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    Certified Medical Coder - Los Angeles, United States - JWCH Institute

    JWCH Institute
    JWCH Institute Los Angeles, United States

    1 day ago

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    Description

    Job Description

    Job Description

    Position Purpose:

    Under the direction of the Billing Department Supervisor, the Certified Medical Coder will be responsible for assigning diagnosis and procedural codes and modifiers for comprehensive medical services performed by JWCH physicians. The Certified Medical Coder must apply all appropriate coding guidelines and legal requirements to ensure compliance. The Coder will verify and perform audits on clinician-completed charge tickets by ensuring accuracy of code assignment and billing data.

    Duties and Responsibilities:

    • Acts as the primary staff liaison between the providers and the Billing Dept.; and, effectively communicates to clarify diagnoses, procedures coding and documentation requirements.
    • Recommends appropriate ICD-10-CM, CDT diagnosis codes, CPT codes and HCPC codes.
    • Review diagnosis and procedure coding within Next-Gen, on a regular basis; and, ensure appropriate coding for optimal billing.
    • Work closely with clinicians on appropriate use of ICD-10 codes to maximize HEDIS, HCC and other performance incentives that are submitted through claims data.
    • In collaboration with Quality Insurance Team, ensures coding is appropriate to maximize Meaningful Use and other clinical incentive payments.
    • Provide compliance and coding training for new providers, during their onboarding/orientation.
    • Ensure that all codes are current and active.
    • Code based on documentation with the medical record.
    • Report missing or incomplete documentation.
    • Evaluate and Assure that all codes are submitted to third party payers and IPA
    • Serves as resource regarding insurance resolutions and coding questions.
    • Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
    • Supports the Billing Supervisor with improving current medical billing practices.
    • Conduct monthly coding audits and maintain outcome reports up to date
    • Ability to perform all other duties as assigned.

    Requirements/Qualifications:

    • High School diploma or GED
    • Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA license; meet state licensure requirements.
    • Maintain coding certification and attend in-service training as required.
    • Two (2) years of medical coding experience.
    • Understanding of medical terminology, anatomy and physiology.
    • Ability to work independently or as an active member of a team.
    • Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite
    • Ability to provide accurate and precise attention to detail.
    • Ability to multitask, prioritize, and manage time efficiently.
    • Excellent verbal and written communication skills.

    Preferred:

    • Bachelor's degree in related field.

    *JWCH requires employees to be vaccinated with exceptions only as required by law (i.e. medical or religion).

    Employee Benefits: JWCH Institute, Inc., offers competitive salaries for all positions. Employees working 30 hours per week or more are provided a monthly allowance which can be used towards medical, dental, vision, and life insurance premiums. The agency offers sick leave and vacation accrual, 11 paid holidays, jury duty pay, mileage reimbursement, employee parking, direct deposit, credit union, and an employee assistance program. In addition JWCH offers a 401(k) Profit Sharing plan to employees who work a minimum of 1,000 hours per fiscal year.

    Wesley Health Centers, JWCH Institute is an equal opportunity employer.

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