Alura Workforce Solutions
Certified Medical Coder
Alura Workforce Solutions, Los Angeles, California, United States, 90079
Position:
Certified Medical Coder Hybrid Role:
In Office (1) day weekly / Los Angeles Assignment Length : Contract/Possible Contract to Hire
Summary
The Revenue Cycle Medical Coder I is responsible for assigning Physician surgical diagnosis and procedural codes and Modifiers for medical billing purposes, which includes verification of charge capture. Position also performs a wide variety of duties, which may include coding accuracy and completeness prior to tickets being processed for billing, insurance filing, and revenue reporting. Monitors daily flow of charge tickets to ensure claim accuracy.
Duties Reviews charge tickets, identifies, and corrects errors, prepares tickets for review, including proper CPT and ICD-10 codes and proper linkage between the two. Reviews and maintains Athena worklist claims on a daily basis. Consistently meets and exceeds daily productivity and quality standards. Reviews scanned paper charge tickets for accuracy and completeness of codes. Maintains and expands knowledge of Anatomy and Physiology, Pathophysiology, Pharmacology, and Medical Terminology as basic building blocks for ICD-10-CM coding. Compiles, reviews, and performs data reports and other duties assigned by Management. Identifies trends and communicates to management team with findings. Works and collaborates closely with Revenue Cycle Team Members, Clinician, Physician, Division Leadership and Management. Keeps current of coding requirements by reviewing payer guidelines and regulations. Maintains a log of coding errors and omissions for review with management team. Stays current on coding and compliance regulatory requirements through professional membership literature, continuing education classes, support, and networking groups. Maintains current knowledge of regulatory requirements by CMS NCCI and MUE edits, Medi-Cal/CCS policies, and certain Medicare requirements. Attends various meetings and professional development programs on a regular basis; makes recommendations for revisions and/or new departmental procedures under the direction of management. Maintains audit record systems for radiology department. Performs other related duties as assigned by Management. Qualifications
Coding Credential, CPC from AAPC or CCS from AHIMA in good standing. Minimum two years of physician surgical coding experience required Ability to communicate in both written and verbal format with internal and external stakeholders. Ability to handle multiple tasks. Knowledge of medical terminology, CPT and ICD-10 coding, CMS NCCI and MUE edits. Familiarity with payer billing and reimbursement guidelines and regulations, including ability read and interpret payer Explanation Of Benefits (EOB), and Remittance Advice Details (RAD). Ability to meet deadlines and to follow assignments through to completion. Ability to organize and manage time effectively. Handle, in a professional and confidential manner, all correspondence, documentation, and files following HIP nd PHI guidelines. Ability to work independently and as a part of a larger team. Proficient in EMR systems such as Athena and medical coding platforms such as 3M Encoder
INDH
Certified Medical Coder Hybrid Role:
In Office (1) day weekly / Los Angeles Assignment Length : Contract/Possible Contract to Hire
Summary
The Revenue Cycle Medical Coder I is responsible for assigning Physician surgical diagnosis and procedural codes and Modifiers for medical billing purposes, which includes verification of charge capture. Position also performs a wide variety of duties, which may include coding accuracy and completeness prior to tickets being processed for billing, insurance filing, and revenue reporting. Monitors daily flow of charge tickets to ensure claim accuracy.
Duties Reviews charge tickets, identifies, and corrects errors, prepares tickets for review, including proper CPT and ICD-10 codes and proper linkage between the two. Reviews and maintains Athena worklist claims on a daily basis. Consistently meets and exceeds daily productivity and quality standards. Reviews scanned paper charge tickets for accuracy and completeness of codes. Maintains and expands knowledge of Anatomy and Physiology, Pathophysiology, Pharmacology, and Medical Terminology as basic building blocks for ICD-10-CM coding. Compiles, reviews, and performs data reports and other duties assigned by Management. Identifies trends and communicates to management team with findings. Works and collaborates closely with Revenue Cycle Team Members, Clinician, Physician, Division Leadership and Management. Keeps current of coding requirements by reviewing payer guidelines and regulations. Maintains a log of coding errors and omissions for review with management team. Stays current on coding and compliance regulatory requirements through professional membership literature, continuing education classes, support, and networking groups. Maintains current knowledge of regulatory requirements by CMS NCCI and MUE edits, Medi-Cal/CCS policies, and certain Medicare requirements. Attends various meetings and professional development programs on a regular basis; makes recommendations for revisions and/or new departmental procedures under the direction of management. Maintains audit record systems for radiology department. Performs other related duties as assigned by Management. Qualifications
Coding Credential, CPC from AAPC or CCS from AHIMA in good standing. Minimum two years of physician surgical coding experience required Ability to communicate in both written and verbal format with internal and external stakeholders. Ability to handle multiple tasks. Knowledge of medical terminology, CPT and ICD-10 coding, CMS NCCI and MUE edits. Familiarity with payer billing and reimbursement guidelines and regulations, including ability read and interpret payer Explanation Of Benefits (EOB), and Remittance Advice Details (RAD). Ability to meet deadlines and to follow assignments through to completion. Ability to organize and manage time effectively. Handle, in a professional and confidential manner, all correspondence, documentation, and files following HIP nd PHI guidelines. Ability to work independently and as a part of a larger team. Proficient in EMR systems such as Athena and medical coding platforms such as 3M Encoder
INDH