TEMP)
Families Together of Orange County
Medical coder job in Tustin, CA
Description:
Job Title: Health Information Medical Records Clerk (TEMP)
Salary: $23-$24 per hour
Openings: 1
The Clerk at Families Together of Orange County performs a wide variety of duties and responsibilities in a manner that places emphasis on quality, PHI/HIPAA compliance, and customer service.
The positions primary duties include organization of all incoming patient records requests, electronic records database maintenance, and adherence to FTOC's approved process flows.
Core Duties and responsibilities, include but are not limited to:
1. Assess all incoming patient medical records request and determine outcome.
2. Organizes and archives records and documents.
3. Verify paperwork, digital forms, files, updating or correcting documentation as needed.
4. Updates electronic filing systems, devises new organizational filing and storage systems for data as needed.
5. Secures and protects the privacy of documents containing PHI.
6. Assigns alerts for required information in EHR.
7. Communicates with various individuals throughout the organization for records review.
8. Works collaboratively with the various internal/external stakeholders.
9. Comfortable with navigating database, EMR, and other necessary equipment.
10. Designs templates for data entry and process flows to create efficiency.
11. Ensures protection of patients' rights, including release of information compliance, authorization, and adherence to all HIPAA laws.
12. Performs other duties as assigned within scope.
This job description in no way states or implies that these are the only duties to be performed by the employee. He or she will be required to follow any other instructions and to perform other duties, within scope, as assigned by his or her supervisor.
Education, Qualifications, and Experience:
High School Diploma (college preferred).
Bilingual: Spanish (Required)
General knowledge of an electronic health record (EHR) system
Strong organizational skills, attention to detail
Integrity, discretion, and respect for confidentiality and privacy
A dedication to preserving information and materials
Adept typing, word-processing, and data entry skills
Verbal communication and interpersonal skills
Ability to multi-task and work effectively in a high-stress and fast-moving environment.
Culturally sensitive and demonstrated ability and effectiveness working with ethnically diverse populations.
Possess a thorough understanding of the importance of confidentiality and non-disclosure according to the general standards set forth by HIPAA.
Families Together of Orange County (FTOC) is proud to be an equal opportunity employer. FTOC does not discriminate based on race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, disability, ancestry, marital status, veteran status, medical condition, or any protected category prohibited by local, state or federal laws.
Requirements:
$23-24 hourly 2d ago
Release of Information Specialist - On site
VRC Companies
Medical coder job in Los Alamitos, CA
Job DescriptionDescription:
Description: The Release of Information (ROI) Specialist I within the VitalChart department of VRC Companies, LLC (“VRC”) is responsible for processing all assigned requests for medical records in a timely, efficient manner while ensuring accuracy and the highest quality service to healthcare clients. This position must, always, safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all Release of Information requests follow the request authorization, VRC, and healthcare facility policies as well as federal/state statutes, such as HIPAA. Additionally, this position is required to continually perform at a high quality and productivity level. This position interacts with the ROI Area Manager and/or ROI Team Leader regularly and will keep them informed of any concerns or issues regarding quality, connectivity, client concerns, and requestor issues that may impact VRC performance or service expectations. This position must conduct interpersonal relationships in a manner designed to project a positive image of VRC.
Key Responsibilities / Essential Functions
Assigned Release of Information request types will primarily be Continuing Care and Disability Determination Services, with cross-training on other request types as supervisor deems appropriate based on experience and performance
Accesses Release of Information requests and medical records for healthcare client(s) according to the specific procedure and security protocol for each client
Completes Release of Information requests daily, prioritizing requests as needed based on turnaround timeframes and procedures of VRC and the service agreement between the healthcare facility and VRC
validates requests and signed patient authorizations for compliance with HIPAA, other applicable federal and state statutes, and established procedure
classifies request type correctly
logs request into ROI software
retrieves and uploads requested portions of the patient's medical chart (from electronic or physical repository)
performs Quality Control checks to ensure accuracy of the release and to avoid breaches of Protected Health Information (PHI)
checks for accurate invoicing and adjusts invoice as needed
releases request to the valid requesting entity
Rejects requests for records that are not HIPAA-compliant or otherwise valid
For records pulled from a physical repository, returns records to proper location per VRC and healthcare client procedure
Documents in ROI software all exceptions, communications, and other relevant information related to a request
Alerts supervisor to any questionable or unusual requests or communications
Alerts supervisor to any discovered or suspected breaches immediately
Alerts supervisor to any issues that will delay the timely release of records
Answers requestor inquiries about a request in an informative, respectful, efficient manner
Stores all records and files properly and securely before leaving work area.
Ensures adequate office supplies available to carry out tasks as soon as they arise
Is available and knowledgeable to take on additional healthcare facilities or request types to assist during backlogs
Understands that healthcare facility assignments (on-site and/or remote) are subject to change
Carries out responsibilities in accordance with VRC and healthcare facility policies and procedures as well as HIPAA, state/federal regulations, and labor regulations
Maintains confidentiality, security, and standards of ethics with all information
Works with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner
Alerts supervisor to any connectivity problems, malfunctions of software or computer/office equipment, or security risks in work environment
Must adhere to all VRC policies and procedures.
Completes required training within the allotted timeframe
Creating invoices and billing materials to send to our clients
Ensuing that client information details are kept up to date
All other duties as assigned.
Requirements:
Minimum Knowledge, Skills, Experience Required
High School Diploma (GED) required; degree preferred
Prior experience with ROI fulfillment preferred
Demonstrated attention to detail
Demonstrated ability to prioritize, organize, and meet deadlines
Demonstrated documentation and communication skills
Demonstrated ability to maintain productivity and quality performance
Basic knowledge of medical records and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) preferred
Prior experience with EHR/EMR platforms preferred
Prior experience with Windows environment and Microsoft Office products
Displays strong interpersonal skills with team members, clients, and requestors
Must have strong computer skills and Microsoft Office skills
Prior experience with operations of equipment such as printers, computers, fax
machines, scanners, and microfilm reader/printers, etc. preferred
Must be detailed oriented, self-motivated and can stay focused on tasks for extended periods of time.
Must be able to read, write, speak, and comprehend English. Bilingual skills are desirable.
The average medical coder in Colton, CA earns between $42,000 and $83,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Colton, CA
$59,000
What are the biggest employers of Medical Coders in Colton, CA?
The biggest employers of Medical Coders in Colton, CA are: