We are recruiting a Medical Coder for a healthcare organization in Sacramento. This is a direct hire opportunity, and our client offers a generous benefits package, with 90% health coverage for the employee, 401 k plus employer match, and other exciting benefits! The Medical Coder will be responsible for managing day-to-day coding and billing operations. Pay: $27-$34/hour DOE. The ideal candidate will have expertise in coding guidelines and medical billing processes, with proficiency in Epic and... more details
We are recruiting a Medical Coder for a healthcare organization in Sacramento. This is a direct hire opportunity, and our client offers a generous benefits package, with 90% health coverage for the employee, 401k plus employer match, and other exciting benefits! The Medical Coder will be responsible for managing day-to-day coding and billing operations. Pay: $27-$34/hour DOE.
The ideal candidate will have expertise in coding guidelines and medical billing processes, with proficiency in Epic and CPC certification.
RESPONSIBILITIES:
Coding & Billing: Review and adjudicate coding of services from documentation in a timely manner.
Procedure Coding: Code physician/provider visit procedure notes to identify appropriate ICD-10 and CPT-4 codes for charge processing.
Code Optimization: Ensure that all diagnosis ICD-10 codes and procedure CPT, HCPCS codes are identified, sequenced, and coded accurately and ethically for optimized reimbursement.
E&M Coding: Assign Evaluation and Management codes based on key documented concepts/elements, adhering to defined coding guidelines.
Research: Identify correct codes for routine, new, or unusual diagnoses and procedures not clearly listed in ICD-10 and CPT guidelines.
Modifier Identification: Identify procedures requiring modifiers (including 340B) for billing and reporting.
Provider Education: Collaborate with the Billing Supervisor to provide coding guideline education to providers.
Clinical Data Consultation: Consult with physicians and providers for clarification of clinical data when encountering conflicting or ambiguous information and/or significant missing documentation.
Documentation Tracking: Track cases with insufficient documentation to ensure they become appropriately coded and billed.
Policy Adherence: Ensure documentation adheres to Federal, State, and County billing policies.
SKILLS & QUALIFICATIONS:
Minimum 2 years of experience in medical coding.
High school diploma or equivalent required.
Current CPC certification through AAPC or AHIMA required.
Comprehensive knowledge and understanding of medical coding, including insurance payor guidelines, ICD-1O, CPT Billing, and E/M coding.
Ability to analyze medical records in an Electronic Health Record system to identify documentation deficiencies and verify documentation supports diagnoses, procedures, and treatments.
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