Medical Coder
3 weeks ago
Job Location: Los Angeles, CA 90032
Job Duration: 6 months, with a possible extension
Pay Rate- 32.65/hr. on W2
Shift: 8 AM - 5 PM
Job Description
- Use current ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems to accurately abstract, reconcile, and review procedure and physician documentation for coding.
- Enter data into PBAR, Cerner, or other electronic medical billing systems.
- Ensure bills are submitted timely with appropriate codes, maintaining productivity and accuracy/quality standards (98% of CCL charges entered into the electronic billing system within 3 days of the date of service).
- Collaborate with physicians, staff, and management to identify opportunities for improving charge capture, accuracy, and timeliness of entry into electronic billing systems.
- Escalate recommendations for staff education and process improvement to the CCL Manager
Minimum Education/Experience:
- Specialized/Technical Training: Graduation from a formal coder training program or completion of an academic class in medical coding. (Combined experience/education as a substitute for minimum education.)
- 2+ years of hospital coding or charge audit expertise.
- Combined experience/education as a substitute for the minimum education. Two additional years of coding experience may be substituted for the education requirement.
Primary Accountabilities:
- Support Soarian Financials Billing Edits and Billing Processes.
- Review and reconcile procedure documentation with supply charges and physician documentation.
- Partner with staff and physicians to correct inaccuracies in HCPCS, ICD-10, and CPT coding to accurately capture services provided.
- Enter Cardiac Cath Lab procedure and supply charges into electronic billing systems (PBAR).
- Consult with medical providers to clarify missing or inadequate record information and determine appropriate diagnostic and procedure codes.
- Provide thorough, timely, and accurate review of ICD-10 and/or CPT code assignments with physicians.
- Review, reconcile, and correct Cardiac Cath Lab charges in Cerner.
- Review and edit previously submitted charges as needed due to identified billing errors and/or insurance requirement changes.
- Provide completed patient data to billing staff or designated personnel.
- Perform other duties as assigned.
Coding Knowledge and Skills:
- Proficiency with ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems.
- Experience with electronic medical billing systems such as PBAR and Cerner.
- Understanding of federal coding compliance regulations and guidelines.
Accuracy and Productivity:
- Ability to meet productivity and accuracy/quality standards, including entering 98% of CCL charges into the electronic billing system within 3 days of the date of service.
Collaborative Skills:
- Experience working collaboratively with physicians, staff, and management to identify opportunities for improving charge capture and billing accuracy.
Error Resolution and Process Improvement:
- Capability to review, reconcile, and correct charges and documentation errors.
- Ability to provide recommendations for staff education and process improvements to the CCL Manager.
APOLSI2024
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