Job Description
Job Description We are recruiting for a Medical Billing Coder to join 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 remote work schedule after training. The Medical Coder will be responsible for managing day-to-day coding and billing operations along with provider education. Pay: $27-$32/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.
- Epic experience preferred.
Meet Your Recruiter Karleen Rocheleau var isBannerImage = ''; // if isBannerImage is empty or undefined if(isBannerImage''){ jQuery('.jb-recruiter-profile-picture').css('left', '0'); jQuery('.jb-recruiter-profile-picture').css('bottom', '0'); }
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