Childrens Hospital Los Angeles Medical Group, Inc.
Medical Coder II
Childrens Hospital Los Angeles Medical Group, Inc., Los Angeles, California, United States, 90079
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Medical Coder II
role at
Childrens Hospital Los Angeles Medical Group, Inc. (CHLAMG) 2 days ago Be among the first 25 applicants Join to apply for the
Medical Coder II
role at
Childrens Hospital Los Angeles Medical Group, Inc. (CHLAMG) Get AI-powered advice on this job and more exclusive features. Primary Purpose Of The Position
The Revenue Cycle Medical Coder II is responsible for assigning diagnosis, procedural, and modifier(s) codes 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. Please note this is not a remote position as you will be expected to come into the office based in Los Angeles, CA. Primary Purpose Of The Position
The Revenue Cycle Medical Coder II is responsible for assigning diagnosis, procedural, and modifier(s) codes 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. Please note this is not a remote position as you will be expected to come into the office based in Los Angeles, CA.
Essential Duties Of The Position May Include The Following
Reviews charge tickets, identifies and corrects errors, prepares tickets for review, including proper CPT and ICD-10 codes and proper linkage between the two. Abstracts all surgical and designated diagnostic procedures and assigns appropriate procedure codes and modifiers using the International Classification of Diseases (ICD-10) system, and the Physicians Current Procedural Terminology (CPT-4). Reviews and maintains Athena worklist claims on a daily basis. Consistently meets and exceeds daily productivity and quality standards. Effectively works on complex and escalated cases. Cross-trained; i.e coding different specialties. 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 the management team with findings. Works and collaborates closely with Revenue Cycle Team Members, Clinician, Physician, Division Leadership, and Management. Keeps current with coding requirements by reviewing payer guidelines and regulations. Maintains a log of coding errors and omissions for review with the 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 regularly; makes recommendations for revisions and/or new departmental procedures under the direction of management. Maintains audit record systems for the radiology department. Performs other related duties as assigned by Management.
Job Qualifications
Knowledge and skill:
Coding Certification, CPC from AAPC or CCS from AHIMA At least five (5) years of medical coding experience preferred. Ability to communicate in both written and verbal formats 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 the ability to 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 HIPAA and PHI guidelines. Ability to work independently and as a part of a larger team. Microsoft Word, Outlook, and Excel knowledge preferred. Ability to prepare, file, and maintain patient records, file reports, and other correspondence. Seniority level
Seniority level
Mid-Senior level Employment type
Employment type
Other Job function
Job function
Health Care Provider Industries
Hospitals and Health Care Referrals increase your chances of interviewing at Childrens Hospital Los Angeles Medical Group, Inc. (CHLAMG) by 2x Sign in to set job alerts for Medical Coder roles.
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Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
Medical Coder II
role at
Childrens Hospital Los Angeles Medical Group, Inc. (CHLAMG) 2 days ago Be among the first 25 applicants Join to apply for the
Medical Coder II
role at
Childrens Hospital Los Angeles Medical Group, Inc. (CHLAMG) Get AI-powered advice on this job and more exclusive features. Primary Purpose Of The Position
The Revenue Cycle Medical Coder II is responsible for assigning diagnosis, procedural, and modifier(s) codes 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. Please note this is not a remote position as you will be expected to come into the office based in Los Angeles, CA. Primary Purpose Of The Position
The Revenue Cycle Medical Coder II is responsible for assigning diagnosis, procedural, and modifier(s) codes 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. Please note this is not a remote position as you will be expected to come into the office based in Los Angeles, CA.
Essential Duties Of The Position May Include The Following
Reviews charge tickets, identifies and corrects errors, prepares tickets for review, including proper CPT and ICD-10 codes and proper linkage between the two. Abstracts all surgical and designated diagnostic procedures and assigns appropriate procedure codes and modifiers using the International Classification of Diseases (ICD-10) system, and the Physicians Current Procedural Terminology (CPT-4). Reviews and maintains Athena worklist claims on a daily basis. Consistently meets and exceeds daily productivity and quality standards. Effectively works on complex and escalated cases. Cross-trained; i.e coding different specialties. 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 the management team with findings. Works and collaborates closely with Revenue Cycle Team Members, Clinician, Physician, Division Leadership, and Management. Keeps current with coding requirements by reviewing payer guidelines and regulations. Maintains a log of coding errors and omissions for review with the 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 regularly; makes recommendations for revisions and/or new departmental procedures under the direction of management. Maintains audit record systems for the radiology department. Performs other related duties as assigned by Management.
Job Qualifications
Knowledge and skill:
Coding Certification, CPC from AAPC or CCS from AHIMA At least five (5) years of medical coding experience preferred. Ability to communicate in both written and verbal formats 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 the ability to 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 HIPAA and PHI guidelines. Ability to work independently and as a part of a larger team. Microsoft Word, Outlook, and Excel knowledge preferred. Ability to prepare, file, and maintain patient records, file reports, and other correspondence. Seniority level
Seniority level
Mid-Senior level Employment type
Employment type
Other Job function
Job function
Health Care Provider Industries
Hospitals and Health Care Referrals increase your chances of interviewing at Childrens Hospital Los Angeles Medical Group, Inc. (CHLAMG) by 2x Sign in to set job alerts for Medical Coder roles.
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Sub Medical Insurance Biller Sub Instructor (P.M)- Glendale Career College
Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr