Health Info Coder - Venice Family Clinic

University of California - Los Angeles Health; Inglewood (CA); On-site; USD 70,000 - 92,000; Full time

Job summary

Venice Family Clinic is seeking a Health Info Coder to join our team. Under the guidance of the Revenue Cycle Director, you will code diagnoses and procedures for a multi-specialty group using ICD-10-CM and CPT guidelines.

You will ensure accurate outpatient claims processing, perform quality checks, handle denials and appeals, and stay current with AMA CPT updates. Occasional travel to other LA locations may be required.

Qualifications

• Must hold Certified Medical Coder or Certified Medical Biller certification.

Responsibilities

• Code diagnoses and procedures for a multi-specialty group using ICD-10-CM and CPT guidelines.

Skills

Medical coding

HIPAA compliance

Attention to detail

Communication skills

Data entry

Education

Certified Medical Coder

Certified Medical Biller

Tools

Epic EMR/EHR

3M Coder

Microsoft Excel

Microsoft Word

Job description

Description

Venice Family Clinic is a leader in providing comprehensive, high-quality health care to people in need regardless of their ability to pay or personal circumstance. The organization has more than 500 staff who serve 45,000 people with compassion, dignity and respect across the Westside of Los Angeles, Inglewood, the South Bay and everywhere in between. We have a network of clinics, Early Head Start centers and mobile clinics plus an expansive street medicine program to reach people experiencing homelessness. Read more about us at venicefamilyclinic.org.

Seeking a Health Info Coder to join our Venice Family Clinic. Under the guidance and direction of the Revenue Cycle Director, the Health Info Coder will code diagnosis and procedures for a multi-specialty group.

Key Duties include:

• Codes, diagnoses, and procedures for a multi-specialty group.
• Utilize knowledge of AHA-Coding Clinic and AMA - CPT Assistant guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures.
• Assigns ICD-10 CM and CPT codes for patients receiving services at Venice Family Clinic.
• Accurately processes outpatient claims to third party payers, following all mandated billing guidelines.
• Provides quality control checks on paper claims; processes tracers, denials and related correspondence
• Initiates appeals; drafts, composes, and submits appeal letters specific to coding issues consistent with the most updated American Medical Association Current Procedural Terminology.
• Identifies and reports any potential compliance risks and reimbursement opportunities to the Revenue Cycle Director.
• Performing other duties, which may include computer operation using (Excel, Word, MS Office, 3M Coder), data entry and retrieval.
• Assisting other areas as needed and on a daily basis

Note, may on occasion travel to our other locations within Los Angeles County to provide face-to-face training with providers.

Salary Range: $50.48- $66.58hourly

Qualifications

Requirements:

• Certified Medical Coder or Certified Medical Biller.
• Minimum of 2 years of billing and coding experience in a Federally Qualified Health Center (FQHC) setting.
• Experience using Epic EMR/EHRand medical records information systems.
• Detailed knowledge and understanding of ICD-9, CPT, and HCPCS coding systems, with ability to accurately assign ICD-9 and CPT codes.
• Experience as Medical Record Abstractor
• Knowledge of CMS and local carrier regulations and requirements for documenting/billing physician services at a teaching hospital
• Detailed knowledge of Medical Terminology and its application
• Working knowledge of anatomy and physiology, and Medical Record content
• Knowledge of HIPAA requirements and ability to maintain confidentiality of sensitive information
• Ability to meet established continuing education requirements by attending required training workshops, and reading materials assigned by AAPC in order to maintain yearly CEUs required for Certified Professional Coder
• Good command of English Grammar and oral and written communication skills, with the ability to speak clearly and distinctly using correct English to answer telephones and communicate with departmental staff or patients
• Knowledge of Microsoft Excel and Word
• Schedule flexibility; able to work as needed on weekends, holidays and other shifts; may be reassigned to areas as needed dependent on overall workload for any area that needs help.