Facility Coder

Qualifications:
• Knowledge of and experience using ICD 10, CPT, and HCPCS coding.
• Knowledge of payor guidelines.
• Knowledge of and skill in using personal computers in a Windows environment with an emphasis on basic word processing and data entry
• Ability to work independently and make decisions
• Ability to pay close attention to detail.
• Ability to identify research and solve problems and discrepancies.
• Ability to communicate with employees, management and physicians in a courteous and professional manner.
• Ability to process assigned duties in an organized manner.
• Coder must be certified AAPC or AHIMA
• Commitment to a high level of customer service, solid oral and written communication skills
• Strong medical terminology
• Able to work independently

Tasks:
• Code and abstract clinical and demographic data for inpatient and, or outpatient encounters using standardized coding regulations, abstracting rules, and internal guidelines.
• Identify and resolve clinical documentation and charge capture discrepancies to improve quality of the clinical documentation, severity and reimbursement levels assigned, integrity of charges data reported.
• Maintain patient confidentiality and information security
• Performs medical necessity checks appropriately utilizing the CMS website for Medicare tests when these are brought to the coder's attention prior to the patient's encounter.
• Appropriately follows up on accounts that they have on hold due to documentation or billing issues.
• Perform other duties as assigned
• Team Size: 10 total on the coding team.
3-5 Must Have Skills/Qualifications
• 5 years of coding experience
• CCS or CPC
• Inpatient/Facility coding experience
• Specialty experience of ER/Pain Management/Injections/Infusions

Nice to Have Skills
• Hospital coding

Soft Skill/Attribute Requirements
• Coach-able

Schedule/Shift
• M-F 7am, 7:30am, 8am (can be flexible)
• The first day for onboarding is onsite. Everything after that is remote.

Preferred Companies/Industry Experience
Inpatient/Facility Coding

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

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