A leading healthcare provider in San Diego, California, seeks a professional to provide coding support and appeal guidance related to reimbursement issues. The ideal candidate has at least 5 years of experience in coding and auditing, and is a Certified Professional Coder (CPC). Responsibilities include acting as a liaison between departments, researching policies, and ensuring timely follow-up collections. A Bachelor's degree is preferred. This role offers competitive hourly pay between $36.830 and $53.230.
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$36.8-53.2 hourly 5d ago
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Medical Records Specialist
Us Tech Solutions 4.4
Medical coder job in Whittier, CA
Shift/Schedule: Onsite, M-F 8am-4:30pm.
This position processes health information under the direction of the HIM Director or designated supervisor. This position is responsible for coordinating physician medical record completion and the quantitative analysis of all medical record patient types based upon standards established by Title 22, CIHQ, Conditions of Participation and the Medical Staff Rules and Regulations.
Responsibilities:
Safeguards and preserves the confidentiality of patient's protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital, and departmental policies.
Ensures a safe patient environment and adherence to safety practices per policy.
With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational, and environmental needs of patient/significant other when administering care.
Notifies physicians of medical records requiring their completion in accordance with Medical Staff Bylaws, Rules and Regulations, Title 22, and Center for Improvement in Healthcare Quality (CIHQ) and all other applicable regulatory agencies. Maintains documentation of the notifications.
Administers all medical staff guidelines as it pertains to the medical record completion, uniformly and consistently among all members of the medical staff. May perform daily counts of number of records pending completion using the computer-generated reports. Monitors unsigned and refused electronic orders, tasks, and documents.
Retrieves incomplete records and/or assists physicians on a one-to-one basis in completing their records electronically.
Activates temporary suspension of medical staff privileges when records are not completed in a timely manner. Communicates suspension information to other departments per Health Information Management Department procedures. Maintains documentation of days on suspension to fulfill mandated reporting requirements and Medical Staff reappointment/credentialing needs.
Analyzes and re-analyzes incomplete paper and electronic medical records to assure the completeness of information. Updates chart tracking system to reflect the current status of the incomplete record.
Scans loose filing into the ChartMaxx System.
Utilizes ChartMaxx to accomplish deficiency analysis and reporting.
Adheres to daily productivity standards provided in separate documentation.
Oversees all incomplete medical record activities and functions.
Assists physicians with record completion issues and escalates them if resolution cannot be achieved in a timely manner.
Completes a RLDatix Incident Report for any potential compensable event identified during the record review or completion process.
Conducts record review function with established criteria and provides data to Director or designated supervisor.
Able to perform basic eScription1 monitoring, pending and look up functions
Operates the office equipment normally used in the routines of daily work, such as photocopy machine, facsimile (FAX) equipment, computers, scanners, and telephones.
Must be able to communicate effectively with all ages of customers served.
Abides by and strongly enforces all compliance requirements and policies and performs his/her responsibilities in an ethical manner consistent with the organization's values.
Experience:
3-5 years of Medical Record experience in an acute care setting
Previous experience with electronic health record applications
Skills:
Medical Record documents. Able to categorize forms/documents within the medical record. Physician chart completion and chart deficiency analysis
Basic keyboarding skills. Typing speed of 35 wpm
Must be knowledgeable of medical terminology and familiarity with computers. Must be detailed oriented, self-motivated
Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements
Ability to use standard office equipment including computers, photocopy, facsimile (FAX) and scanners
Knowledge of Title 22, CIHQ, Conditions of Participation, Medical Staff Bylaws and Medical Staff Rules and Regulations.
Education:
High School Diploma/GED
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************
US Tech Solutions is an Equal Opportunity Employer.All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Recruiter's detail:
Name: Vivek Kumar
Email: **********************************
Internal ID: 26-01166
$32k-39k yearly est. 2d ago
Billing Medical Coder
Insight Global
Medical coder job in Sacramento, CA
Insight Global's client within the healthcare industry is looking to hire a Billing MedicalCoder for a direct hire, hybrid role onsite in Sacramento, CA. The Billing MedicalCoder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances.
REQUIRED SKILLS AND EXPERIENCE
• Current CPC certification through AAPC or AHIMA, must be kept current and in good standing. • Minimum of 2 years of experience in medical coding.
• Knowledge and understanding of medical coding including insurance payor guidelines, ICD1O, CPT Billing, E/M coding.
• Ability to work in collaboration with the Billing Manager to provide clinician education on coding guidelines.
• Ability to analyze medical records in an Electronic Health Record system to identify documentation deficiencies and verify documentation supports diagnoses, procedures and treatments.
NICE TO HAVE SKILLS AND EXPERIENCE
• FQHC experience.
• Ochin Epic or Epic experience.
$39k-54k yearly est. 3d ago
HIM Data Specialist
Valley Children's Healthcare 4.8
Medical coder job in Madera, CA
Health Information Management Data Specialist
Responsible for case identification, accessioning, and data abstraction for multiple clinical registries, including the California Perinatal Quality Care Collaborative (CPQCC), ImproveCareNow (ICN), and the Pediatric Cardiac Critical Care Consortium (PC4). Accurately abstracts required data elements from the medical record and enters, validates, and maintains data within Valley Children's Healthcare comparative database systems and registries. Supports both internal and external administrative, clinical, and statistical reporting needs.
Experience
Minimum of one (1) year of related experience required
Education / Licenses / Certifications
Associate degree (2-year) in Health Information Technology required
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required
Active California Registered Nurse (RN) license preferred
About Valley Children's Healthcare
The award winning Valley Children's Healthcare, is located in the heart of the affordable, Central Valley of California in Madera, just a short drive to 3 national parks and your choice of California coastline beaches. The hospital is one of the largest pediatric healthcare networks in the Country with a 358-bed hospital and several outpatient clinics.
$130k-183k yearly est. 2d ago
Medical Records Clerk
Prokatchers LLC
Medical coder job in Hanford, CA
Prepares medical records for scanning efficiency according to established procedures, guidelines, and productivity standards.
Retrieves and files old paper records required for patient care, assists with release of information services.
Interviews mothers for birth certificate information and enters the information into electronic birth certificate system.
Reviews upended transcription queues and releases to PowerChart.
HIM certification that is preferred.
$32k-40k yearly est. 3d ago
Medical Records Clerk
Managed Staffing, Inc. 4.4
Medical coder job in Downey, CA
Job Title: Medical Records Specialist / Health Information Management Technician
This position processes health information under the direction of the HIM Director or designated supervisor. This position is responsible for coordinating physician medical record completion and the quantitative analysis of all medical record patient types based upon standards established by Title 22, CIHQ, Conditions of Participation and the Medical Staff Rules and Regulations.
SPECIFIC SKILLS NEEDED
Demonstrates knowledge of the following:
Medical Record documents
Physician chart completion and chart deficiency analysis
Basic keyboarding skills
Must be knowledgeable of medical terminology and familiarity with computers
Typing speed of 35 wpm
Able to categorize forms/documents within the medical record
Must be detailed oriented, self-motivated
Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements
Ability to concentrate and maintain accuracy despite frequent interruptions
Ability to be courteous, tactful, and cooperative throughout the workday
Ability to use standard office equipment including computers, photocopy, facsimile (FAX) and scanners
Knowledge of Title 22, CIHQ, Conditions of Participation, Medical Staff Bylaws and Medical Staff Rules and Regulations.
EDUCATION/EXPERIENCE/TRAINING
Required:
Knowledgeable of Windows Software
3-5 years of Medical Record experience in an acute care setting
Previous experience with electronic health record applications
Preferred:
High School graduate or equivalent
Knowledge of physician record completion and HIPAA
Knowledge of medical terminology
$30k-37k yearly est. 2d ago
Medical Records Clerk
Lifelongmedicalcare 4.0
Medical coder job in Berkeley, CA
Come join a dynamic care team at LifeLong Medical Care. We are looking for a Medical Records Clerk at our Central Triage office. The Medical Records Clerk is responsible for implementing day-to-day Medical Records assignments and assuring timely response to the provider team. Under general supervision of the Medical Records Lead, the Medical Records Clerk is responsible for the maintenance of patient medical records, implementation of systems for the retrieval of medical records and for supporting effective department workflow.
This is a full time, 40 hours/week, benefit eligible position.
This position is represented by SEIU-UHW. Salaries and benefits are set by a collective bargaining agreement (CBA), and an employee in this position must remain a member in good standing of SEIU-UHW, as defined in the CBA.
LifeLong Medical Care is a multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. Our patient-centered health home is a dynamic place to work, practice, and grow. We have over 15 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more.
Benefits
Compensation: $20 - $21/hour. We offer excellent benefits including: medical, dental, vision (including dependent and domestic partner coverage), generous leave benefits including ten paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan.
Responsibilities
* Maintains medical records system, including: pulling charts for patient appointments, re-filing charts, assembling new charts and integrating them into files, filing lab reports, repairing charts, and locating charts for medical providers and other staff members.
* Assists triage nursing team by pulling charts for triage calls.
* Duplicates immunization records when requested by patients.
* Responds to written requests for patient information and calls from other facilities by pulling charts and forwarding to appropriate provider in timely fashion.
* Assists chart prep personnel by locating results when requested to do so the day prior to the patient's appointment.
* Receives daily incoming mail, distributes with charts as needed to appropriate recipients.
* Manages retrieval of charts from storage, purges charts and manages storage of purged charts.
* With instruction from provider, arranges for copying patient records requests and/or complete records requests from outside sources, adhering to timelines for completion.
* Other duties as assigned by Medical Records Supervisor.
Qualifications
* Ability to prioritize work and ability to multitask.
* Ability to read and comprehend instructions, procedures, and emails
* Strong clerical and computer skills, experience with practice management systems.
* Excellent internal and external customer service skills and ability to maintain a positive attitude under pressure.
* Strong organizational, administrative and problem-solving skills, and ability to be flexible and adaptive to change.
* Ability to seek direction/approval from on essential matters, yet work independently with little onsite supervision, using professional judgment and diplomacy.
* Work in a team-oriented environment with a number of professionals with different work styles and support needs.
* Excellent interpersonal, verbal, and written skills and ability to effectively work with people from diverse backgrounds and be culturally sensitive.
* Conduct oneself in internal and external settings in a way that reflects positively on LifeLong Medical Care as an organization of professional, confident and sensitive staff.
* Ability to see how one's work intersects with that of other departments of LifeLong Medical Care and that of other partner organizations.
* Make appropriate use of knowledge/ expertise/ connections of other staff.
* Be creative and mature with a "can do", proactive attitude and an ability to continuously "scan" the environment, identifying and taking advantage of opportunities for improvement.
Job Requirements
* High school diploma or GED.
* Two years' experience in medical records.
* One-year experience using electronic health records system.
* Knowledgeable in basic medical terminology.
* Proficient in Microsoft office suite.
Job Preferences
* Community Health Care setting
* Epic Systems EHR
* Bilingual English/Spanish.
$20-21 hourly Auto-Apply 31d ago
E&M/Specialty Coder
Christian City Inc.
Medical coder job in Stockton, CA
E&M/Specialty Coder Job Number: 1321753 Posting Date: Nov 29, 2024, 4:23:36 PM Description Must live in Northern California Under direct supervision, the E&M/Specialty Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, CPT and HCPCS Level II codes. All work is performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines.
Essential Responsibilities:
Review Medical Records to identify diagnoses/procedures.
Under supervision, codes all diagnostic and operative information from the medical record using ICD-CM, CPT and HCPCS coding classification systems.
Verifies and abstracts all medical data from the record to assign appropriate codes for the following settings: Inpatient Hospital (IP), Hospital Emergency (ED), Hospital observation (HOPS), Hospital Ambulatory (HAS) Hospital Outpatient (HOV) and Medical
Office.
E&M/Specialty Coder may require specialty coding and will remain part of the responsibilities as long as business dictates.
Corrects data as appropriate.
Review Medical Records to resolve Ingenix and HealthConnect Coding Edits.
Under supervision, identify and resolve coding related edits by reviewing the medical record and ensuring that all data and codes are consistent with ICD-CM Official Guidelines, CPT, CPT Assistant, CMS, OMFS, MediCal, USDOL, as well as KP Regional and Local policies.
Corrects data as appropriate.
Work Organization and Prioritization.
Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved, in a timeframe that will assure compliance with regulatory, billing and SOX requirements.
Completeness of Medical Record Data.
Under general supervision, interacts with clinical contracts to clarify and promote accurate documentation of patient diagnostic and procedural information.
Enters patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted or encounter
data corrected, prior to submitting the data.
Ensures timely data completion by meeting coding/abstracting productivity/quality standards established for the E&M/Specialty Coder position in the current Coder Work At
Home agreement.
Provides feedback to monitor service provider and line of business compliance with regulatory requirements.
Confidentiality / Security of Systems Maintains and complies with policies and procedures for confidentiality of all patient records.
Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems.
Other Duties: Answers the telephone promptly and identifies themselves and the department.
Acts as a resource person to other departments regarding coding questions and issues.
Performs other duties as assigned.
Graded 594 Qualifications Basic Qualifications: Experience
Minimum two years, within the last three years, certified professional coding experience.
Education
High School Diploma or GED.Completion of classes in medical terminology, anatomy, physiology, current ICD CM and CPT coding conventions, and disease process from an accredited program is required. License, Certification, Registration Certified Coding Specialist - Physician Based OR Certified Professional Coder OR Registered Health Information Technician Additional Requirements:
Achieve a minimum score of 80% on the E&M/Specialty Coder test.Basic knowledge of and use of computer keyboard Must be able to meet production and quality standards established for the position.Demonstrated knowledge of anatomy, physiology, medical terminology and disease processes.Demonstrated ability to understand the clinical content of a health record. Demonstrated ability to communicate with physicians in order to clarify diagnoses and procedures coding and documentation requirements, including proper sequencing. Basic knowledge of reimbursement methodologies and conventions.Knowledge of rules and guidelines for current coding classifications.Practical knowledge of hospital and/or physician clinic based revenue cycle Practical knowledge of professional series coding and billing in a multi-specialty environment.Practical knowledge of government and other payer coding, billing and collection rules and regulations.Must maintain current coding credential and perform associated Continuing Education Units. Must abide by the AHIMA and/or AAPC code of ethics.Must be willing to work in a Labor Management Partnership environment. Preferred Qualifications:
N/APrimary Location: California-Stockton-5757 Pacific Regional Admin Regular Scheduled Hours: 40 Shift: Day Working Days: Mon, Tue, Wed, Thu, Fri, Start Time: 08:00 AM End Time: 05:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Job Level: Individual Contributor Job Category: Medical Records Public Department Name: Stockton 5757 Pacific Ave - Ctr1 Prof Coding Svc & Billing - 0208 Travel: No Employee Group: A01|SEIU|United Healthcare Workers West Posting Salary Low : 45.97 Posting Salary High: 48.78 Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.Click here for Important Additional Job Requirements.
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$52k-76k yearly est. Auto-Apply 60d+ ago
Medical Device QMS Auditor
Bsigroup
Medical coder job in California
We exist to create positive change for people and the planet. Join us and make a difference too!
Do you believe the world deserves excellence?
BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
Associate's degree or higher in Engineering, Science or related degree required
Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
Knowledge of business processes and application of quality management standards.
Good verbal and written communication skills and an eye for detail.
Be self-motivated, flexible, and have excellent time management/planning skills.
Can work under pressure.
Willing to travel on business intensively.
An enthusiastic and committed team player.
Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
$98.1k-123.9k yearly Auto-Apply 49d ago
Medical Coder
Cypress Healthcare Partners 3.8
Medical coder job in Monterey, CA
Job DescriptionCypress Healthcare Partners is now hiring remote candidates for the MedicalCoder position.
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. 25d 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
Medical Coder-Certified
San Joaquin County, Ca 3.8
Medical coder job in Stockton, CA
Introduction This examination is being given to fill 1 vacancy in the Behavioral Health Services department and to establish an eligible list to fill future vacancies. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing deadline.
Pre-Employment Background: Potential new hires into this classification are required to successfully pass a pre-employment background investigation as a condition of employment. Final appointment cannot be made unless the eligible has successfully completed the background process.
MedicalCoder-Certified by Employment Services Team
NOTE: All correspondences relating to this recruitment will be delivered via e-mail. The e-mail account used will be the one provided on your employment application during time of submittal. Please be sure to check your e-mail often for updates. If you do not have an e-mail account on file, Human Resources will send you correspondences via US Mail.
TYPICAL DUTIES
* Completes detailed analysis of medical records for chart content and documentation requirements.
* Assigns diagnostic codes and abstracts patient medical record information according to the International Classification of Diseases 9th Edition Systems (ICD-9-CM) and Current Procedure Terminology (CPT-4)
* Manual and coding conventions and guidelines as established by state and federal reporting requirements.
* Completes abstracting functions of inpatient, outpatient, and emergency records. Enters coded medical records data on computer terminal; selects diagnosis and operations codes from computer encoder and designated abstracting system.
* Review medical records and verifies coding and Medicare Severity Diagnosis-Related Groups (MS-DRGs) assignments in response to billing requests.
* Responds to authorized request from agencies, administration and individuals regarding coding and DRG questions.
* Maintains a working knowledge of current guidelines and regulations affecting code assignments through continuing education sessions and approved references.
* Assists physicians with correspondence for legal and insurance information. Keep records and prepares reports and correspondence as required.
* May serve as a lead worker; may train staff.
MINIMUM QUALIFICATIONS
Experience: One year of experience in an acute-care hospital or health care facility with experience in medical coding or medical records.
Certification: Possession of a current Certified Coding Specialist (CCS) certificate issued by the American Health Information Management Association or Certified Professional Coder (CPC) certificate issued by the American Academy of Professional Coders.
Substitution: Current registration as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certificate may be substituted for the CCS or CPC certificate.
KNOWLEDGE
Medical terminology, anatomy and physiology, and study of disease processes; current knowledge of abstracting medical records according to ICD-9-CM classification systems and CPT-4 coding guidelines; standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; health information systems for computer application to medical records.
ABILITY
Review medical record information, correctly assign codes to diagnosis and procedures; utilize the ICD-9-CM and CPT-4 coding guidelines to code medical record entries; abstract information from medical records in accordance with defined regulations; read medical record notes and reports; assign accurate Medicare Severity Diagnostic Related Groups; operate computers, office equipment and related software; make independent decisions in procedural matters; establish and maintain effective working relationships with other employees, physicians, and the general public; communicate effectively, both orally and in writing.
PHYSICAL/MENTAL REQUIREMENTS
Mobility-Frequent operation of a data entry device, repetitive motion, sitting and standing for long periods, walking; occasional pushing, pulling, bending, stooping, squatting, climbing; Lifting-Frequently 5 pounds or less; occasionally 5 to 30 pounds; Visual-Constant good overall vision and reading/close-up work; frequent color perception and use of eye/hand coordination; occasional use of depth perception and peripheral vision; Hearing/Talking-Frequent hearing of normal speech, hearing/talking on the telephone, talking in person; Emotional/Psychological-Decision making; concentration; occasional exposure to trauma, grief and death; Special Requirements-Some assignments may require working weekends, nights, and/or occasional overtime; Environmental-Occasional exposure to varied weather conditions.
San Joaquin County complies with the Americans with Disabilities Act (ADA) and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions.
Equal Opportunity Employer
San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to Equal Employment Opportunity Division (sjgov.org).
Accommodations for those covered by the Americans with Disabilities Act (ADA):
San Joaquin County complies with the Americans with Disabilities Act and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions.
BENEFITS
Employees hired into this classification are members of a bargaining unit which is represented by SEIU Local 1021.
Health Insurance: San Joaquin County provides employees with a choice of three health plans: a Kaiser Plan, a Select Plan, and a Premier Plan. Employees pay a portion of the cost of the premium. Dependent coverage is also available.
Dental Insurance: The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employee's expense.
Vision Insurance: The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee's expense.
For more detailed information on the County's benefits program, visit our website at ************* under Human Resources/Employee Benefits.
Life Insurance: The County provides eligible employees with life insurance coverage as follows:
1 but less than 3 years of continuous service: $1,000
3 but less than 5 years of continuous service: $3,000
5 but less than 10 years of continuous service: $5,000
10 years of continuous service or more: $10,000
Employee may purchase additional term life insurance at the group rate.
125 Flexible Benefits Plan: This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit).
Retirement Plan: Employees of the County are covered by the County Retirement Law of 1937. Please visit the San Joaquin County Employees' Retirement Association (SJCERA) at ************** for more information. NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees' Retirement Act of 1937 or from any governmental agency covered by the California Public Employees' Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance.
Deferred Compensation: The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $22,500 or 100% of your includible compensation, whichever is less. Individuals age 50 or older may contribute to their plan, up to $30,000. The Roth IRA (after tax) is also now available.
Vacation: Maximum earned vacation is 10 days each year up to 3 years; 15 days after 3 years; 20 days after 10 years; and 23 days after 20 years.
Holidays: Effective July 1, 2017, all civil service status employees earn 14 paid holidays each year. Please see the appopriate MOU for details regarding holidays, accruals, use, and cashability of accrued time.
Sick Leave: 12 working days of sick leave annually with unlimited accumulation. Sick leave incentive: An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one- half of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year.
Bereavement Leave: 3 days of paid leave for the death of qualifying family member, 2 additional days of accrued leave for death of employee's spouse, domestic partner, parent or child.
Merit Salary Increase: New employees will receive the starting salary, which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range, they are eligible for a merit increase to the next step.
Job Sharing: Employees may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources.
Educational Reimbursement Program: Eligible employees may be reimbursed for career-related course work up to a maximum of $850 per fiscal year. Eligible employees enrolled in an approved four (4) year College or University academic program may be reimbursed up to $800 per semester for a maximum of $1600 per fiscal year.
Parking Supplemental Downtown Stockton: The County contributes up to $20 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area.
School Activities: Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children's school activities.
Selection Plan
Applicants who meet the minimum qualifications will go through the following examination process:
* Written Exam: The civil service written exam is a multiple choice format. If the written exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list.
* Oral Exam: The oral exam is a structured interview process that will assess the candidate's education, training, and experience and may include a practical exercise. The oral exam selection process is not a hiring interview. A panel of up to four people will determine the candidate's score and rank for placement on the eligible list. Top candidates from the eligible list are referred for hiring interviews. If the oral exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list.
* Written & Oral Exam: If both a written exam and an oral exam is administered, the written exam is weighted at 60% and the oral exam is weighted at 40% unless otherwise indicated on the announcement. Candidates must achieve a minimum rating of 70% on each examination in order to be placed on the eligible list.
* Rate-out: A rate-out is an examination that involves a paper rating of the candidate's application using the following criteria: education, training, and experience. Candidates will not be scheduled for the rate-out process.
Note: The rating of 70 referred to may be the same or other than an arithmetic 70% of the total possible points.
Testing Accommodation: Candidates who require testing accommodation under the Americans with Disabilities Act (ADA) must call Human Resources Division at ************** prior to the examination date.
Veteran's Points: Eligible veterans, unmarried widows and widowers of veterans of the United States Armed Forces who have been honorably discharged and who have served during wartime shall be given veteran's points in initial appointment to County service. Eligible veterans receive 5 points and eligible disabled veterans receive 10 points. Disabled veterans must submit a recent award letter stating a 10% service connected disability issued by the United States Veterans Administration. Note: A copy of your DD214 showing the discharge type must be received in the Human Resources by the date of the examination.
Acceptable wartime service dates:
* September 16, 1940 to December 31, 1946
* June 27, 1950 to January 31, 1955
* August 5, 1964 to May 7, 1975
* Persian Gulf War, August 2, 1990, through a date to be set by law or Presidential Proclamation.
Eligible Lists: Candidates who pass the examination will be placed on an eligible list for that classification. Eligible lists are effective for nine months, but may be extended by the Human Resources Director for a period which shall not exceed a total of three years from the date established.
Certification/Referral: Names from the eligible list will be referred to the hiring department by the following methods.
* Rule of the Rank: The top rank or ranks of eligibles will be referred for hiring interviews. The minimum number of names to be referred will be equal to the number of positions plus nine, or 10% of the eligible list, whichever is higher. When filling nine or more positions in a department at the same time, the top rank or ranks will be referred and the minimum number of names shall be two times the number of positions to be filled or 10% of the eligible list, whichever is higher. This applies only to open competitive recruitments.
* Rule of Five: The top five names will be referred for hiring interviews. This applies only to department or countywide promotional examination.
* Rule of the List: For classifications designated by the Director of Human Resources, the entire eligible list will be referred to the department.
Physical Exam: Some classifications require physical examinations. Final appointment cannot be made until the eligible has passed the physical examination. The County pays for physical examinations administered in its medical facilities.
Pre-Employment Drug Screening Exam: Some classifications require a new employee successfully pass a pre-employment drug screen as a condition of employment. Final appointment cannot be made until the eligible has passed the drug screen. The County pays for the initial drug screen.
Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship, (parent, child, grand parent, grand child or sibling) either by blood or marriage, may not be appointed, promoted, transferred into or within the department when;
* They are related to the Appointing Authority or
* The employment would result in one of them supervising the work of the other.
Department Head may establish additional limitations on the hiring of relatives by departmental rule.
Proof of Eligibility: If you are offered a job you will be required to provide proof of U.S. citizenship or other documents that establish your eligibility to be employed in the U.S.
HOW TO APPLY
Apply Online:
*************/department/hr
By mail or in person:
San Joaquin County Human Resources
44 N. San Joaquin Street Suite 330
Stockton, CA 95202
Office hours:
Monday - Friday 8:00 am to 5:00 pm; excluding holidays.
Phone: **************
Job Line:
For current employment opportunities please call our 24-hour job line at **************.
When a final filing date is indicated, applications must be filed with the Human Resources Division before 5:00 p.m. or postmarked by the final filing date. Resumes will not be accepted in lieu of an application. Applications sent through county inter-office mail, which are not received by the final filing date, will not be accepted. (The County assumes no responsibility for mailed applications which are not received by the Human Resources Division).
San Joaquin County Substance Abuse Policy: San Joaquin County has adopted a Substance Abuse Policy in compliance with the Federal Drug Free Workplace Act of 1988. This policy is enforced by all San Joaquin County Departments and applies to all San Joaquin County employees.
Equal Opportunity Employer: San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to *************/department/hr/eeo.
Click on a link below to apply for this position:
$22.5k yearly 10d ago
Pro Fee Coder - Behavioral Health
Savista
Medical coder job in California
Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder II may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder II performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder II may interact with client staff and providers.
DUTIES AND RESPONSIBILITIES:
Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.
Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record.
Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
Complete assigned work functions utilizing appropriate resources. May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
Maintain strict patient and provider confidentiality in compliance with all HIPPA Guidelines.
Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required.
Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing.
Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.
SKILLS AND QUALIFICATIONS:
Candidates must successfully pass pre-employment skills assessment. Required:
An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential.
Two years of recent and relevant hands-on coding experience
Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets
Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or Savista production and/or quality standards
Proficient computer knowledge including MS Office including the ability to enter data, sort and filter excel files, (Outlook, Word, Excel)
Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers
PREFFERED SKILLS:
Recent and relevant experience in an active production coding environment strongly preferred
Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience
Experience using Athena, Optum (a plus)
Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $22.08 - $34.69 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.
SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.
California Job Candidate Notice
$22.1-34.7 hourly Auto-Apply 16d ago
Coder II, HIM - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Usc 4.3
Medical coder job in Los Angeles, CA
In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses, surgical procedures, and other significant invasive and non-invasive procedures documented by any physician in outpatient medical records (i.e. OP Ancillary/Clinic Visits, and an assorted outpatient surgeries: GI Lab, Heart Cath Lab, Pain Management surgery, and Invasive Radiology, etc.). Address OCE/NCCI edits within 3M-CRS and those returned from the Business Office. Understands PFS coding/billing processes & systems such as PBAR and nThrive/MedAssets/XClaim in a manner to assure claims drop timely with appropriate codes. Performs other coding department related duties as assigned by HIM management staff.
Essential Duties:
Ambulatory Surgery coding of all diagnostic and procedural information from the medical records using ICD-10-CM, ICD-10-PCS, and CPT/HCPCS, and Modifier classification systems and abstracting patient information as established and required by official coding laws, regulations, rules, guidelines, and conventions.
Reviews the entire medical record; accurately classify and sequence diagnoses and procedures; ensure the capture of all documented conditions that coexist at the time of the encounter/visit, all medical necessity diagnoses, complications, co-morbidities, historical condition or family history that has an impact on current care or influences treatment, and all external causes of morbidity.
Enter patient information into inpatient and outpatient medical record databases (ClinTrac/HDM). Ensures accuracy and integrity of medical record abstracted UB-04 & OSHPD data elements prior to billing interface and claims submission.
Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and ensure optimal and accurate assignment of diagnosis & procedure codes.
Assists in the correction of regulatory reports, such as OSHPD data, as requested.
Attendance, punctuality, and professionalism in all HIM Coding and work related activities.
Consistently assumes responsibility and displays reliability for completion of tasks, duties, communications and actions. Completes tasks accurately, legibly, and in a timely fashion.
Performs other duties as requested/assigned by Director, Manager, Supervisor, or designee.
Ability to achieve a minimum of 95% coding accuracy rate as determined by any internal or external review of coding and/or department quality review(s).
Ability to achieve a minimum of 95% abstracting accuracy rate of UB-04 and OSHPD data elements as determined by any internal or external review of coding and/or department quality review(s).
Assist in ensuring that all medical records contain information necessary for optimal and accurate coding and abstracting.
Recognizes education needs of based on monthly reviews and conducts self-improvement activities.
Ability to act as a resource to coding and hospital staff on coding issues and questions.
Ability to improve MS-DRG assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions.
Ability to improve APR-DRG, SOI, and ROM assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions.
Ability to improve APC/HCC assignments specific to medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in accordance with official coding laws, regulations, rules, guidelines, and conventions.
Maintains at minimum, expected productivity standards (See HIM Practice Guidelines) and strives to maintain a steady level of productivity and provides consistent effort.
Works coding queues/task lists to ensure 95% of patient bills are dropped within 5 days after patient discharge/date of service.
Works coding queues/task lists to ensures the remaining 5% of patient bills are dropped within 2 weeks of discharge/date of service.
Assist other coders in performance of duties including answering questions and providing guidance, as necessary.
Assists Patient Financial Services (PFS), Patient Access, and other departments in addressing coding issues/questions and/or providing information so that an interim bill can be generated. Assists with physicians, physician office staff and hospital ancillary department staff with diagnostic or procedural coding issues/questions, as needed.
Assists in the monitoring unbilled accounts to ensure that the oldest records are coded and/or given priority.
Maintains AHIMA and or AAPC coding credential(s) specified in the job description.
Attend coding & CDI seminars, webinars, and in-services to maintain the required annual continued education units (CEU).
Keep up-to-date and reviews ICD-10 Official Guidelines for Coding & Reporting, AHA Coding Clinic, and CPT Assistant to maintain knowledge of the principles of coding.
Keep up-to-date and reviews other professional journals and newsletters in a timely fashion to maintain knowledge of the principles of coding.
Consistently attend and actively participate in the daily huddles.
Consistently adhere to HIM policies and procedures as directed by HIM management.
Demonstrates an understanding of policies and procedures and priorities, seeking clarification as needed.
Participates in continuously assessing and improving departmental performance.
Ability to communicate changes to improve processes to the director, as needed.
Assists in department and section quality improvement activities and processes (i.e. Performance Improvement).
Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel.
Ability to communicate effectively intra-departmentally and inter-departmentally.
Ability to communicate effectively with external customers.
Provides timely follow-up with both written and verbal requests for information, including voice mail and email.
Working knowledge and efficient navigation of the Electronic Health Record (EHR): Cerner/Powerchart & Coding mPage.
Working knowledge, efficient navigation, & full use of 3M-CRS Encoder system; utilize to expedite coding process; utilize all references.
Knowledge & understanding of PFS system (PBAR) functionality and any interface with the coding abstracting system: ClinTrac.
Working knowledge, efficient navigation, & full use of ‘HDM/HRM/ARMS Core' coding & abstracting software.
Working knowledge, efficient navigation, & full use of ‘3M 360 Encompass/CAC'.
Performs other duties as assigned.
Required Qualifications:
Req High school or equivalent
Req Specialized/technical training Successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding course
Req 1 year Experience in ICD-9 & ICD-10 (combined) and CPT/HCPCS coding of ambulatory surgery medical records in hospital or outpatient surgical center.
Req Experience in using computereized coding & Abstracting database software and encoding/code-finder systems.
Req Knowledge of federal coding compliance regulations and guidelines.
Req Knowledge of medical terminology.
Req Strong computer skills.
Preferred Qualifications:
Required Licenses/Certifications:
Req Certified Coding Specialist - CCS (AHIMA) or AHIMA Certified Coding Specialist - Physician (CCS-P); or AAPC Certified Professional Coder (CPC); or AAPC Certified Outpatient Coding (COC) If there is the absence of a national coding certificate and the coder possesses any one of the following national certifications, the coder will be required to pass any of the national coding examinations Re: the aforementioned coding certificates within six (6) months of employment: 1. AHIMA Registered Health Information Technician (RHIT) 2. AHIMA Registered Health Information Administrator (RHIA) Successful completion of the hospital specific coding test - with a passing score of ≥70%. The coding test may be waived for former USC or agency/contract HIM Coding Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code.
Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
The hourly rate range for this position is $39.00 - $63.95. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.
We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at **************, or by email at *************. Inquiries will be treated as confidential to the extent permitted by law.
Notice of Non-discrimination
Employment Equity
Read USC's Clery Act Annual Security Report
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:
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$39-64 hourly Auto-Apply 11d ago
HIM Certified Coder Specialist
Southern Inyo Healthcare District
Medical coder job in Lone Pine, CA
CERTIFICATION REQUIRED
2+ YEARS OF EXPERIENCE
Pending job description
$52k-78k yearly est. Auto-Apply 60d+ ago
Medical Records Clerk
JBA International 4.1
Medical coder job in Agoura Hills, CA
Skills/Qualifications:
· Proficiency in Excel, Word, and Outlook
· Strong reading comprehension and data entry skills with a focus on accuracy
· Basic understanding of workers' compensation and medical terminology (preferred)
· A1- Law Case Management Software and EAMS a plus
The ideal candidate will be highly organized, detail-oriented, and work well under pressure, with the ability to juggle multiple projects simultaneously. Must possess excellent communication skills, be a team player, and have pride in work product. This is a fast-paced position that requires a sense of urgency while maintaining accuracy.
Our client is a growing California workers' compensation defense firm with multiple offices in California. Named one of the Best Places to Work by various regional Business Journals, as well as the Recipient of the Great Place to Work award two years in a row, the firm offers a competitive compensation package to include 100% company-sponsored employee Medical, Vision, Short Term Disability, Long Term Disability and Life insurance benefits, a 401k plan, paid time off, and optional voluntary dental plan. We offer excellent work/life balance in a collaborative and casual work environment.
Compensation: From $18.00 per hour
Schedule:
Day Shift (Required)
8-hour shift
Monday to Friday
Ability to commute/relocate:
Agoura Hills, CA 91301: Reliably commute (Required)
Education & Experience:
High school or equivalent
Medical Records: 1 year (Preferred)
$18 hourly 60d+ ago
PA UCC Certified Code Specialist
Barry Isett & Associates 3.7
Medical coder job in Lancaster, CA
Barry Isett & Associates (Isett) is an employee-owned multi-discipline engineering/consulting firm headquartered in Allentown, PA, with additional offices throughout eastern and central PA. Isett associates get the opportunity to perform meaningful work that helps enrich our community each and every day. Our company is a values-based organization which has been recognized for its award-winning culture through several regional and statewide programs:
Best Places to Work in PA (annually since 2019)
The Morning Call's Top Workplaces (annually, since 2013)
Empowering Women Award by Central Penn Business Journal and Lehigh Valley Business (2023)
Philadelphia Inquirer's Top Workplaces (2023)
Corporate Citizen of the Year (by the Lehigh Valley Business Journal)
The Societas Award for Responsible Corporate Conduct (for Ethics).
Barry Isett & Associates is looking for ICC/PA UCC Certified Code Specialists to perform inspections and plan reviews for commercial (and residential) properties for clients throughout eastern PA. We are looking for additional associates to work for our municipal clients in the Lancaster area on a full-time or part-time basis.
Through performing these inspections, we are beautifying our community and upholding safety standards.
Benefits
Career advancement and continuing education opportunities
Employee engagement events and parties
Work-life balance & flexible working schedules
Paid vacation/holiday/sick time
Employee Stock Ownership Plan (ESOP)
Medical, dental, vision, life, and disability insurances
Discounted and/or free Isett wear
Parental leave
401k/Roth match
In additional to standard company benefits, our code professionals also receive:
Company supplied cell phone, or opt out credit
Company vehicle
Requirements
Multiple ICC/PA UCC Commercial certifications and a willingness to continue training. (Commercial certifications preferred but the right candidate with all residential certifications, including residential electric inspector will be considered.)
Valid driver's license and the ability to travel to client sites.
Ability to establish and maintain professional working relationships with our clients and other Isett associates.
Demonstrated skills in organizing resources and establishing priorities.
Plan review certification/experience a plus.
Candidates will be encouraged (and supported) to obtain additional certifications.
Ability to work independently/remotely.
Ability to obtain Act 34, 151 and 114 clearances as needed for residential inspections.
We are an equal opportunity employer and welcome applications from all qualified candidates. We are committed to a diverse and inclusive workplace and do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation or gender identity), nation origin, age (40 or older), disability or genetic information (including family medical history).
Please, no third-party recruiters.
$59k-75k yearly est. 60d+ ago
Medical Billing Reimbursement Specialist - Multi Specialty
Bass Computers 4.4
Medical coder job in Walnut Creek, CA
Join our exciting Billing Team! If you are looking for some challenges, career growth, step up in your billing knowledge this is the right opportunity for you!
We are looking for detailed, energetic, focused medical billers who are high achievers and take their career seriously.
Job Opening Opportunities:
Charge Entry/AR Follow up Specialists openings are available in the following specialties: Imaging, Thoracic, General Surgery, Colorectal, Podiatry, Pain Management, Orthopedics, Radiation Oncology and Call Center.
Previous medical billing experience or experience with EPIC/ECW/Athena software is a plus
About Us:
BASS Medical Group is a large physician owned, physician directed, and patient centered organization. Our goals are to provide high quality, cost effective, integrated, healthcare and physician services. To preserve community based independent physician practice locations throughout California. At BASS Medical Group, our practices are closer and more connected to the people and neighborhoods we serve. With a more personal touch to healthcare and easier access to the care you need, we help guide patients to the best possible outcome.
Requirements
Recommend knowledge and skills :
Superior phone communication skills with providers, carriers, patients, and employees
Exceptional written and verbal communication skills
Strong attention to detail
Ability to work in a fast-paced, high-volume work environment
Positive attitude
Great attendance and punctuality
Knowledge of modifiers, insurance plans, and follow up techniques
Job Duties but are not limited to:
Perform the day-to-day billing and follow-up activities within the revenue operations
Work all aging claims from Work Ques or Aging reports
Present trends or issues to supervisor, and work together to make improvements
Resolve denials or correspondences from patients and insurance carriers
Assist in patient calls and questions
Follow team and company policies
Meet productivity standards
Write clear and concise appeal letters
Minimum qualifications:
High School diploma or equivalent
Medical Billing Certificate preferred or
At least a year of Medical billing experience
Proficiency with Microsoft office applications
Basic typing skills
Location: Walnut Creek, CA or Brentwood, CA (Depending on Experience)
Salary: based on experience
Pay Scale/Ranges:
$21.00 - $32.00/hour
*Employees actual pay rate will depend on a host of factors including, without limitation, job location, specialty, skillset, education, and experience. The pay scale/ranges shown are representative of the pay rates for the job title reflected above, but an employees actual pay rate will be determined on a case-by-case basis.
Benefits: Medical, Dental, Vision, LTD, Life, AD&D, Aflac insurances, Nationwide Pet Insurance, FSA/HSA plans, Competitive 401K retirement plan. Vacation & Sick Leave, 13 Paid Holidays per year
Job Type: Full-time
Salary Description $16.50-$32.00/hour
$21-32 hourly 60d+ ago
Orthodontic Dental Biller and Coder
Cb 4.2
Medical coder job in Los Angeles, CA
Benefits:
401(k)
401(k) matching
Competitive salary
Dental insurance
Health insurance
Opportunity for advancement
We are seeking a motivated, punctual, and outgoing Orthodontic Dental Biller and Coder to join our team! In this role, you will be responsible for customer focused, compassionate, and dedicated to facilitating solutions to patient's dental health needs. The Orthodontic Dental Billing Specialist will work in a growing practice with a great team that makes coming to work engaging and supportive. We offer training to those who are looking for a career with growth potential and the opportunity to fulfill our mission to provide quality affordable dental care to our patients. In working with new & existing team members with an open heart & mind; additional responsibilities including the below:
SPECIFIC DUTIES
Accurately prepare and submit insurance claims, including working with state-sponsored insurance programs
Ensure all billing codes are accurate and comply with regulatory requirements, minimizing claim rejections and delays.
Masterfully present financial plans and address patient concerns.
Ensure exceptional patient experience and office efficiency.
Follow the Orthodontist's instructions and adhere to the Orthodontist's directives on billing.
Make welcome calls to all new patient starts, answer initial questions, set and manage expectations for the patient's treatment financially
Track and follow up on outstanding claims to ensure timely payment, addressing any issues such as appeals or discrepancies as they arise
Assist with patient billing inquiries, providing clear and accurate information regarding their insurance coverage and out-of-pocket costs
Present and explain all treatment plans involving out of pocket costs again to patients, if needed
Ensure effective communication when explaining financial options. Take ownership for all treatment, payment, and appointment related needs and inquiries from patients in person and over the phone
Continuously assist patients in offering (payment plans including) Care Credit payment options.
Ensure all patient payments and insurance statements are up to date and current
Keep detailed records of all billing activities, ensuring compliance with legal and regulatory standards
Work with team members in other departments to ensure seamless billing operations
Assist in identifying, alerting front desk, and collecting previous balances and current copays
Keep up to date with changes in insurance regulations, billing practices, and coding requirements to ensure compliance and accuracy
Performs miscellaneous job-related as assigned
Full Time position that will lead to full benefits. Compensation: $24.00 - $28.00 per hour
$24-28 hourly Auto-Apply 60d+ ago
Orthodontic Dental Biller and Coder
Dental Administrators Inc.
Medical coder job in Los Angeles, CA
Job DescriptionBenefits:
401(k)
401(k) matching
Competitive salary
Dental insurance
Health insurance
Opportunity for advancement
We are seeking a motivated, punctual, and outgoing Orthodontic Dental Biller and Coder to join our team! In this role, you will be responsible for customer focused, compassionate, and dedicated to facilitating solutions to patients dental health needs. The Orthodontic Dental Billing Specialist will work in a growing practice with a great team that makes coming to work engaging and supportive. We offer training to those who are looking for a career with growth potential and the opportunity to fulfill our mission to provide quality affordable dental care to our patients. In working with new & existing team members with an open heart & mind; additional responsibilities including the below:
SPECIFIC DUTIES
Accurately prepare and submit insurance claims, including working with state-sponsored insurance programs
Ensure all billing codes are accurate and comply with regulatory requirements, minimizing claim rejections and delays.
Masterfully present financial plans and address patient concerns.
Ensure exceptional patient experience and office efficiency.
Follow the Orthodontists instructions and adhere to the Orthodontists directives on billing.
Make welcome calls to all new patient starts, answer initial questions, set and manage expectations for the patient's treatment financially
Track and follow up on outstanding claims to ensure timely payment, addressing any issues such as appeals or discrepancies as they arise
Assist with patient billing inquiries, providing clear and accurate information regarding their insurance coverage and out-of-pocket costs
Present and explain all treatment plans involving out of pocket costs again to patients, if needed
Ensure effective communication when explaining financial options. Take ownership for all treatment, payment, and appointment related needs and inquiries from patients in person and over the phone
Continuously assist patients in offering (payment plans including) Care Credit payment options.
Ensure all patient payments and insurance statements are up to date and current
Keep detailed records of all billing activities, ensuring compliance with legal and regulatory standards
Work with team members in other departments to ensure seamless billing operations
Assist in identifying, alerting front desk, and collecting previous balances and current copays
Keep up to date with changes in insurance regulations, billing practices, and coding requirements to ensure compliance and accuracy
Performs miscellaneous job-related as assigned
Full Time position that will lead to full benefits.
The average medical coder in Delhi, CA earns between $44,000 and $90,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.