Medical Coder

7 days ago


Los Angeles, United States Axelon Services Corporation Full time

Medical Coder

Los Angeles, CA

3+ Month Contract


Remote work available/may need to be onsite as requested


Salary Rate: $28.85 - $32.65/hr

Work Hours: 8 AM - 5 PM


Specifically looking for job seekers with experience in California payer mix (Medi-Cal and other California-specific guidelines).


Must-Haves:

Education and Experience:

Graduation from a formal coder training program or completion of an academic class in medical coding.

2+ years of hospital coding or charge audit experience. (Two additional years of coding experience may substitute for educational requirements.), HS Diploma (or equivalent – GED) is a MUST

MUST HAVE: Experience with California payer mix (Medical and other California only guidelines)


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.


Nice-to-Haves:

Technical Proficiency:


Familiarity with Soarian Financials Billing Edits and Billing Processes.

Additional Skills:


Experience in reviewing and editing previously submitted charges due to billing errors or insurance requirement changes.

Ability to consult with medical providers to clarify record information and determine appropriate codes.

Additional Experience:


Experience in reviewing and reconciling charges in other electronic medical billing systems beyond PBAR and Cerner.

Experience with cardiac Cath lab procedures and charges.


Summary:


In accordance with current federal coding compliance regulations and guidelines, use current ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems to accurately abstract, reconcile and review procedure and physician documentation in order to code, and enter into PBAR, Cerner or other electronic medical billing systems. Understands coding/billing computer systems in a manner to assure bills drop timely with appropriate codes. Meet the productivity and accuracy/quality standards including, but not limited to 98% of CCL charges entered into the electronic medical billing system within 3 days of date of service. Work collaboratively with physicians, staff and management to identify opportunities for improving charge capture, accuracy and timeliness of entry into electronic billing systems. Recommendations for staff education and process improvement will be escalated to the CCL Manager.


Minimum Education/Experience:

• Specialized/Technical Training – Graduation from a formal coder training program or completion of academic class in medical coding. (Combined experience/education as substitute for minimum education.)

2+ years with hospital coding or charge audit expertise

• Combined experience/education as substitute for minimum education. *Two additional years of coding experience may be substituted for education requirement.

Primary Accountabilities:

• Support Soarian Financials Billing Edits and Billing Processes

• Reviews and reconciles procedure documentation with supply charges and physician documentation

• Partner with staff and physicians to correct inaccuracies in HCPCS, ICD-10, CPT coding to accurately capture services provided

• Enters Cardiac Cath Lab procedure and supply charges into electronic billing systems (PBAR)

• Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate review of ICD10 and/or CPT code assignments with physician.

• Reviews, reconciles and corrects Cardiac Cath Lab charges in Cerner

• Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes.

• Provides completed patient data to billing staff or designated personnel.

• Performs other duties as assigned.


  • Medical Coder

    4 weeks ago


    Los Angeles, United States Axelon Services Corporation Full time

    Medical CoderLos Angeles, CA -6 MonthsWork Hours: 8 AM - 5 PMPay rate: $32.64/hrThis role requires experience with the California payer mix or specific California billing guidelines, which is a must-have for the position.***Experience with California payer mix (Medi-Cal and other California-specific guidelines) is required.*** Graduation from a formal coder...

  • Medical Coder

    7 days ago


    Los Angeles, United States System Soft Technologies Full time

    Location: Remote OK; Local candidates will be prioritized.Work Location: 2011 N. Soto St, Los Angeles, CA 90032Campus or Medical Enterprise: Medical EnterpriseDuration: 6 months, with a possible extensionWork Hours: 8 AM - 5 PMMust-Haves:Education and Experience:Graduation from a formal coder training program or completion of an academic class in medical...

  • Medical Coder

    7 days ago


    Los Angeles, United States System Soft Technologies Full time

    Location: Remote OK; Local candidates will be prioritized.Work Location: 2011 N. Soto St, Los Angeles, CA 90032Campus or Medical Enterprise: Medical EnterpriseDuration: 6 months, with a possible extensionWork Hours: 8 AM - 5 PMMust-Haves:Education and Experience:Graduation from a formal coder training program or completion of an academic class in medical...


  • Los Angeles, California, United States MedPOINT Management Full time

    About the RoleThis Risk Adjustment Coder position is responsible for reviewing medical records, identifying coding risk areas, and ensuring that training activities address these areas. The ideal candidate will have certification in one of the following: Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Coding...


  • Los Angeles, United States Infojini Full time

    Job DescriptionJob DescriptionBelow is the Job Description for your reference:Position: Medical CoderLocation: 100% Remote (Need locals to Los Angeles, CA 90032)Duration: 03+ months contract with possibility of extension  Shift timing: Mon- Fri: 8 am- 5 pm (40 hrs/day)Pay Rate: $32.65/hr on W2  Must-Haves:Education and Experience:Graduation from a...

  • Medical Coder

    11 hours ago


    Los Angeles, United States To Help Everyone Full time

    T.H.E. CLINIC, INC. JOB DESCRIPTION POSITION: HCC CODER DEPARTMENT: Information Technology STATUS: Full-Time, Non-Exempt POSITION SUMMARY: Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical...

  • Medical Coder

    1 day ago


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

    Job DescriptionJob DescriptionSouth Los Angeles based FQHC looking for onsite Certified HCC coder .*This is not a remote positionConduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare RiskAdjustments/Medicare Advantage. Evaluate medical information...


  • los angeles, United States Axelon Services Corporation Full time

    Medical CoderLos Angeles, CA3+ Month ContractRemote work available/may need to be onsite as requestedSalary Rate: $28.85 - $32.65/hrWork Hours: 8 AM - 5 PMSpecifically looking for job seekers with experience in California payer mix (Medi-Cal and other California-specific guidelines).Must-Haves:Education and Experience:Graduation from a formal coder training...


  • Los Angeles, United States LHH Recruitment Solutions Full time

    Job DescriptionJob DescriptionLHH seeks a Certified Medical Coder who will be focusing on medical and behavioral coding.This is an ONSITE position Monday - Friday ResponsibilitiesEnsure codes are assigned correctly and sequenced appropriately per government and insurance regulations Reviewing claims and configuration to ensure compliance with coding...


  • los angeles, United States Axelon Services Corporation Full time

    Medical Coder Los Angeles, CA 3+ Month Contract Remote work available/may need to be onsite as requested Salary Rate: $28.85 - $32.65/hr Work Hours: 8 AM - 5 PM Specifically looking for job seekers with experience in California payer mix (Medi-Cal and other California-specific guidelines). Summary: In accordance with current federal coding compliance...


  • Los Angeles, United States Altamed Health Services Corp Full time

    Certified Professional CoderGrow HealthyIf you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference.Job OverviewAssigned codes to patient...

  • Certified HCC Coder

    2 weeks ago


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

    About the Position:We are seeking a highly skilled Certified HCC Coder to join our team at To Help Everyone Health & Wellness Centers in South Los Angeles. As a vital member of our coding department, you will be responsible for ensuring accurate coding and compliance with regulatory guidelines.Responsibilities:Audit medical records for accurate documentation...

  • HCC Coder

    2 weeks ago


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

    Medical Coding Job Opportunity:We are seeking an experienced HCC Coder to join our team at T.H.E. Health and Wellness Centers in South Los Angeles.Compensation: $65,000 - $85,000 per yearAbout the Role:This is a full-time position responsible for coding diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage, conducting audits of medical...

  • HCC Auditor/ Coder

    7 days ago


    Los Angeles, United States Regal Medical Group Full time

    Education and/or Experience : Must have these requirements under the umbrella of the HCC industry:Requires knowledge in HCC Coding documentation guidelines.Requires technical expertise in ICD-9-CM or ICD-10-CM.Strong skills in medical record audit and review.Regulatory requirements for coded data.Medical record documentation requirements.Understanding of...


  • los angeles county, United States Regal Medical Group Full time

    Education and/or Experience : Must have these requirements under the umbrella of the HCC industry:Requires knowledge in HCC Coding documentation guidelines.Requires technical expertise in ICD-9-CM or ICD-10-CM.Strong skills in medical record audit and review.Regulatory requirements for coded data.Medical record documentation requirements.Understanding of...

  • HCC Auditor/ Coder

    3 weeks ago


    Los Angeles County, United States Regal Medical Group Full time

    Education and/or Experience : Must have these requirements under the umbrella of the HCC industry:Requires knowledge in HCC Coding documentation guidelines.Requires technical expertise in ICD-9-CM or ICD-10-CM.Strong skills in medical record audit and review.Regulatory requirements for coded data.Medical record documentation requirements.Understanding of...

  • Er Physician

    1 week ago


    Los Angeles, United States Bileddo Associates Full time

    Certified Medical Coder (Surgical, Ophthalmology, Anesthesiology, Orthopedic)Remote (Los Angeles office)Our client is the largest pediatric multi-specialty medical group in the United States. The Medical Group physicians are renowned as world leaders in pediatric specialty medicine, including medical, educational and research programs. Many of our physicians...


  • 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...


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

    Job ResponsibilitiesWe are seeking an experienced Certified HCC Coder to conduct audits of medical records, verify physician documentation, and code diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. The successful candidate will have a strong understanding of medical coding and be able to identify patterns of coding discrepancies.


  • Los Angeles, California, United States Scout Exchange Full time

    About the Role:This is an exciting opportunity to join our team as a Utilization Management Clinical Leader at Scout Exchange. As a key member of our Utilization Management Department, you will play a critical role in developing and implementing clinical policies and procedures that meet state regulatory and compliance requirements.Your primary...