Accounting Manager - One Community Health - CA

Billing Medical CoderrnThe Billing Medical Record Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances. rn rnEssential FunctionsrnrnReview and adjudicate coding of services from documentation in a timely manner. rnCode physician/provider visit procedure notes to identify appropriate ICD9 and CPT4 codes for charge processing. rnEnsures that all diagnosis ICD9 codes and procedure CPT, HCPCS codes are identified, sequenced, and coded in an accurate and ethical manner for optimized reimbursement. rnAssigns Evaluation and Management codes and key concepts/elements documented in the patient note, utilizing defined coding guidelines applicable to professional and technical standardsrnResearch and identifies correct codes for routine, and/or new or unusual diagnosis and procedures not clearly listed in ICD-9 and CPT guidelines. and functions of the positionrnIdentify all procedures that may require modifiers (including 340B) for billing and reporting.rnConsult with physician and providers for clarification of clinical data when encountering conflicting or ambiguous information and/or significant missing documentation. rnTrack cases with insufficient documentation, ensuring the case does become appropriately coded and billed.rnEnsures documentation adheres to Federal, State and County billing policies.rnrnAdditional DutiesrnrnAd hoc duties as assigned. rnrn rnEducation/Experience RequiredrnrnComprehensive knowledge and understanding of medical coding including insurance payor guidelines, ICD-1O, CPT Billing, E/M coding typically gained from 2 years of experience in medical coding. rnAbility to analyze medical records in an Electronic Health Record system to identify documentation deficiencies and verify documentation supports diagnoses, procedures and treatments.rnLicenses/certifications must be kept current and in good standing, if applicable.rnrnPreferredrnrnCurrent CPC certification through AAPC or AHIMArnFQHC experience preferred.rnWork in collaboration with Billing Supervisor to provide Provider education on coding guidelines.rnOchin Epic or Epic experience preferred.rnrn rnReasonable AccommodationsrnOne Community Health endorses and supports the Americans with Disabilities Act of 1990 (ADA) and the California Fair Employment and Housing Act (FEHA) and is committed to providing reasonable accommodations to qualified individuals with disabilities who are applicants or employees who need accommodations. If you require and accommodation due to a disability to complete this application or you are experiencing difficulty submitting your application, please contact us at hr@onecommunityhealth.comrn rnOur BenefitsrnFor information on the comprehensive benefits we provide, please visit: https://onecommunityhealth.com/careers/benefits/