Coder (Outpatient Coding & Inpatient Coding)
Medical coder job in Quincy, CA
Job Title : Coder (Outpatient Coding & Inpatient Coding)
Duration : 3 Months Contract (with possible extension)
General Description:
Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements and complications.
Researches and analyzes data needs for reimbursement.
Analyzes medical record and identifies documentation deficiencies.
Serves as resource and subject matter expert to other coding staff.
Education:
CCS or CPC certification
High School Diploma
Medical Coder
Medical coder job in Sacramento, CA
Duration :: 13 Weeks Contract
Seeking experienced Professional Fee (Pro Fee)-focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation improvement initiatives. These roles are high-visibility and require strong communication and presentation skills to engage directly with clinicians and support client revenue cycle, audit, and education functions.
Candidates must live within the client geographic footprint and be available for occasional on-site work and local travel.
Positions are structured as 13-week temp-to-hire with conversion opportunities.
Key Responsibilities
Coding Education & Training
Deliver physician and coder education for assigned groups, with emphasis on Pro Fee (ASC, surgery, outpatient) environments.
Facilitate individual and group training sessions; must be comfortable presenting to clinicians.
Address provider and coder questions related to documentation standards, audit findings, and coding requirements.
Audits & Accuracy Monitoring
Perform focused coding audits and detailed chart reviews to validate CDI opportunities and coding accuracy.
Identify coding trends, discrepancies, and risks; partner with leadership to build targeted education plans.
Support revenue cycle initiatives tied to audit readiness, pipeline goals, and CLARO engagement.
Documentation & Compliance Support
Improve documentation integrity and reduce variation in coding practices across the organization.
Implement education initiatives to strengthen documentation quality and coding accuracy.
Collaborate with coding leads to develop education aligned with compliance expectations and organizational standards.
Required Qualifications
Certifications (must have; strong preference for Pro Fee experience):
CPC (AAPC)
CCS or CCS-P (AHIMA)
Experience:
Demonstrated success in Pro Fee coding, education, and audit environments.
Proven ability to engage directly with physicians and present complex coding concepts clearly.
Experience conducting chart reviews and coding accuracy audits.
Work Model Requirements:
Must reside within the client footprint (California).
Able to support occasional on-site needs and local travel.
Willing/eligible to convert to a permanent role after the 13-week assignment.
Preferred Qualifications
CDEO or CDIP (documentation/education alignment)
Bachelor's degree
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 # 25-54020
Records Specialist
Medical coder job in Palo Alto, CA
Akkodis is seeking a Records Specialist for a 3 Months Contract at Palo Alto CA 94304 Onsite
Rate Range: $20.00 P/HR. - $24.00 P/HR.; The rate may be negotiable based on experience, education, geographic location, and other factors.
Top Required Skills:
Record management
Willingness and ability to learn new skills.
Will be doing tasks such as ordering boxes from storage and processing the box. Will need to have knowledge of email and navigate a computer.
About the Position:
We are looking for a detail-oriented Records Clerk to support daily Records Room operations. This role involves maintaining records systems, processing stored files, managing databases, troubleshooting issues, and assisting with record retrieval and archiving. Candidates must be able to navigate a computer, use email, and learn new tools quickly.
Responsibilities
Manage daily Records Room operations
Maintain records systems (file creation, tagging, retrieval, re-shelving)
Perform database updates and ensure accurate documentation
Order and process storage boxes
Support departmental requests for record creation, review, and archiving
Generate records reports
Assist with training and general administrative tasks (scanning, copying, faxing)
Requirements
Strong record management skills.
Ability and willingness to learn new skills quickly.
Excellent verbal and written communication.
Patience, professionalism, and tact when handling complaints or issues.
Customer service-oriented mindset with enthusiasm.
Ability to lift up to 50 lbs and perform tasks requiring bending, standing, and stretching.
Basic computer literacy (email, navigation, file handling).
Qualifications
High School Diploma or equivalent (4 years of college preferred)
Possess a minimum of 2 years' experience in a professional office environment working in a file or records clerk capacity.
Reading, writing, and arithmetic skills required
Previous experience in a client service-oriented field preferred
If you are interested in this role, then please click APPLY NOW. For other opportunities available at Akkodis, or any questions, feel free to contact me at ****************************.
Equal Opportunity Employer/Veterans/Disabled
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, an EAP program, commuter benefits, and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Disclaimer: These benefit offerings do not apply to client-recruited jobs and jobs that are direct hires to a client.
To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit ******************************************
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
· The California Fair Chance Act
· Los Angeles City Fair Chance Ordinance
· Los Angeles County Fair Chance Ordinance for Employers
· San Francisco Fair Chance Ordinance
Compliance & Records Specialist
Medical coder job in Costa Mesa, CA
JOB PURPOSE: Ensure medical records are accurate, compliant, and complete to support successful claims and minimize denials. Manage record reviews, audits, and appeals while collaborating with internal teams and BPO counterparts to maintain updated guidelines and drive process improvements.
Job Duties and Responsibilities
Ensure accurate record reviews, retrieve medical records, and send out medical record requests as needed within the required time frame.
Ensure medical records are compliant with payer-specific guidelines before submission.
Investigate medical record denials, and communicate actions that need to be taken to resolve them and document findings on CMD and the Jira Project.
Initiate appeals to the payer as necessary to resolve medical record denials.
Thoroughly navigate and manage post-payment and pre-payment reviews, ensuring proper documentation, timely responses, and compliance with regulatory and contractual requirements.
Research and update payer-related guidelines regularly, ensuring all departments follow best practices and have access to the most current documentation.
Support training and day-to-day guidance for BPO team members by sharing knowledge, addressing questions, and escalating needs or issues to the lead or supervisor to strengthen performance and ensure aligned, efficient operations.
Participate in the department's L10 meetings, identify and bring issues, and develop and execute quarterly rocks to drive alignment and improvements toward Cipher VTO.
Ensure clear and efficient communication by responding to partner emails and requests promptly.
Perform facility spot checks to maintain charts/documentation up to date with payer guidelines.
Perform other related duties as assigned.
Minimum Qualifications
Education / Experience
High School Diploma or equivalent
2 years' experience
Proficient with Microsoft Office Suite
Adobe Acrobat Experience
EOS Knowledge/Understanding Preferred
Proficient in Atlassian Products (Jira & Confluence) preferred
Experience in Insurance Payers compliance preferred
CMS HCC Coder
Medical coder job in Orange, CA
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to Centers for Medicare and Medicaid Services (CMS). Provide coding expertise as well as administrative oversight to ensure successful integration of AHC's HCC initiatives.
GENERAL DUTIES/RESPONSIBILITIES
1. Monitors coding & abstracting quality by conducting &/or coordinating ongoing audits to ensure coding quality & performance improvement standards are maintained, achieved & improved.
2. Develops, implements, evaluates & improves IPA's educational tools for their respective providers in order to accurately capture acute and chronic conditions.
3. Tracks & reports progress of the audits performed on the coding vendors in order to assure the coding accuracy and quality of the data submitted to CMS.
4. Works with Risk Adjustment Management on any Data Validation and /or RADV coding audit to ensure completeness and coding accuracy of all submissions to CMS.
5. Maintains a comprehensive tracking and management tool for assigned IPA's within Alignments Healthcare provider network.
6. Tracks all Risk Adjustment activities for assigned medical groups and ensure that all tasks are completed in a timely manner. Correlate activities, processes, and HCC results/ metrics to evaluate outcomes.
7. Ensures compliance with all applicable federal, state &local regulations, as well as with institutional/organizational standards, practices, policies & procedures.
8. Supports the Risk Adjustment Management Team in scheduling/training activities. Maintain records of training.
9. Suggests new Physician Group Risk Adjustment coding initiatives. Participate in SCITs/ Education meetings as needed
10. Coordinates Risk Adjustment audit activities as it relates to the assigned groups. Assist with CMS Data Validation activities, including suggested record selections, tracking and submission, in conjunction with Risk Adjustment Healthcare Management
11. Educates and updates:
a. Regularly updates all Risk Adjustment materials for clinical and official guideline changes.
b. Updates all education materials based on CMS-HCC Model and ICD-9/ ICD-10 annual changes
c. Suggests, updates, and enhances clinical educational materials to assist in training physicians and clinical staff on Risk Adjustment Healthcare Programs including CMS-HCC Models, Clinician Chart Reviews, and Encounter Documentation.
d. Suggests customizations of Risk Adjustment education for various audiences, Support Staff, PCPs, Specialists, Employees vs. contracted and Central Departments
e. Stays current of industry coding, compliance, and HCC issues.
f. Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; and participating in professional societies.
12. Contributes to team effort by accomplishing related results as needed.
13. Other duties as assigned to meet the organization's needs.
Job Requirements:
Experience:
• Required: Minimum 3+ years of coding in a medical group or health plan setting required; Professional Coding experience required. Minimum 1 year experience with strategic planning in risk mitigation.
•Work Hours: Pacific Standard Time
• Preferred: Previous experience and use of Epic, Allscripts, EZCap a plus
Education:
• Required: High School Diploma or GED.
Training:
• Preferred: Certified Coder training courses
Specialized Skills:
• Required:
Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;
Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly
Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
Report Analysis Skills: Comprehend and analyze statistical reports.
• Preferred: Proficient user in MS office suite, MS access a plus
Licensure:
• Required: Certified Coder required, HCC/Risk Adjustment experience, Experience with Athena EHR
• Preferred: CCS, CCS-P, CPC, Certified Auditor a plus.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1 While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
2 The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay Range: $58,531.00 - $87,797.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.
Auto-ApplyMedical Device QMS Auditor
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.
Auto-ApplyMedical Coder II, Hospital-Based Coding
Medical coder job in Portland, OR
In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, and ambulatory medical records to identify elements to be abstracted, as well as diagnostic and procedure codes, and beginning to review inpatient records.
Essential Responsibilities:
Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome.
Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities.
Assists with documentation and coding compliance by: following compliance standards with applicable federal, state, and local laws and regulations, The Principles of Responsibility, the Code of Conduct for Kaiser Permanente, internal policies and procedures, professional standards, and accreditation standards.
Supports efforts to update coding processes and meet regulatory goals by: assisting in performing analysis/review to assure the accuracy of current procedures and diagnosis codes upon request from various sources; using internal resources (e.g., webinars, enterprise education team) to learn up-to-date knowledge of standards and regulatory requirements related to coding, documentation, and management compliance (federal, state, internal), and researching guidance for individual coding situations as necessary, with some guidance; and meeting and maintaining department standards for productivity and quality.
Completes medical coding by: translating clinical information into coded data to enter appropriate codes for diagnoses, procedures, and other services rendered, following coding guidelines for the most current version of the International Classification of Diseases Clinical Modification (ICD-CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Level II for patient encounters with guidance; identifying and assigning appropriate codes for diagnoses, procedures, and other services rendered with day-to-day supervision; identifying and assisting with resolving coding issues through partnership with clinicians, department administration, and other coding staff based on review, coding guidelines, and queries or issues with practitioner-submitted medical codes to reduce denials and improve time to submission; and supporting team members who provide consultation to staff and care providers on all coding and documentation questions.Qualifications Minimum Qualifications:
Minimum two (2) years of experience with Hospital Ambulatory Surgery, Home Health/Hospice (if applicable), Observation, and Hospital complex Outpatient Visit including capture of codes for outpatient services that require monitored anesthesia and conscious sedation.
High School Diploma or GED or equivalent AND minimum two (2) years of coding experience. OR Minimum two (2) years of coding experience and one (1) year of experience in a corporate or business office environment.
Registered Health Information Technician required at hire OR Registered Health Information Administrator required at hire OR Certified Coding Specialist required at hire Additional Requirements:
Knowledge, Skills, and Abilities (KSAs): Quality Assurance and Effectiveness; Health Care Coding; Data Quality; Time Management; Medical Terminology; Medical Coding; Compliance Management; Health Records; Health Information Systems; Data Entry; Maintain Files and Records
Auto-ApplyMedical Documentation Auditor
Medical coder job in Oakland, CA
Medical Documentation Auditor Job Number: 1308030 Posting Date: Nov 25, 2024, 8:51:16 PM Description Must live in Northern California The EIO Medical Documentation Auditor ensures accurate and complete documentation through compliance and encounter audits and clinician feedback. Provides documentation feedback to clinicians from E&M, CPT and ICD9 audits conducted by EIO auditors using all state/federal and 3rd party payor regulatory standards for both inpatient and outpatient groups.
Essential Responsibilities:
Core Audit Responsibilities: Using Kaiser Permanente auditing tools, conduct concurrent and retrospective audits of documentation supporting E/M, CPT and ICD9 codes assigned by clinical staff. Researches correct coding practices in relationship to applicable rules, regulations and coding conventions for billing to determine compliance with Federal, State and Kaiser Permanente regulations. Using independent judgment and sensitivity, reviews with individual physicians their audit findings, making suggestions for documentation improvements. Provides feedback to clinicians based on Federal and State government billing and coding guidelines. Plans, schedules and performs comprehensive chart audits to identify operational and regulatory issues related to coding, documentation, and compliance requirements and ensure complete and accurate data capture in compliance with Federal and State requirements.
Works with Medical Center auditing teams to ensure compliance with Federal, State and Kaiser Permanente requirements. Designs and implements methodologies to ensure accurate and complete E&M, CPT and ICD9 coding audits. Provides technical expertise to Regional and local leadership to identify and resolve coding and chart documentation problems impacting the accuracy and consistency of coded data. Works with local Trainers to address operational processes that hinder encounter data capture. Reads and interprets medical data written by providers.
Enters audit results into regional audit tools to support quality assurance process, regional analysis and regional training activities. Reviews analytical data and audit findings to identify coding trends and other risk areas. Recommends appropriate actions. Conducts quality assurance reviews. Collaborates in the development and execution of local audit and training plans. Partners with the EIO Managers to identify audit trends and risk areas based on audit findings and data analysis. Assists in developing and implementing policies and procedures / Compliance Audit Standards to ensure compliance with Federal, State and other regulatory requirements. Travel throughout the Northern California region based on operational needs may be required.
Specific Audit Responsibilities - Claims and Referrals: In addition to the standard auditor accountabilities, the EIO Auditor is also responsible for conducting Claims and Referral audits. Responsible for independently implementing the end to end audit process for claims and referrals following established objectives with expected completion and accuracy goals. Partners with Provider Contracting to assess status of claims based on whether associated vendor is a contracted or non-contracted partner. Negotiation approach will need to be tailored to the type of vendor.
Manage vendor relationship to get access to documentation which requires client management skills and travel to offsite locations. Develops a strategy to get access to pertinent medical record information and all supporting documents that need to be audited. Conducts audit independently on-site per audit objectives and guidelines.
Qualifications Basic Qualifications: Experience
Minimum three (3) years CPT, ICD9 & E&M Coding experience.
Education
Bachelors degree in business administration, health care, public health, finance, business medical records technology OR four (4) years of experience in a directly related field.High School Diploma or General Education Development (GED) required. License, Certification, Registration Certified Coding Specialist OR Certified Professional Coder - Hospital Outpatient OR Registered Health Information Administrator OR Registered Health Information Technician OR Certified Professional Coder Additional Requirements:
Experience using PC applications such as MS Word, Excel, Access, PowerPoint.Demonstrate experience conducting Medical Record audits and ability to interpret and apply Federal and State regulations, coding and billing requirements.Proficient in the use of CPT, ICD9 and HCPCS coding principles.Comprehensive knowledge of medical diagnostic and procedural terminology is required.Demonstrated ability to constructively and sensitively provide feedback to providers and medical center leadership regarding federal and state coding, medical documentation and compliance guidelines, audit results and risk areas.Ability to work with and maintain confidentiality of physician, patient, patient account and personnel data.Knowledge of outpatient coding practices at both the clinical and inpatient settings.Required knowledge of compliance and regulatory requirements including outpatient CMS regulations.Strong interpersonal and excellent written, verbal and presentation skills.Demonstrated ability to work independently with minimal supervision.Ability to prioritize workload and meet deadlines.Ability to read and interpret medical data.Demonstrated ability to work within a team environment.Willingness to be flexible depending upon department and/or physician schedule needs.Demonstrated ability to review analytical data and audit findings to identify coding trends and other risk areas.Demonstrated ability to develop data requirements and work with analytical groups to extract, organize and analyze coded data.Must be able to work in a Labor / Management Partnership environment. Preferred Qualifications:
Experience using Epic electronic health record systems preferred. Experience using Web based applications preferred.Medical center operations or clinical experience preferred.Primary Location: California-Oakland-1950 Franklin Regular Scheduled Hours: 40 Shift: Day Working Days: Mon, Tue, Wed, Thu, Fri Start Time: 06:00 AM End Time: 06:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Job Level: Individual Contributor Job Category: Medical Records Public Department Name: Oakland Reg - 1950 Franklin - RgnlMG-Codg-Auditig&ConsultSvc - 0206 Travel: No Employee Group: NUE-NCAL-09|NUE|Non Union Employee Posting Salary Low : 82800 Posting Salary High: 107140 Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.Click here for Important Additional Job Requirements.
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Auto-ApplyBehavioral Health Coder
Medical coder job in Redmond, OR
Full-time Description
JOB SUMMARY: The Behavioral Health Coder serves as an important member of the Billing Team. Primarily responsible for the coding and abstracting of client services. Standardized coding and classification systems, minimum data sets, data definitions and terminology will be utilized to ensure data is uniformly defined, collected, and verified. Ensure all coding and billing guidelines are adhered to for compliance with BestCare policies and practices, and ICD-10-CM and Medicare guidelines.
ESSENTIAL FUNCTIONS:
Serves as a coding subject-matter expert for the Billing staff to identify and help resolve issues to support quick and accurate billing,
Is available as a resource for all BestCare sites on coding requirements and best practices;
Maintains coding credentials as required by credentialing agency;
Takes initiative to establish priorities, coordinates work activities and performs multiple and complex tasks while working independently and with minimal supervision in a remote setting;
Completes special projects as assigned;
Other related duties as assigned.
ORGANIZATIONAL RESPONSIBILITIES:
Performs work in alignment with BestCare's mission, vision, values;
Supports the organization's commitment to fostering a culture of inclusivity, open-mindedness, equity, cultural awareness, compassion, and respect for all individuals;
Strives to meet annual Program/Department goals and supports the organization's strategic goals;
Adheres to the organization's Code of Conduct, Business Ethics, Employee Handbook, and all other policies, procedures, and relevant compliance standards;
Understands and maintains professionalism and confidentiality per HIPAA, 42 CFR, and Oregon Statutes;
Attends and participates in required program/staff meetings (remotely with some in-person), and completes assigned training timely and satisfactorily;
Ensures that any required certifications and/or licenses are kept current and renewed timely;
Works independently as well as participates as a positive, collaborative team member;
Performs other organizational duties as needed.
REQUIRED COMPETENCIES: Must have demonstrated competency or ability to attain competency for each of the following within a reasonable period:
Proficient in ICD-10 CM codes on patient medical records for medical coding purposes;
Proficient with CMS billing rules and associated coding and billing requirements;
Understanding of and proficiency in using Epic Software Systems;
High proficiency in MS Office 365 (Word, Excel, Outlook), databases, virtual meeting platforms, internet, and ability to learn new or updated software;
Demonstrated knowledge and understanding of the full Revenue Cycle, demonstrated understanding of billing private insurance carriers (e.g. Pacific Source, Medicaid, etc.),
Strong interpersonal and customer service skills;
Strong communication skills (oral and written);
Strong organizational skills, scheduling, and attention to detail, accuracy, and follow-through;
Excellent time management skills with a proven ability to meet deadlines;
Critical thinking skills
Understand of and ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes;
Ability to build and maintain positive relationships;
Ability to function well and use good judgment in a high-paced and at times stressful environment;
Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively;
Ability to work effectively and respectfully in a diverse, multi-cultural environment;
Ability to work independently as well as participate as a positive, collaborative team member.
Requirements
QUALIFICATIONS:
EDUCATION AND/OR EXPERIENCE:
Associate's degree in related field
or
combined equivalent in related education and experience
Minimum 6 years of experience with Epic software systems
Minimum 6 years of experience with revenue cycle billing
Minimum 8 years of coding experience preferably Behavioral Health
LICENSES AND CERTIFICATIONS:
CPC, CRC, CCS Coding certification through AHIMA or AAPC required, or a more advanced certification (RHIT: Registered Health Information Technician, RHIA: Registered Health Information Associate) is required upon start
Must maintain a valid Oregon Driver License or ability to obtain one upon hire, and be insurable under the organization's auto liability coverage policy (minimum 21 years of age and with no Type A violations in the past 3 years, or three (3) or more Type B violations)
Must be currently certified through AAPC or AHIMA
PREFERRED:
Bilingual in English/Spanish a plus
COC Coding certification
Salary Description $32.50-$42.64
Certified Medical Coder
Medical coder job in Oakland, CA
Temporary Description
The Certified Medical Coder represents Roots Community Health Center, working as part of a team in a highly visible setting. This position provides support to the Director of Billing, Billing and Coding Administrator. This position works in collaboration with the providers, billing specialist and finance team, using efficient medical coding. The Certified Medical Coder provides coding audits of all billing providers within the practice based on documentation guidelines, Medicare Guidelines and coding initiatives. As the coder audits and interprets patient medical records, transcriptions, test results, and other documentation, we'll rely on the coder to ask questions, make coding recommendations, research billable procedures and codes - all to ensure a smooth billing process. This is a 6-month temporary position.
Duties and Responsibilities:
Code office visits and procedures using CPT, ICD-10 codes
Audit and review coding (CPT, ICD-10) physician notes in the EHR
Manage Coder Correct/ Super Coder Codify Platforms (AAPC)
Make coding recommendations; working with providers to ensure accuracy using billing/payer guidelines.
Educate providers on coding policies and guidelines, medical necessity criteria, programs correct billing methods and procedure codes by written and verbal communication
Correspond or meet with providers to resolve billing practices
Audit documentation to ensure it supports complete, accurate and compliant billing with both CMS and payer requirements
Assist practice physicians and managers with all coding errors, denials, or issues encountered in the billing process
Monitor charge review queues to ensure that all accounts flow through to billing appropriately
Submit all charges into billing EHR system AdvancedMD for claims processing
Act as liaison between billing department and clinic management/physicians
Translate written policy interpretation into CPT, HCPC, ICD-10 codes for input into systems
This position is responsible for ensuring compliance with all aspects of applicable regulations, payer billing guidelines.
Identify specific billing and reimbursement projects as they arise
Conduct research coding on denied claims and take steps toward resolution
Correct coding errors in coordination with the billing specialist
Reviews insurance plans and carrier information for appropriate coding regulations per payer contracted services
Verify insurance information/PCP assignment
Ensure/verify the accuracy of patient demographics and insurance information in Electronic Health Record
Report trends and denial patterns to the Director of Billing
Participate in internal chart audits, billing audits, and other compliance programs
Makes recommendations for policies and procedures relating to payer billing guidelines
Attending Billing and Interdepartmental meetings.
Requirements
Competencies:
High School Diploma or GED, Billing/Coding Certification
Must have experience working in non-profit organization or a community clinic preferred, but not required.
Certification in medical billing/coding
Minimum 1 years' experience performing medical billing, claims review
Minimum 1 years' experience with claims follow-up from physician office, third-party setting
Familiarity with medical terminology and the medical record coding process
In-depth knowledge/ awareness of all areas related to Payer-specific (Medicare Medi-Cal Medicaid and/or Private) Claims and how they interrelate
Knowledge of principles methods and techniques related to compliant healthcare billing/collections - Familiarity with Payer-specific (Medicare Medi-Cal Medicaid -CalAim, Private) Claims management
Previous experience with either Electronic Health Record and Practice Management Systems
Full understanding of insurance denials, EDI coding rejections and exclusions
Previous experience with HCFA 1500 claim forms and electronic billing.
Interest/experience working with low-income communities of color
Excellent written and verbal communication skills
Solid organizational skills including attention to detail and multi-tasking skills.
Demonstrates ability to manage time efficiently and multi-task effectively.
Clear and effective external and internal, verbal and written, communication skills.
Strong critical thinker and problem solver
Excellent team-player
Ability to work with patients from different backgrounds (culture competency)
Ability to communicate clearly and respectfully with co-workers and clients
Strong working knowledge of Microsoft Office (Word, Excel, PowerPoint)
Ability/willingness to learn Electronic Health Records Insight reporting
Roots Community Health Center is proud to be an Equal Employment Opportunity/Affirmative Action Employer and values diversity of culture, thought and lived experiences. We seek talented, qualified individuals regardless of race, color, religion, sex, pregnancy, marital status, age, national origin or ancestry, citizenship, conviction history, uniform service membership/veteran status, physical or mental disability, protected medical conditions, genetic characteristics, sexual orientation, gender identity, gender expression regardless of physical gender, or any other consideration made unlawful by federal, state, or local laws. Roots uses E Verify to validate the eligibility of our new employees to work legally in the United States.
Salary Description $31.00-$36.00
Home Health and Hospice Coder
Medical coder job in San Diego, CA
Job Details LHSD - SAN DIEGO, CA Fully RemoteDescription
Who We Are:
Lorian Health is a home health and hospice agency seeking energetic candidates to join our team of skilled professionals. Come join a home health agency that is thoughtful, generous, and family-oriented, placing focus on taking the best care of our patients and our employees!
Lorian Health sets the highest quality standards for home health services in existence today. Foremost of these, is our belief in equanimity in regard to the treatment of all our patients.
Lorian Health is committed to fostering a socially responsible environment within our organization and community and is determined to provide the highest caliber of health care for our patients and their families
What We Offer:
We offer a comprehensive employee benefits package that includes, but is not limited to:
Health, Dental, Vision, 401K with company match
Competitive pay
Paid vacation, holidays, and sick leave
Full time includes company paid health insurance, dental insurance, vision insurance, paid life insurance, supplemental insurance and 401(k) plan with 4% match, as well as annual accrual of 10 vacation days,10 sick days, 9 holidays.
Join our innovative team to help patients empower themselves to improve self-care.
Qualifications
Requirements:
MUST live in the next locations with Pacific Standard Time (PTS): California, Washington, Oregon, Nevada, Idaho.
Completion of coding specific coursework
Current ICD-10 Coding Certification (HCS-D, BCHH-C, or HCS-H)
Minimum of 1 year previous experience with Home Health ICD-10 coding with verified employment/experience are required.
Minimum of 1 year previous experience with Hospice ICD-10 coding with verified employment/experience are required.
Knowledge of and ability to follow appropriate skilled documentation under Medicare guidelines and conditions of participation.
Knowledge of Patient Driven Grouping Models (PDGM)
Knowledge of insurance reimbursement procedure.
Ability to maintain confidentiality of records and information.
Ability to be flexible, follow verbal and written instruction while working in a team oriented environment.
Detail oriented with critical thinking and strong clinical judgement and analytical skills.
Ability to demonstrate flexibility in response to unexpected changes in work volume and work schedule.
Excellent interpersonal relation skills including active listening, conflict resolution, and team building.
Communicates effectively with the clinical and office staff involved in any given case in a constructive, goal directed, and professional manner
Excellent computer skills to include Microsoft applications (i.e. Word/Excel) and ability to type at least 40 wpm
Must be available to work 9am to 6pm Pacific Time Zone.
Preferred:
OASIS certification (COS-C, HCS-O)
Background on OASIS E
Graduate of Bachelor is Science in health field
Experience with HCHB software
HIM Certified Coder Specialist
Medical coder job in Lone Pine, CA
CERTIFICATION REQUIRED
2+ YEARS OF EXPERIENCE
Pending job description
Auto-ApplyHIM Coder I - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Medical coder job in Alhambra, CA
In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses and minor invasive and non-invasive procedures, documented by any physician in outpatient medical records (i.e. OP Ancillary visits: Laboratory, Radiology etc.; Clinic Visits; Radiation Oncology; Recurring Visits, etc.). Address OCE/NCCI edits within 3M-CRS and those returned from the Business Office. Understands PFS coding/billing processes & systems such as PBAR and nThrive/MedAssets/XClaim in a manner to assure claims drop timely with appropriate codes. Performs other coding department related duties as assigned by HIM management staff.
Essential Duties:
Outpatient Ancillary/Clinic Visit/Emergency Department coding of all diagnostic and procedural information from the medical records using ICD-10-CM, ICD-10-PCS, and CPT/HCPCS, and Modifier classification systems and abstracting patient information as established and required by official coding laws, regulations, rules, guidelines, and conventions.
Reviews the entire medical record; accurately classify and sequence diagnoses and procedures; ensure the capture of all documented conditions that coexist at the time of the encounter/visit, all medical necessity diagnoses, complications, co-morbidities, historical condition or family history that has an impact on current care or influences treatment, and all external causes of morbidity.
Enter patient information into inpatient and outpatient medical record databases (ClinTrac/HDM). Ensures accuracy and integrity of medical record abstracted UB-04 & OSHPD data elements prior to billing interface and claims submission.
Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and ensure optimal and accurate assignment of diagnosis & procedure codes.
Assists in the correction of regulatory reports, such as OSHPD data, as requested.
Attendance, punctuality, and professionalism in all HIM Coding and work related activities.
Consistently assumes responsibility and displays reliability for completion of tasks, duties, communications and actions. Completes tasks accurately, legibly, and in a timely fashion.
Performs other duties as requested/assigned by Director, Manager, Supervisor, or designee.
Ability to achieve a minimum of 95% coding accuracy rate as determined by any internal or external review of coding and/or department quality review(s).
Ability to achieve a minimum of 95% abstracting accuracy rate of UB-04 and OSHPD data elements as determined by any internal or external review of coding and/or department quality review(s).
Assist in ensuring that all medical records contain information necessary for optimal and accurate coding and abstracting.
Recognizes education needs of based on monthly reviews and conducts self-improvement activities.
Ability to act as a resource to coding and hospital staff on coding issues and questions.
Ability to improve MS-DRG assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions.
Ability to improve APR-DRG, SOI, and ROM assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions.
Ability to improve APC/HCC assignments specific to medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in accordance with official coding laws, regulations, rules, guidelines, and conventions.
Maintains at minimum, expected productivity standards (See HIM Practice Guidelines) and strives to maintain a steady level of productivity and provides consistent effort.
Works coding queues/task lists to ensure 95% of patient bills are dropped within 5 days after patient discharge/date of service.
Works coding queues/task lists to ensures the remaining 5% of patient bills are dropped within 2 weeks of discharge/date of service.
Assist other coders in performance of duties including answering questions and providing guidance, as necessary.
Assists Patient Financial Services (PFS), Patient Access, and other departments in addressing coding issues/questions and/or providing information so that an interim bill can be generated. Assists with physicians, physician office staff and hospital ancillary department staff with diagnostic or procedural coding issues/questions, as needed.
Assists in the monitoring unbilled accounts to ensure that the oldest records are coded and/or given priority.
Maintains AHIMA and or AAPC coding credential(s) specified in the job description.
Attend coding & CDI seminars, webinars, and in-services to maintain the required annual continued education units (CEU).
Keep up-to-date and reviews ICD-10 Official Guidelines for Coding & Reporting, AHA Coding Clinic, and CPT Assistant to maintain knowledge of the principles of coding.
Keep up-to-date and reviews other professional journals and newsletters in a timely fashion to maintain knowledge of the principles of coding.
Consistently attend and actively participate in the daily huddles.
Consistently adhere to HIM policies and procedures as directed by HIM management.
Demonstrates an understanding of policies and procedures and priorities, seeking clarification as needed.
Participates in continuously assessing and improving departmental performance.
Ability to communicate changes to improve processes to the director, as needed.
Assists in department and section quality improvement activities and processes (i.e. Performance Improvement).
Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel.
Ability to communicate effectively intra-departmentally and inter-departmentally.
Ability to communicate effectively with external customers.
Provides timely follow-up with both written and verbal requests for information, including voice mail and email.
Working knowledge and efficient navigation of the Electronic Health Record (EHR): Cerner/Powerchart & Coding mPage.
Working knowledge, efficient navigation, & full use of 3M-CRS Encoder system; utilize to expedite coding process; utilize all references.
Knowledge & understanding of PFS system (PBAR) functionality and any interface with the coding abstracting system: ClinTrac.
Working knowledge, efficient navigation, & full use of ‘HDM/HRM/ARMS Core' coding & abstracting software.
Working knowledge, efficient navigation, & full use of ‘3M 360 Encompass/CAC'
Performs other duties as assigned.
Required Qualifications:
Req High school or equivalent
Req Specialized/technical training Successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding course. Successful completion of the hospital specific coding test - with a passing score of ≥70. The coding test may be waived for former USC or agency/contract HIM Coding Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code.
Req Experience in using a computerized coding & abstracting database software and an encoding/codefinder systems are required.
Preferred Qualifications:
Pref Prior experience in ICD-9 & ICD-10 (combined) and CPT/HCPCS coding of Outpatient Ancillary/ED medical records in hospital and/or outpatient clinic preferred.
Required Licenses/Certifications:
Req Certified Coding Specialist - CCS (AHIMA) OR AHIMA Certified Coding Specialist - Physician (CCS-P); OR AAPC Certified Professional Coder (CPC); OR AAPC Certified Outpatient Coding (COC) If there is the absence of a national coding certificate and the coder possesses any one of the following national certifications, the coder will be required to pass any of the national coding examinations Re: the aforementioned coding certificates within six (6) months of employment: 1. AHIMA Registered Health Information Technician (RHIT) 2. AHIMA Registered Health Information Administrator (RHIA)
Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
The hourly rate range for this position is $33.00 - $54.02. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.
We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at **************, or by email at *************. Inquiries will be treated as confidential to the extent permitted by law.
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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Auto-ApplyFleet & Yard Specialist Class A Certified
Medical coder job in Loomis, CA
Job DescriptionSalary: $25-$35 per hour
We are seeking a dedicated Warehouse Associate who will take direction from our Shop Foreman to pull material, clean trucks/equipment, clean-up, and make daily jobsite deliveries. This position requires a clean driver record, applicants with Class A CDL. Knowledge in construction preferred.
Primary responsibilities:
Take direction and job tasks on a day-to-day basis from Shop Foreman.
Jobsite deliveries to various sites across Sacramento and the Central Valley.
Ensure material is pulled correctly, checked, delivered and shop/trucks are kept organized, orderly, clean and safe.
Properly load, deliver, and unload contruction equipment.
Equipment Safety Inspections.
Essential Skills:
Experience driving/backing trailers/ Strapping down equipment (Class A CDL Required)
Clean driving record
Experience/certification with forklifts.
Experience loading/unloading trucks including semi-tractor trailers and basic knowledge of equipment operation( Backhoe, Mini ex, Skid, Etc.)
Able to take direction from others on a daily basis, communicate and work well with others, understand directions and communicate them with others, as well as understand the job tasks and instructions given.
Ability to work independently once tasks are assigned, must be organized.
Knowledge with air tools, jack hammers, pavement breakers, concrete saws, concrete vibrators, small gas generators.
Basic mechanics knowledge/Troubleshooting
Work Hours:
Monday thru Friday 7:00a to 3:30p hourly
Occasional weekend and overtime hours will be required
Hourly Wage $25-35/hr depending upon experience.
Benefits:
Health insurance
Dental insurance
Vision insurance
Sick Pay (beginning on 90th day of employment at 40hrs per year)
Job Type: Full-time
Pay: $25.00 - $35.00 per hour
Medical Records Clerk
Medical coder job in San Jose, CA
: Medical Records Clerk
Reports To: Clinic Manager
Status: Full-Time Regular, Non-Exempt
Maintains complete medical records for order, accuracy and confidentiality. The incumbent will scan medical records into our Electronic Health Records system, process subpoenas, pre-authorizations, Diagnostic Imaging, and referrals follow up. Provides back up to the Medical Dept receptionists and other functions as needed. The IHC is a Patient Centered Health Home and all employees are an integral part of this model of care delivery.
Duties & Responsibilities:
Arranges and maintain medical records to ensure proper order and easy retrieval and maintains confidentiality and security of records
Verifies chart order, ensures that identification is on each page, and ensures that all forms have the appropriate signatures
Process insurance verification and schedule appointments for diagnostic imaging
Participates in the tracking process for the Cancer Detection Program
Process and track incoming subpoenas/depositions Scans documentation of lab results, hospitalization and discharge forms and other documents pertaining to the patient
Copies and releases medical records following proper policies and maintains HIPAA procedures
Provides back-up to medical reception when needed: answers the telephone and triages calls; greets all patients arriving in the medical department in a friendly manner
Performs various clerical tasks such as processing durable medical equipment, , scanning various documents and files, operating various office machines, and maintaining up-to-date office materials
Maintains inventory of supplies when necessary to fulfill the function of the medical records clerk
Attends appropriate meetings or in-service trainings as directed
Maintains complete management of medication refills including: retrieval of medication refill faxes, handling of pharmacy/patient refill request messages, proper medication refill issuance in patient chart, faxing refill authorizations to the pharmacies, calling in refill authorizations over the phone, and filing all paper refill authorizations in the patients chart
Recall inactive charts from the Re-Call off site management system
Participate as a proactive representative of the Patient Centered Health Home
Perform duties utilizing the Team-Based Approach
Performs other duties as assigned
Required Qualifications, Knowledge & Abilities:
High school degree or equivalent required with a medical administration certification
Will need 1 year of experience working in medical records department doing similar or like duties as described. Prefer clinical setting
Able to read, write and speak English fluently
Bi-lingual in Spanish preferred
Excellent organizational and customer service skills
Ability to follow written and oral instructions and learn new procedures quickly
Ability to stay calm while working quickly and with a high degree of accuracy
Experience handling incoming calls from patients
Knowledge of medical terminology, procedure codes, diagnosis codes, and medical records procedures preferred
Flexibility, initiative, and reliability
Familiarity with medical computer software and data entry
Experience using Microsoft Office software packages (Word, Excel, and PowerPoint)
Knowledge of & ability to work with the American Indian community & other minority populations
Ability to maintain strict confidentiality
Ability to function independently and as a team member within diverse environments as well as with a diverse staff composition
Demonstrated ability to perform multiple administrative functions simultaneously in an accurate, organized, & efficient manner. Ability to multitask & thrive in a fast-paced, constantly changing environment
Ability to carry out all responsibilities in an honest, ethical & professional manner and demonstrate good judgment
Physical Requirements:
Ability to sit, stand and walk for extensive periods of time
Manual and finger dexterity and eye-hand coordination sufficient to accomplish the duties associated with your job description
Ability to lift up to 35 pounds
Ability to stoop, squat, or bend frequently
Corrected vision and hearing within normal range to observe and communicate with patients and professional staff
Working Conditions:
Exposure to all patient elements, including communicable disease and blood borne pathogens. Will be working in a fast paced medical environment which can be stressful and constantly changing conditions. Normal working hours are from 8:00 am until 5:00 pm with one hour for lunch. However, working hours may vary depending upon need. Will need to be flexible in performing tasks with limited discretion in making judgment decisions.
Preference is given to qualified American Indians/ Alaskan Native in accordance with the American Indian Preference Act (Title 25, U.S. Code Section 472, 473 and 473a). In other than the above, the Indian Health Center of Santa Clara Valley is an equal opportunity employer including minorities, women, disabled and veterans.
Auto-ApplyCoder 1-HIM
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.
Auto-ApplyPA UCC Certified Code Specialist
Medical coder job in Lancaster, CA
Barry Isett & Associates (Isett) is an employee-owned multi-discipline engineering/consulting firm headquartered in Allentown, PA, with additional offices throughout eastern and central PA. Isett associates get the opportunity to perform meaningful work that helps enrich our community each and every day. Our company is a values-based organization which has been recognized for its award-winning culture through several regional and statewide programs:
Best Places to Work in PA (annually since 2019)
The Morning Call's Top Workplaces (annually, since 2013)
Empowering Women Award by Central Penn Business Journal and Lehigh Valley Business (2023)
Philadelphia Inquirer's Top Workplaces (2023)
Corporate Citizen of the Year (by the Lehigh Valley Business Journal)
The Societas Award for Responsible Corporate Conduct (for Ethics).
Barry Isett & Associates is looking for ICC/PA UCC Certified Code Specialists to perform inspections and plan reviews for commercial (and residential) properties for clients throughout eastern PA. We are looking for additional associates to work for our municipal clients in the Lancaster area on a full-time or part-time basis.
Through performing these inspections, we are beautifying our community and upholding safety standards.
Benefits
Career advancement and continuing education opportunities
Employee engagement events and parties
Work-life balance & flexible working schedules
Paid vacation/holiday/sick time
Employee Stock Ownership Plan (ESOP)
Medical, dental, vision, life, and disability insurances
Discounted and/or free Isett wear
Parental leave
401k/Roth match
In additional to standard company benefits, our code professionals also receive:
Company supplied cell phone, or opt out credit
Company vehicle
Requirements
Multiple ICC/PA UCC Commercial certifications and a willingness to continue training. (Commercial certifications preferred but the right candidate with all residential certifications, including residential electric inspector will be considered.)
Valid driver's license and the ability to travel to client sites.
Ability to establish and maintain professional working relationships with our clients and other Isett associates.
Demonstrated skills in organizing resources and establishing priorities.
Plan review certification/experience a plus.
Candidates will be encouraged (and supported) to obtain additional certifications.
Ability to work independently/remotely.
Ability to obtain Act 34, 151 and 114 clearances as needed for residential inspections.
We are an equal opportunity employer and welcome applications from all qualified candidates. We are committed to a diverse and inclusive workplace and do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation or gender identity), nation origin, age (40 or older), disability or genetic information (including family medical history).
Please, no third-party recruiters.
Medical Billing Reimbursement Specialist - Multi Specialty
Medical coder job in Walnut Creek, CA
Join our exciting Billing Team! If you are looking for some challenges, career growth, step up in your billing knowledge this is the right opportunity for you!
We are looking for detailed, energetic, focused medical billers who are high achievers and take their career seriously.
Job Opening Opportunities:
Charge Entry/AR Follow up Specialists openings are available in the following specialties: Imaging, Thoracic, General Surgery, Colorectal, Podiatry, Pain Management, Orthopedics, Radiation Oncology and Call Center.
Previous medical billing experience or experience with EPIC/ECW/Athena software is a plus
About Us:
BASS Medical Group is a large physician owned, physician directed, and patient centered organization. Our goals are to provide high quality, cost effective, integrated, healthcare and physician services. To preserve community based independent physician practice locations throughout California. At BASS Medical Group, our practices are closer and more connected to the people and neighborhoods we serve. With a more personal touch to healthcare and easier access to the care you need, we help guide patients to the best possible outcome.
Requirements
Recommend knowledge and skills :
Superior phone communication skills with providers, carriers, patients, and employees
Exceptional written and verbal communication skills
Strong attention to detail
Ability to work in a fast-paced, high-volume work environment
Positive attitude
Great attendance and punctuality
Knowledge of modifiers, insurance plans, and follow up techniques
Job Duties but are not limited to:
Perform the day-to-day billing and follow-up activities within the revenue operations
Work all aging claims from Work Ques or Aging reports
Present trends or issues to supervisor, and work together to make improvements
Resolve denials or correspondences from patients and insurance carriers
Assist in patient calls and questions
Follow team and company policies
Meet productivity standards
Write clear and concise appeal letters
Minimum qualifications:
High School diploma or equivalent
Medical Billing Certificate preferred or
At least a year of Medical billing experience
Proficiency with Microsoft office applications
Basic typing skills
Location: Walnut Creek, CA or Brentwood, CA (Depending on Experience)
Salary: based on experience
Pay Scale/Ranges:
$21.00 - $32.00/hour
*Employees actual pay rate will depend on a host of factors including, without limitation, job location, specialty, skillset, education, and experience. The pay scale/ranges shown are representative of the pay rates for the job title reflected above, but an employees actual pay rate will be determined on a case-by-case basis.
Benefits: Medical, Dental, Vision, LTD, Life, AD&D, Aflac insurances, Nationwide Pet Insurance, FSA/HSA plans, Competitive 401K retirement plan. Vacation & Sick Leave, 13 Paid Holidays per year
Job Type: Full-time
Salary Description $16.50-$32.00/hour
Legal Billing AP AR 90k+ DOE
Medical coder job in Portland, OR
Direct Hire
Legal Accounting | AR/AP
Join a collaborative and detail-oriented team where accuracy, integrity, and efficiency are valued every day. This position plays a key role in managing client billing, receivables, payables, payroll, and general accounting operations to ensure the firm's financial records remain precise and compliant. You'll work closely with attorneys, staff, and vendors to keep financial processes running smoothly and provide exceptional client service.
LOCATION: Portland, OR
SALARY: $90-110k/yr. DOE
SCHEDULE: Full-time, Monday-Friday
WHY YOU'LL LOVE THIS ROLE
Supportive and professional work environment focused on teamwork and accountability.
Opportunity to work across multiple areas of accounting and gain well-rounded experience.
Competitive compensation and benefits package.
Direct impact on firm operations through accurate financial management.
KEY RESPONSIBILITIES
Manage the complete billing cycle-from time entry and prebill review to final invoice preparation-to ensure accuracy and timely delivery.
Process client payments, trust transactions, and vendor invoices while maintaining precise financial records.
Reconcile accounts and prepare general ledger entries, supporting accurate month-end and year-end closings.
Oversee payroll processing and compliance reporting, ensuring adherence to firm policies and regulatory requirements.
WHAT WE'RE LOOKING FOR
Minimum of 5 years of accounting or finance experience, ideally within a law firm environment.
Proficiency with accounting and billing software; advanced Excel skills required.
Strong attention to detail, organization, and accuracy in all work.
Effective communicator with excellent problem-solving and analytical abilities.
Demonstrated ability to prioritize tasks and work both independently and collaboratively.
PHYSICAL REQUIREMENTS
This position operates primarily in a professional office environment, requiring extended periods of sitting, computer use, and occasional lifting of files or office materials up to 20 pounds. The role involves frequent interaction with team members and clients in a standard business setting with moderate noise levels.
DIVERSITY, EQUITY, AND INCLUSION STATEMENT
We are committed to fostering an inclusive workplace that welcomes diverse candidates. All qualified applicants will be considered regardless of background, identity, or status.
This position is offered through the Legal Northwest Branch of NW Staffing Resources. When applying through nwstaffing.com, please click “Apply Here” and select the Legal Northwest Branch for immediate consideration. Or contact our office directly at 503.242.2514 to speak with a Recruiter.
Job ID# 140193
For more information regarding our company and employee benefits please click on the links below.
About Legal Northwest | NW Staffing Resources
NW Staffing Employee Benefits
Orthodontic Dental Biller and Coder
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.