Certified Coder

Park Bridge Rehabilitation and Wellness Center; Alameda (CA); On-site; USD 42,000 - 71,000; Full time

Benefits offered by this job

Comprehensive benefits program

Job summary

Alameda Health System is seeking a skilled Medical Coder responsible for interpreting medical documentation, assigning ICD-10-CM and CPT codes, and applying payer guidelines to maximize compliant reimbursement.

The role requires 3–5 years of coding experience, CCS-P or CPC certification, and strong collaboration with physicians and the Billing team. On-site position with a comprehensive benefits program.

Qualifications

• 3–5 years of experience in coding or related billing/revenue integrity.
• Experience coding and auditing professional fee procedures and office visits.
• Certification required: CCS-P or CPC from AHIMA or AAPC.

Responsibilities

• Adheres to ICD-9-CM/ICD-10-CM coding conventions and CPT rules.
• Consult physicians for clarification before code assignment when data is ambiguous.
• Ensure accurate code assignment to support proper reimbursement and compliance.
• Perform month-end tasks and generate related reports for each assigned center.
• Educate physicians and the Billing & Collection team on billing/documentation.

Skills

Medical coding

HIPAA compliance

Coding accuracy

Education

High School Diploma or equivalent

Associate's degree preferred

Tools

CPT

ICD-10-CM

Billing guidelines

Job description

Summary

Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement. Performs related duties as required.

DUTIES & ESSENTIAL JOB FUNCTIONS:

• Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the cooperating parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets.
• Selection and sequencing of diagnoses and procedures must meet the definitions of required data sets. Utilizes up-to-date versions of CPT and ICD-10-CM resources and remains current on changes in coding and billing standards.
• Strives for the optimal payment to which the facility is legally entitled, remembering that it is unethical and illegal to maximize payment by means that contradict regulatory guidelines.
• Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record.
• Diagnosis coding must be accurate and carried to highest level of specificity; assigns and reports codes that are clearly and consistently supported by documentation in the health record.
• Follow up status of charges held for clearance; work error reports.
• Responsible for properly performing month end tasks within the established time-frame including running month end reports for each center assigned and tracking of cases that are not yet billed for the month.
• Provides feedback and education to physicians regarding billing and documentation.
• Works with the Billing & Collection team to resolve coding issues.
• Performs professional fee and documentation audits for a wide variety of specialties.
• Manage work files to resolve coding edits by researching and using the most up-to-date tools available in order to make the appropriate and compliant corrections for reimbursement.

MINIMUM QUALIFICATIONS:

• Education: High School Diploma or equivalent required, Associate's degree preferred.
• Minimum Experience : 3-5 years of experience in a coding or change charging related department/billing revenue integrity, denials, auditing.
• Minimum Experience: Experience coding and auditing professional fee surgical procedures and office visits.
• Required Licenses/Certifications: Certified Coding Specialist (CCS-P) or Certified Professional Coder (CPC) certification required from AHIMA or AAPC.

Pay Range:

$30.77 - $51.29 / Hour

The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate's experience, education, skills, licensure and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program.