Location: Los Angeles,CA, USA
Description:
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Assignment Information:
Locals ONLY; Remote OK -
Work Location: 2011 N. Soto St, Los Angeles, CA 90032
Campus or Medical Enterprise: Medical Enterprise
Job Title: Coder
Number of Positions: 1
Duration: 13 weeks , with a possible extension
Work Hours: 8 AM 5 PM
Interview Process: 2-step video/Teams interview
Dress Code: Business Casual
Must-Haves:
Education and Experience:
Graduation from a formal coder training program orcompletion 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 educationalrequirements.), HS Diploma (or equivalent GED) is a MUST
MUST HAVE: Experience with California payer mix (Medicaland other California only guidelines)
Coding Knowledge and Skills:
Proficiency with ICD-10-CM/PCS, CPT-4, and HCPCS codesets/systems.
Experience with electronic medical billing systems suchas PBAR and Cerner.
Understanding of federal coding compliance regulationsand guidelines.
Accuracy and Productivity:
Ability to meet productivity and accuracy/qualitystandards, including entering 98% of CCL charges into the electronic billingsystem within 3 days of the date of service.
Collaborative Skills:
Experience working collaboratively with physicians,staff, and management to identify opportunities for improving charge captureand billing accuracy.
Error Resolution and Process Improvement:
Capability to review, reconcile, and correct charges anddocumentation errors.
Ability to provide recommendations for staff educationand process improvements to the CCL Manager.
Nice-to-Haves:
Technical Proficiency:
Familiarity with Soarian Financials Billing Edits andBilling Processes.
Additional Skills:
Experience in reviewing and editing previously submittedcharges due to billing errors or insurance requirement changes.
Ability to consult with medical providers to clarifyrecord information and determine appropriate codes.
Additional Experience:
Experience in reviewing and reconciling charges in otherelectronic medical billing systems beyond PBAR and Cerner.
Experience with cardiac Cath lab procedures and charges.
Summary:
In accordance with current federal coding complianceregulations and guidelines, use current ICD-10-CM/PCS, CPT-4, and HCPCS codesets/systems to accurately abstract, reconcile and review procedure andphysician documentation in order to code, and enter into PBAR, Cerner or otherelectronic medical billing systems. Understands coding/billing computer systemsin a manner to assure bills drop timely with appropriate codes. Meet theproductivity and accuracy/quality standards including, but not limited to 98%of CCL charges entered into the electronic medical billing system within 3 daysof date of service. Work collaboratively with physicians, staff and managementto identify opportunities for improving charge capture, accuracy and timelinessof entry into electronic billing systems. Recommendations for staff educationand process improvement will be escalated to the CCL Manager.
Minimum Education/Experience:
Specialized/Technical Training Graduation from a formalcoder 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 minimumeducation. *Two additional years of coding experience may be substituted foreducation requirement.
Primary Accountabilities:
Support Soarian Financials Billing Edits and BillingProcesses
Reviews and reconciles procedure documentation withsupply charges and physician documentation
Partner with staff and physicians to correct inaccuraciesin HCPCS, ICD-10, CPT coding to accurately capture services provided
Enters Cardiac Cath Lab procedure and supply charges intoelectronic billing systems (PBAR)
Consults with medical providers to clarify missing orinadequate record information and to determine appropriate diagnostic andprocedure codes. Provides thorough, timely and accurate review of ICD10 and/orCPT code assignments with physician.
Reviews, reconciles and corrects Cardiac Cath Lab chargesin Cerner
Reviews and edits previously submitted charges as neededdue to identified billing errors and/or insurance requirement changes.
Provides completed patient data to billing staff ordesignated personnel.
Performs other duties as assigned.
Medical Enterprise Non-Clinical Onboarding Must completeall onboarding requirements prior to the start date, with no exceptions.
Medical Enterprise Non-Clinical Onboarding Requirements:
Background, Education, and Employment
Background Check:
Social Security Trace: 7 years worked and lived found bySSN Trace
County Criminal F&M: 7 years
Federal Criminal: 7 years
Widescreen Plus National Criminal Search
National Sex Offender Registry
Healthcare Sanctions State
OIG/SAM
Education:
HS Diploma (or equivalent GED)
Employment:
Verification of 3 Employers, with 2 out of 3 verified
Other Requirements:
HIPAA Training
Application
Temporary Worker Agreement
Harassment & Discrimination Pamphlet
Medical Requirements:
Immunizations:
MMR (Measles, Mumps, Rubella): Proof of immunity orseries of 2 shots
Varicella (Chickenpox): Proof of immunity or series of 2shots
Hepatitis B: Proof of immunity or series of 3 shots;worker can decline with a declination form on file
TB Test:
Annual test required; results must be read within 24 to48 hours
Positive TB history requires chest x-ray results
Drug Screen:
Must be taken within 72 hours or the offer is rescinded.
10-panel drug test including:
Amphetamines
Barbiturates
Benzodiazepines
Cocaine metabolite
Opiates (Codeine, Morphine)
Hydrocodone
Hydromorphone
Oxycodone
Phencyclidine
Methadone
Propoxyphene
Influenza Vaccination:
Required for the current flu season (11/1 through 5/30)
Workers starting after May 1st should wait until afterSeptember 1st for the next flu shot season
Accepts signed personal/medical exemption
COVID Vaccinations:
Fully vaccinated with Covid-23-24 Vaccine
Accepts signed religious/medical exemption
Note: All items are billable except for the drug screen.
Qualified Applicants with arrest or Conviction recordswill be considered for Employment in accordance with the Los Angeles CountyFair Chance Ordinance for Employers and the California Fair Chance Act
Preferred skills Medical Coder