Certified Medical Coder

2 weeks ago

Fresno, California, United States Clinica Sierra Vista Full time
Position Overview

Clinica Sierra Vista stands as one of the largest Federally Qualified Health Centers in the United States, dedicated to providing comprehensive care to diverse populations, including those in rural and urban settings, as well as individuals from various cultural backgrounds. We prioritize patient care without regard to immigration status, ensuring every individual receives the attention they deserve.

As we expand our workforce, we seek professionals who are committed to placing the patient experience at the forefront of their work.

Why Choose Us?

  • Competitive compensation tailored to your skills and experience
  • Comprehensive health benefits for you and your family
  • Generous vacation policy
  • Wellness programs and fitness center discounts
  • Support for ongoing education to enhance your professional growth
  • 403(B) retirement plan with employer matching

We are currently seeking a Certified Coder who will:

Under the guidance of the Revenue Cycle Director, the Certified Coder will oversee all aspects of billing and account follow-up, employing recognized billing and coding methodologies to ensure effective account resolution and promote the financial stability of Clinica Sierra Vista.

Key Responsibilities:

  • Deliver efficient and effective accounts receivable services to optimize reimbursement.
  • Accurately process claims for Medicare, Medi-Cal, self-pay/sliding fee, and commercial insurance, adhering to payer guidelines and CSV Billing Policies.
  • Post patient payments and manage electronic and paper insurance remittances.
  • Rectify claim and charge discrepancies.
  • Conduct thorough research and resolve credit balances.
  • Respond to patient inquiries regarding billing.
  • Assist in receivables collection by monitoring accounts, checking claim statuses, resubmitting overdue claims, filing corrections or appeals, and notifying supervisors of significantly overdue accounts.
  • Refer to the attached document for a comprehensive job description.

Successful candidates will possess the following qualifications:

  • High School diploma or equivalent.
  • Minimum age of 18 years.
  • At least two years of experience in medical/dental billing, including proficiency in CPT and ICD10 coding.
  • Certification in medical coding from AAPC (CPC) or AHIMA (CCS), along with current certification from ADCA (CDC).
  • Familiarity with the Epic practice management system is preferred.
  • Previous experience in FQHC/RHC settings is advantageous.
  • Ability to perform accurate arithmetic computations.
  • Compliance with Clinica Sierra Vista's health and immunization policies or submission of a valid exemption request.

At Clinica Sierra Vista, we uphold values of human rights, respect, inclusivity, and equality, recognizing that our strength lies in the diverse perspectives and contributions of our workforce. As leaders in the healthcare sector, we strive to foster an organizational culture that reflects these core values. Our aim is to attract, develop, and retain a skilled and dedicated workforce where individuals from various backgrounds can thrive.

We are an equal opportunity employer, committed to attracting qualified candidates from all walks of life, without discrimination based on race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical or mental disability, medical condition, genetic information, military status, or any other protected status under applicable laws. We aspire to create an environment that celebrates and embraces workforce diversity.

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