About this opportunity
North East Medical Services lists this Medical Coder opportunity in daly city, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
The Medical Coder is primarily responsible for performing chart reviews and coding audits; reviewing appropriate ICD-10 diagnoses codes, and CPT and HCPCS procedure codes assigned for evaluation and management of the patient. Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements.
ESSENTIAL JOB FUNCTIONS:
Performs pre-appointment HCC or risk adjustment chart reviews, coding audits, or other coding-related projects
Acts as internal resource for all coding inquiries from providers, Billing, Laboratory, Radiology, and other departments.
Provides real time coding consultation and review and evaluation of documentation to improve coding practices
Provides training to providers and Billing staff on use of ICD-10 codes
Queries provider documentation as appropriate
Provides Billing staff with coding and documentation information necessary to process a claim for reimbursement
Maintains knowledge of current coding guidelines and standards, annual updates, changes, additions, and deletions to ensure coding and billing compliance
Communicates code changes to appropriate departments
Reviews and updates coding policies and procedures as neededAssigns appropriate ICD-10 and CPT codes to patient encounters as needed
Assists Revenue Cycle manager and billing staff on technical projects
Acts as resource for providers for medical documentation inquiries
Performs other job duties as required by manager/supervisor
QUALIFICATIONS:
Completion of an AA or AS degree
Possession of AAPC or AHIMA credential such as CPC, CPC-P, CPMA, RHIT, RHIA, CCS, or CCS-P
Minimum of two years’ experience working in the healthcare industry in the areas of HCC or risk adjustment, health information, chart audit, medical coding, or billing
Prior coding experience highly preferred
Knowledge of medical terminology, anatomy, pathophysiology, pharmacology, CPT, ICD-10, clinical documentation, or medical billing processes
Excellent verbal and written communication skills
Experience with Microsoft Office (Word, Excel, PowerPoint) and Outlook
Detail-oriented and problem-solving skills
Ability to work independently with minimal supervision
Experience in an FQHC or community health center setting preferred
LANGUAGE:
Must be able to fluently speak, read, and write English.
Fluent in other languages are an asset.
STATUS:
This is an FLSA Non-exempt position. This is not an OSHA high-risk position.
NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).
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Worksite address
daly city, CA, 94013, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.