Claims Edit Coder II: Precision Medical Coding

DaMar Staffing; United States; On-site; USD 65,000 - 85,000; Full time

Job summary

Cedars Sinai, a nationally recognized health system in Los Angeles, is seeking a Claims Edit Coder (Coder II) to join its auditing and reporting team. The role reviews ICD-10-CM and CPT codes for claim edit fall-outs, performs modifier reviews, handles complex edits, and validates data such as the billing physician and date of service.

You will use EPIC (CS-Link, HB) and other tools to abstract data accurately and maintain productivity and quality standards, collaborating with physicians and

Qualifications

• CCS/CPC/RHIT/RHIA certification required on hire.
• High school diploma or GED required.
• Minimum of 2 years of experience working doing code assignment in a healthcare setting.
• Ability to produce quality work product within the established standards per hour.

Responsibilities

• Review ICD-10-CM and CPT coding for claim edit fall outs.
• Perform modifier reviews and complex edits.
• Validate data elements like the billing physician and date of service.
• Communicate with physicians and departments regarding documentation clarity.
• Expand skills in CPT or PCS.

Education

CCS

CPC

RHIT

RHIA

Tools

EPIC CS-Link

Solventum 360Encompass

Solventum Standalone Encoder

Select Coder

Job description

Cedars Sinai, a nationally recognized health system in Los Angeles, is seeking a Claims Edit Coder (Coder II) to join its auditing and reporting team. The role reviews ICD-10-CM and CPT codes for claim edit fall-outs, performs modifier reviews, handles complex edits, and validates data such as the billing physician and date of service.

You will use EPIC (CS-Link, HB) and other tools to abstract data accurately and maintain productivity and quality standards, collaborating with physicians and