Certified Medical Coder

  • Los Angeles
  • Pacer Staffing
*Must-Haves Education and Experience:*
* *Graduation from a formal coder training program or completion of an academic class in medical coding.* *Valid Certification.*
* 2+ years of hospital coding or charge audit experience. (Two additional years of coding experience may substitute for educational requirements.), HS Diploma (or equivalent – GED) is a MUST
* *Experience with California payer mix (Medi-Cal and other California-specific guidelines) is required.*

*Coding Knowledge and Skills:*
* Proficiency with ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems.
* Experience with electronic medical billing systems such as PBAR and Cerner.
* Understanding of federal coding compliance regulations and guidelines.

*Technical Proficiency:*
* Familiarity with Soarian Financials Billing Edits and Billing Processes.

*Additional Skills:*
* Experience in reviewing and editing previously submitted charges due to billing errors or insurance requirement changes.
* Ability to consult with medical providers to clarify record information and determine appropriate codes.

*Additional Experience:*
* Experience in reviewing and reconciling charges in other electronic medical billing systems beyond PBAR and Cerner.
* Experience with cardiac Cath lab procedures and charges.

*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.

Job Types: Full-time, Contract

Pay: $30.00 - $32.65 per hour

Expected hours: 40 per week

Schedule:
* 8 hour shift
* Monday to Friday



Education:
* High school or equivalent (Required)

Experience:
* Medical coding: 3 years (Required)
* Medical billing: 2 years (Required)
* California payer mix: 2 years (Required)
* Soarian Financials: 3 years (Preferred)

License/Certification:
* Certified Professional Coder/ Certified Coding Specialist (Required)


Work Location: In person

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