Certified Medical Coder (remote ony SoCAL candidates accepted) - Prosum

Hybrid Remote for local SoCal candidates. 3 positions remaining.

MUST HAVE EXPERIENCE with California payer mix (Medi-cal and other California only guidelines).

Department: Patient Financial Services

LENGTH OF CONTRACT: 6 months

HOURLY RATE RAGE: $28.00-$31.15 (w2)

Our client is looking for coders, in accordance with current federal coding compliance regulations and guidelines, can use current ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems to accurately abstract, reconcile and review procedure and physician documentation in order to code, and enter into PBAR, Cerner or other electronic medical billing systems.

The person selected for the role understands coding/billing computer systems in a manner to assure bills drop timely with appropriate codes. He/she must meet the productivity and accuracy/quality standards including, but not limited to 98% of CCL charges entered into the electronic medical billing system within 3 days of date of service. The ideal candidate for the role must work collaboratively with physicians, staff and management to identify opportunities for improving charge capture, accuracy and timeliness of entry into electronic billing systems. Recommendations for staff education and process improvement will be escalated to the CCL Manager.

Minimum Education/Experience:

• Specialized/Technical Training – Graduation from a formal coder training program or completion of academic class in medical coding. (Combined experience/education as substitute for minimum education.)
• 2+ years with hospital coding or charge audit expertise
• Combined experience/education as substitute for minimum education. *Two additional years of coding experience may be substituted for education requirement.

Primary Accountabilities:

• Support Soarian Financials Billing Edits and Billing Processes
• Reviews and reconciles procedure documentation with supply charges and physician documentation
• Partner with staff and physicians to correct inaccuracies in HCPCS, ICD-10, CPT coding to accurately capture services provided
• Enters Cardiac Cath Lab procedure and supply charges into electronic billing systems (PBAR)
• Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate review of ICD10 and/or CPT code assignments with physician.
• Reviews, reconciles and corrects Cardiac Cath Lab charges in Cerner
• Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes.
• Provides completed patient data to billing staff or designated personnel.
• Performs other duties as assigned.