Medical Coding Specialist

1 day ago


Los Angeles, California, United States To Help Everyone Health & Wellness Centers Full time

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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