Billing and Coding Analyst - Surgical Subspecialty Clinic

County of Ventura; Ventura (CA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Educational incentive

Bilingual incentive

Job summary

County of Ventura’s Health Care Agency - Ambulatory Care seeks a Billing and Coding Analyst to support billing and coding in its Ambulatory Care Clinic System, covering ENT, plastic reconstruction, neurology, and urology.

The role acts as a bridge between billing and coding specialists, ensuring accurate diagnosis and procedure code assignment, supporting audits, training providers, and improving workflows for timely reimbursement.

Qualifications

• Seven (7) years of hands-on working knowledge and experience performing professional medical coding and/or billing duties in a medical system comparable to the Ventura County Medical Center or an outpatient clinic providing high volume surgical specialty services.
• Must possess and maintain at least one of the following: CCS, CPC, or CCS-P credential.
• Desirable: an associate or bachelor's degree in a business-related field.

Responsibilities

• Reviews electronic medical records to ensure accuracy of diagnosis, procedure codes, and modifiers in compliance with billing guidelines.
• Monitors work queues and reviews claim errors for timely resolution.
• Provides training and communication materials to providers on coding gaps.
• Performs data edits and corrections prior to transmittal using standard reports.
• Collaborates with billing staff to identify trends and improve reimbursement workflows.

Skills

Surgical coding knowledge

CPT/ICD-10/HCPCS familiarity

Billing and coding compliance

Provider/payer communication

Education

Seven years of hands-on medical coding/billing experience

Job description

THE POSITION:

Under general direction this position is responsible for providing billing and coding support within the Ambulatory Care Clinic System. The clinic areas of specialization include ENT, plastic reconstruction, neurology, and urology.

Distinguishing Characteristics

This classification is a bridge between the Medical Billing Specialist series and the Coder-Certified classification. It differs from the Coder-Certified classification in that the former is responsible for reviewing the accuracy of billing codes which have been entered by providers into our billing system and the latter is responsible for reviewing provider notes in patient’s charts to determine the correct billing code and entering into our billing system.

AGENCY/DEPARTMENT:

Health Care Agency - Ambulatory Care

EDUCATIONAL/BILINGUAL INCENTIVE:

Some positions may be eligible for educational incentive. This incentive may be 2.5%, 3.5%, or 5% for incumbents in eligible positions based on completion of an Associate's, Bachelor's, or Master's degree that is not required for the classification. Incumbents may also be eligible for bilingual incentive depending upon operational need and certification of skill.

Billing and Coding Analysts are represented by SEIU and are not eligible for overtime compensation.

The eligible list established from this recruitment will be used to fill current and future Regular (including Temporary and Fixed-term), Intermittent, and Extra Help vacancies for this position only.

There is currently one (1) regular full-time vacancy.

OPENING DATE:

March 23, 2026

CLOSING DATE:

Continuous

(Previously: April 3, 2026)

Examples Of Duties:

• Reviews electronic medical records initiated by a health care provider and ensures accuracy of diagnosis, procedure codes, and modifiers in accordance with Federal and State regulations in compliance with billing and coding guidelines.
• Effectively monitors assigned work queues and reviews claim errors, ensuring timely and accurate resolution of accounts.
• Review, Analyze and validate medical records to ensure completeness and accuracy of code selections while identifying educational opportunities. Prepares educational materials to communicate with providers when identifying gaps in clinical documentation for the selection of appropriate diagnosis, procedure and modifiers
• Performs edit checks on data entered prior to transmittal and correct errors as indicated by using our standard reporting such as discharged, not final billed (DNFB) Correction Required, Late Charges, Suspended Charges, Encounters with and without charges, and Past Due Arrival or other specialized reporting including Eligibility.
• Ensures accurately coded data is integrated properly into the billing process timely while developing efficient workflows and streamlining the reimbursement. Collaborate with the billing staff to identify trends and improvement opportunities .
• Conducts provider and staff training and on-going education on billing guidelines and audits the work of non-facility coders. Remains current with regulatory guidelines for billing and coding including health plans and coding updates.
• Review and Analyze denials, rejected claims, registration errors, missing authorizations and compiles training materials to educate the support staff for denial prevention and unnecessary claims rework.
• May be assigned multiple locations to ensure accurate and timely completion of assigned reporting and billing activities.
• Reviews application forms, supporting documentation, registration and billing for compliance with the sliding fee discount program.
• Participates in audit resolution, implementation and oversight of corrective action activities.
• Performs other related duties as assigned.

Typical Qualifications

These are entrance requirements to the examination process and assure neither continuance in the process nor placement on an eligible list.

Education, Training, And Experience

• Seven (7) years of hands-on working knowledge and experience performing professional medical coding and/or billing duties in a medical system comparable to the Ventura County Medical Center or an outpatient clinic providing high volume surgical specialty services similar to the Ventura County Ambulatory Care clinics.

NECESSARY SPECIAL REQUIREMENTS:

• Previous paid, professional billing and coding experience working in a surgical environment.
• Must possess and maintain at least one of the following:
• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC) as credentialed by the American Academy of Professional Coders (AAPC)
• Certified Coding Specialist-Physician (CCS-P) as credentialed by the American Health Information Management Association (AHIMA).

DESIRED:

• An associate or bachelor's degree in a business-related field.

Knowledge, Skills, and Abilities:

Thorough knowledge of: common surgical specialties such as otolaryngology (ENT), plastic reconstruction, urology and neurology; surgical terminology; operative report structures related to surgery; medical reimbursement programs and complexity of payment systems; Current Procedural Terminology Codes (CPT) codes, International Classification for Diseases (ICD)-10 codes, Health Care Procedure Coding System (HCPCS) codes for payment processing of Medicare and/or Medi-Cal; Medi-Cal Provider Manual for Billing and Policy and Program and Eligibility; the Treatment Authorization Request (TAR) process; authorization requirements and processes of private health plans (such as Blue Cross/Blue Shield and Healthnet) and the Ventura County Health Care Plan.

Ability to: interpret operative reports and surgical documentation; demonstrate open and direct communication with peers, managers, patients, and payers; review accounts for appropriate documentation, coding and billing information; evaluate and identify compliance and audit issues and work progressively with the compliance office to identify and resolve regulatory conflicts.

EQUAL EMPLOYMENT OPPORTUNITY:

The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation.

For further information about this recruitment, please contact Erin Niemi by e‑mail at erin.niemi@ventu racounty.gov or by telephone at [phone].