Medical Coding Specialist
1 day ago
About the Role:
We are seeking a skilled Certified HCC Coder to join our team at To Help Everyone Health & Wellness Centers in South Los Angeles. As a key member of our coding department, you will be responsible for accurately assigning codes to medical records and ensuring compliance with regulatory guidelines.
Responsibilities:
- Conduct thorough audits of medical records to verify accurate documentation of diagnoses
- Coding expertise: ICD-10 for Medicare Risk Adjustments/Medicare Advantage
- Evaluate medical information for evidence of additional conditions and recommend processes for accurate coding practices
- Identify coding discrepancies and report findings to the Coding Project Manager
- Provide detailed summaries to adjust improperly paid claims and document correct coding
Requirements:
- CPC or CCS certification required
- Minimum 5 years' experience in coding, preferably multi-specialty and outpatient/clinic billing
- Physician billing office supervisory experience is a plus
- Knowledge of Hierarchical Condition Categories (HCC) concepts and MACRA reporting
- High School degree required; some college preferred
Estimated Salary: $60,000 - $80,000 per year
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