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Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) CalOptima CalOptima Health is seeking a highly motivated Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) to join our team. The Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) will be responsible for assisting with all Hierarchical Condition Categories (HCC) projects and Medi-Cal Annual Wellness Visit Initiative Program. The incumbent will handle risk adjustment-related activities to ensure the Centers for Medicare &amp; Medicaid Services (CMS) and Department of Health Care Services (DHCS) coding and documentation guidelines are met. The incumbent will assist in improving risk score performance through collaboration with CalOptima Health's health networks, contracted providers and Program of All-Inclusive Care for the Elderly (PACE) providers. The incumbent will substantiate and verify the member's medical records using International Classification of Diseases (ICD)-10 Clinical Modification (CM) official guidelines for coding and reporting during the review process. The incumbent will verify the accuracy, completeness and appropriateness of diagnosis codes based on the medical documentation provided. As part of the medical records review, travel may be required to physician offices or physician medical groups throughout Orange County. Position Information: 
<ul>
<li>Department: Financial Analysis </li>
<li>Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>80% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Reviews and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes based on documentation and creates tools/tip sheets for audit staff to utilize for future audits based on findings.</li>
<li>Conducts in depth retrospective and prospective medical record audits to assess the accuracy of ICD-10 CM coding for chronic conditions as it pertains to HCC for CalOptima Health Community Network (CHCN), PACE providers and delegated health networks.</li>
<li>Tracks all network HCC activities, including training, audit results and evaluating future outcomes, which includes monitoring performance improvement of network providers by observing patterns and trends and recommending solutions to the manager.</li>
<li>Reviews medical record information to identify all appropriate coding CMS HCC categories and DHCS coding and monitors the DHCS and CMS websites for updates.</li>
<li>Reviews additional data identified from audits to ensure timely data entry for CMS sweeps.</li>
<li>Identifies providers for education and training opportunities following ICD-10-CM coding guidelines based on HCC audit results and Medi-Cal Annual Wellness Visit Initiative Program and reports findings to the Manager.</li>
<li>Assists with CMS Risk Adjustment Data Validation (RADV) and Office of Inspector General (OIG) audits, including workflow or data collection requirements and creating and maintaining HCC audit results when applicable.</li>
<li>Performs code abstraction on supported clinical documentation identified as opportunities through Natural Language Processing (NLP) software. </li>
</ul>
</li>
<li>15% - Administrative Support
<ul>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Assists manager in evaluating existing reports for PACE members provided by CMS and collaborates with Financial Analysis to create any custom report required to assist with audits. </li>
</ul>
</li>
<li>5% - Other-
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in public health, business administration or related field PLUS 5 years of risk adjustment coding and chart audit/quality experience in a managed care or health care environment required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>Have access to means of transportation for work away from the primary office approximately 20% of the time required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Registered Health Information Technician (RHIT) or Certified Risk Adjustment Coder (CRC). </li>
<li>Experience with conducting presentations and performing physician education.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>Current Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) by the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) required. Certification is required to be current and maintained during employment.</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6299515&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 26, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6299515" target="_blank">https://jobs.caloptima.org/jobs/certified-coding-specialist-sr-hcc-medicare-and-medi-cal-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-d4deeaad9bc4a74cb61631e4900eb19a

Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal)

<h3>Job Description</h3>
Job DescriptionCertified Professional Coder- Medical Billing Department (CPC/ CPC-A) Job Type Full-time Full Job Description Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full time employees and we are always accepting applications from qualified candidates.&nbsp; We are currently seeking a full-time CPC or CPC-A Certified Professional Coder. If you are an Apprentice you are also encouraged to apply. We can offer you the opportunity to work &nbsp;and grow as a coder for a large multi-specialty group. We are willing to train the right candidate. This will offer coders from all levels of experience the opportunity to work with a diverse group of CPC's on a variety of specialties. Some of the specialties include: Hospitalists, Cardiology, Pulmonary and Critical Care, Sleep Specialists, Endocrinology, Podiatry, OB/GYN, Colo/Rectal, Urgent Care, Dermatology, ENT and much more. Remote and/or Hybrid opportunities are available. Duties &amp; Responsibilities:
<ul>
<li>Review charge tickets, progress notes, and op notes to apply appropriate CPT, ICD-10 and HCPCS codes.&nbsp;</li>
<li>Review denied claims queue’s needing coding review for multispecialty claims and identify how to correct the claim to ensure&nbsp;payment.</li>
<li>Participate in month end closing processes. This requires end of month black out dates. Extended hours and weekend shifts may be required during the month end time frame. (Aprx last week of the month)</li>
<li>Maintains required annual CEU’s</li>
<li>Special Projects as assigned</li>
</ul>
Qualifications:
<ul>
<li>Must be&nbsp;licensed&nbsp;as a Certified Professional Coder (CPC) or Certified Professional Coder- Apprentice (CPC-A)</li>
<li>Ability to communicate effectively &amp; professionally orally and in writing.</li>
<li>Must demonstrate the ability to work as a team member.</li>
<li>Must demonstrate a positive attitude, and helpful demeanor.</li>
<li>Attention to detail a must</li>
<li>Ability to work independently with little to no direct supervision</li>
<li>Self-starter who is willing to learn and grow</li>
<li>General knowledge of standard office equipment such as computers, fax machine, photo copier, etc.</li>
<li>General medical office experience a plus</li>
<li>Locations in Chesapeake and Virginia Beach</li>
</ul>
Education and/or Experience:
<ul>
<li>CPC or CPC-A Required</li>
</ul>
Additional Benefits Offered to full time CPC Coders:&nbsp;
<ul>
<li>Remote work from home opportunity available to CPC coders after 1 year of successful employment</li>
<li>Reimbursement of AAPC annual dues</li>
<li>All CPT, ICD-10, HCPCS and Specialty books are provided annually</li>
<li>Access to Codify</li>
<li>Opportunities for continued training available by specialty</li>
</ul>
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Medical Coder

<h3>Job Description</h3>
Job DescriptionJob ProfileJob Title: Medical CoderLocation: Buffalo, NYHire Type: Temp-to-hirePay Range: $27-35/hr DOEWork Model: OnsiteRecruiter Contact: Amy Dugenske | <a href="mailto:adugenske@imaginestaffing.net" target="_blank">adugenske@imaginestaffing.net</a> | 716-256-1289Karissa Lubberts | <a href="mailto:klubberts@imaginestaffing.net" target="_blank">klubberts@imaginestaffing.net</a> | 716-256-1254Nature &amp; Scope:Positional OverviewAre you passionate about accuracy, detail, and the critical role medical documentation plays in patient care and reimbursement? This opportunity places you at the center of clinical operations, where your coding expertise ensures compliance, maximizes reimbursement, and supports high-quality healthcare delivery. You’ll review evaluation and management records, diagnostic procedures, and clinical documentation to assign accurate CPT and diagnosis codes—becoming a vital link between patient care and revenue integrity. If you're motivated by precision and have a solid foundation in anatomy, physiology, and medical terminology, this role offers the chance to make a measurable impact within a dynamic healthcare setting.Role &amp; Responsibility:Tasks That Will Lead To Your Success
<ul>
<li>Review E/M, diagnostic and procedural documentation and assign correct CPT and diagnosis codes.</li>
<li>Work with RCM team to identify patterns, trends and variations in coding and documentation practices.</li>
<li>Prepare documentation summary/findings to support development of corrective action plans.</li>
<li>Assist management team in the development of effective education programs for staff.</li>
<li>Provide on-going guidance to RCM team on the correct use of modifiers.</li>
<li>Assist RCM team with documentation required to appeal claims and overturn denials. </li>
<li>Assess claims to ensure adherence with payer guidelines.</li>
<li>Research and work collaboratively with clinic staff to capture all billing activities (e-bill management). This may require access to additional information systems (EMR or Data Warehouse).</li>
<li>Respond to RCM team and vendors promptly to address information needed for claim resubmission and denial resolution.</li>
<li>Assist in the development of protocols and workflows to ensure correct billing and maximum reimbursement.</li>
<li>Maintain productivity and accuracy standards as determined by each division.</li>
<li>Deliver exemplary customer service in order to provide a positive experience across the organization.</li>
<li>Perform other duties assigned by management.</li>
<li>Assist with implementing updated guidelines.</li>
<li>Remain current with respect to regulatory changes.</li>
</ul>
Skills &amp; ExperienceQualifications That Will Help You Thrive
<ul>
<li>Associates degree or equivalent experience preferred</li>
<li>1-3 years of progressive coding experience preferred</li>
<li>Current CPC, CCS, RHIA or RHIT certification required,</li>
<li>Working knowledge of anatomy, physiology and medical terminology required, Experience working in EMR system preferred</li>
</ul>

<h3>Job Description</h3>
Job DescriptionSalary: $15 - $20 per hour 
Medical Coder
Come work at Hixardt Technologies, Inc. (Hixardt) a leading firm in our industry. We are looking to hire an experienced certified Medical Coders that have experience coding for the Department of Veterans Affairs (VA) to help us keep growing. To be effective in performing this job you must be proficient with the VA's coding applications and encounter codes. The majority of the encounters that we need to code are all specialties, ENT, GI, GU, Rheumatology, Ortho, Oncology, Hematology, Cardiology, PT/OT, Chiropractic,Pro FeesInpatient, and Diagnostic Services, Radiology, and Laboratory Services. If you're hard-working and dedicated, Hixardt is an ideal place to get ahead.
Primary Duties and Responsibilities:
<ul>
<li> Perform Coding for records pertaining to Inpatient, outpatient, and surgeries performed with a minimum of 95% accuracy and as per turnaround time requirements.</li>
<li> Coders will need to be able to code all types of coding to be able to transition between various types of coding to assist as needed.</li>
<li> Ability to read and interpret health record documentation to identify all diagnoses and procedures that affect the current outpatient encounter visit, ancillary, inpatient professional fees, and surgical episodes. </li>
<li> Apply knowledge of current Diagnostic Coding and Reporting Guidelines for outpatient services. </li>
<li> Apply knowledge of Diagnostic, Procedure, Professional, and coding guidelines for inpatient services. </li>
<li> Apply knowledge of Common Procedural Terminology format, guidelines, and notes to locate the correct codes for all services and procedures performed during the encounter/visit and sequence them correctly. </li>
<li> Apply knowledge of procedural terminology to recognize when an unlisted procedure code must be used in Common Procedural Terminology. </li>
<li> Code in accordance with VHA Coding Guidelines. </li>
</ul>
Requirements:
<ul>
<li> CPC certification or other coding certification is required.</li>
<li> Experience in surgery coding is required.</li>
<li> Experience coding for the Government.</li>
<li> Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding.</li>
<li> Ability to work as a team.</li>
<li> Excellent communication skills: both written and verbal.</li>
<li> Current Coding certification with valid proof of certifications.</li>
<li> Security clearance is preferred.</li>
<li> Knowledge of VHA guidelines is preferred.</li>
</ul>
Qualifications and Experience:
<ul>
<li> Minimum of two years experience in Medical Coding for Surgery specialty.</li>
<li> Ability to investigate patient accounts for accuracy and completeness. Ability to demonstrate a high level of problem-solving skills. Ability to work effectively with co-workers and management.</li>
<li> Clinical knowledge gained through education or experience. Computer keyboarding skills and basic computer knowledge including MS Word.</li>
<li> Ability to maintain confidentiality of patient information in accordance with HIPAA guidelines.</li>
<li> Knowledge of Official Guidelines for Coding and Reporting. High level of competence in coding ICD-10-CM/PCS with a high degree of accuracy.</li>
<li> Experience with EHR, Nuance, EM, Cerner, and Vista.</li>
</ul>
 remote work

<h3>Job Description</h3>
Job Description 
About Us:
We are a service-based company and as a licensed Third-Party Administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's expectations. We’re an innovative company creating a unique experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach.
Responsibilities:
<ul>
<li>Conduct quality assurance audits to ensure coding accuracy and compliance.</li>
<li>Assign and sequence ICD-10, CPT, and HCPCS codes to diagnoses and procedures.</li>
<li>Ensure codes are accurate and compliant with government and insurance regulations.</li>
<li>Review clinical documents, medical records, and patient charts for correct coding.</li>
<li>Ensure coding is timely, accurate, and compliant with healthcare guidelines.</li>
<li>Collaborate with healthcare providers and administrative staff to resolve coding discrepancies.</li>
<li>Prepare and submit coded data for insurance claims, addressing any claim denials or issues.</li>
<li>Stay updated on coding changes, medical terminology, and regulatory updates.</li>
<li>Follow up with providers on insufficient or unclear documentation.</li>
<li>Communicate with staff regarding documentation needs.</li>
<li>Research complex or unusual coding cases.</li>
<li>Review patient charts and documents for accuracy.</li>
<li>Ensure all codes are current and active.</li>
</ul>
Benefits
<ul>
<li>Excellent health and dental insurance coverage</li>
<li>Free vision, life, and hospital gap insurance</li>
<li>12 paid holidays</li>
<li>Paid Time Off</li>
<li>401K with company match up to 4%</li>
</ul>
Requirements:
<ul>
<li>High school diploma or equivalent (required); Certification in medical coding (e.g., CPC, CCS, or equivalent) is preferred.</li>
<li>Previous experience in medical coding or a related healthcare field is a plus.</li>
<li>Strong knowledge of ICD-10, CPT, and HCPCS coding systems.</li>
<li>Familiarity with medical terminology, anatomy, and clinical procedures.</li>
<li>Attention to detail and accuracy in coding and documentation.</li>
<li>Ability to communicate effectively with healthcare providers and insurance companies.</li>
<li>Knowledge of HIPAA and other healthcare privacy regulations.</li>
<li>Knowledge of Microsoft Excel, Word, Outlook and Teams software.</li>
</ul>
 Working hours are from 9:00 am to 6:00 pm with 1 hour lunch

<h3>Job Description</h3>
Job DescriptionSalary: DOE 
Teche Action Clinic, A Federally Qualified Health Center, per Section 330 of the Public Health Service Act, is currently seeking qualified applicants for the Medical Coder position in Franklin, Louisiana.
 
 
JOB SUMMARY:
The Medical Coder is responsible for accurately translating healthcare services into standardized codes for billing and reimbursement purposes. This position requires expertise in medical coding, familiarity with insurance regulations, and the ability to ensure that medical records are complete and accurate.
JOB DUTIES AND RESPONSIBILITIES:
 Review patient medical records to determine appropriate codes for diagnoses and procedures
 Assign ICD-10, CPT, and HCPCS codes based on clinical documentation
 Ensure accuracy and compliance with insurance and government regulations
 Work with providers to clarify documentation and correct coding errors
 Reports to Billing Supervisor relevant coding trends and denial issues
 Monitdr coding trends to ensure that coding practices remain in compliance with updated regulations
 Assist with coding audits and reviews
 Collaborate with the billing department to ensure proper claim submission.
 Works with other staff to follow-up on accounts until zero balances
 Assists with coding and error resolution
 Contacting payers on denials and correcting claims for resubmission and payment
 Assists with answering the telephone, taking and relaying messages
 Maintains required billing records, reports and files
 Understands and observes organization policies regarding confidentiality and security of information
 Retrieve online remittance advices
 Posts all payments to patient accounts accordingly and in a timely manner
 Assist PSR's with billing and account inquiries including but not limited to voiding payments posted in error and patient
 account inquiries
 Maintains information on encounters not received by providers and communicates this information with those providers
 Working assigned special projects as needed
 Effectively communicates with the organization and with the community to provide quality services
 Serves as a resource when needed, including assisting in co-worker training and orientation
 Participates in educational experiences designed to maintain competence
 Other duties as assigned
QUALIFICATIONS:
 3+ years of experience in medical coding, with a strong understanding of ICD-10, CPT, and HCPCS codes.
 Experience with coding audits and payer-specific requirements.
 Strong attention to detail and problem-solving skills.
 Proficient in medical coding software and EHR systems.
 Ability to work in a fast-paced environment while maintaining accuracy.
Math Ability: Basic understanding of mathematics
Computer Skills: Understanding of Microsoft Office (Excel, Word, etc.)
Professional and Communication Skills: Must be able to communicate with patients and coworkers in a professional manner, follow basic instructions, work independently and as part of a team, be able to work with a deadline, be able to operate a fax machine, copier, adding machine and a multi-line telephone
 
**Due to CMS Mandate all applicants must be fully vaccinated prior to onboarding with TAC with the exception of an approved Medical or Religious Exemption.**

<h3>Job Description</h3>
Job DescriptionWe are seeking a Medical Coder to join our team. Individual must be detail oriented, possess excellent organization skills, have a strong work ethic, work well in a team environment. Previous medical coding experience is a must. Prior anesthesia coding experience helpful but not required. The ideal candidate has excellent attention to detail, strong work ethic, motivated, and a self starter.&nbsp; Responsibilities
<ul>
<li>Assign ICD-10 and CPT ASA code to cases</li>
<li>Perform front end revenue cycle functions along with coding</li>
<li>Maintain patient confidentiality &nbsp;</li>
<li>Be able to meet production deadlines</li>
</ul>
Qualifications
<ul>
<li>Previous experience with medical coding or billing desired</li>
<li>Strong organization skills</li>
<li>Excellent attention to detail</li>
<li>Ability analyze and draw conclusions from information available</li>
<li>Basic to intermediate computer skills</li>
</ul>

<h3>Job Description</h3>
Job Description
As the EMS Coder, you will play a vital role in transcribing and translating emergency transport service clinical records into ICD-10 codes. Your specialized knowledge in EMS coding will ensure accurate billing charge production as an integral part of the claim submission process.
This position is ONSITE and must have Emergency Coding Experience to be considered. 
ESSENTIAL DUTIES &amp; ACCOUNTABILITIES:
Research and compile information for accurate billing processes, assigning billing charge codes and ICD-10 codes, considering signs, symptoms, and mechanisms of injury.
<ul>
<li>
Prioritize classification codes based on severity for effective billing purposes.
</li>
<li>
Stay informed about payer lists of allowed and appropriate codes for EMS services.
</li>
<li>
Prioritize workflow for timely claim submission.
</li>
<li>
Demonstrate knowledge of state and federal insurance regulations.
</li>
<li>
Analyze and resolve complex issues.
</li>
<li>
Uphold Medicare, Medicaid, and HIPAA guidelines.
</li>
</ul>
 QUALIFICATION REQUIREMENTS:
<ul>
<li>
Minimum of two years of recent EMS ICD-10 Coding Experience (excluding coding for other than EMS) required
</li>
<li>
High school diploma or equivalent.
</li>
<li>
Certification in Medical Coding is required.
</li>
<li>
Knowledge of Current Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding (HCPCS) codes.
</li>
<li>
Understanding of Medicare, Medicaid, and HIPAA guidelines.
</li>
</ul>
 Perks:
<ul>
<li>
Catered daily lunches or daily DoorDash voucher is you craving something different! 
</li>
<li>
Eligible for a $7,500 sign-on bonus.
</li>
</ul>
Onsite location in Phoenix, AZ 85008 
ELIGIBLE EMPLOYEE BENEFITS INCLUDE:
<ul>
<li>
Medical, Dental, and Vision plans.
</li>
<li>
Life/AD&amp;D Insurance Plans.
</li>
<li>
Disability Plans.
</li>
<li>
Flexible Spending Accounts.
</li>
<li>
Employee Assistance Programs.
</li>
<li>
Critical Illness coverage.
</li>
<li>
Accident coverage.
</li>
<li>
Legal Services.
</li>
<li>
Pet Insurance.
</li>
<li>
Home and Auto insurance options.
</li>
</ul>
 &nbsp;
 Pay Details: $23.00 to $28.00 per hour Search managed by: Joanna Calderon Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to <a href="https://www.lhh.com/us/en/candidate-privacy" target="_blank">https://www.lhh.com/us/en/candidate-privacy</a> The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: 
<ul>
<li>The California Fair Chance Act</li>
<li>Los Angeles City Fair Chance Ordinance</li>
<li>Los Angeles County Fair Chance Ordinance for Employers</li>
<li>San Francisco Fair Chance Ordinance</li>
</ul>

<h3>Job Description</h3>
Job DescriptionBenefits/Perks 
<ul>
<li>Flexible Scheduling</li>
<li>Competitive Compensation</li>
<li>Careers Advancement</li>
</ul>
Job Summary We are seeking a front desk Medical/ biller/ Coder/ to join our team. In this role, you will transcribe patient records and process claims for reimbursements. You will be responsible for selecting the correct codes and functions to be assigned to each instance. The ideal candidate is detail-oriented with strong people skills and computer skills. Responsibilities 
<ul>
<li>Account for coding and abstracting of patient medical appointments</li>
<li>Research and analyze data needs for reimbursement</li>
<li>Ensure codes are properly sequenced</li>
<li>Analyze, file, and process medical records</li>
<li>Keep detailed documentation of any deficiencies or issues with medical records</li>
<li>Provide education and training to other coding staff</li>
<li>Review and verify documentation</li>
</ul>
Qualifications 
<ul>
<li>High school diploma/GED or equivalent</li>
<li>Previous experience as a Medical Coder or in a similar position</li>
<li>Familiar with coding software and other computer programs</li>
<li>Strong written and verbal communication skills</li>
<li>Highly organized and able to problem-solve</li>
<li>Ability to adhere to strict confidentiality guidelines</li>
</ul>

722 medical-coder Jobs