Medical Billing Coder — Public Sector Specialist

County of Orange; California (MO); On-site; USD 65,000 - 90,000; Full time

Job summary

County of Orange seeks a Medical Billing Coder (Staff Specialist) to review records for principal and secondary diagnoses and procedures under CPT/ICD-10 guidelines. You'll validate billings to ensure accuracy for Medicare, Medi-Cal, and third parties, and train clinical staff on coding issues.

Under minimal supervision, you may supervise staff and focus on adapting to changing billing regulations in a public sector environment. Clinical collaboration is essential.

Qualifications

• Three (3) years of experience in medical records review, verifying procedure or diagnosis coding.
• Certified Professional Coder (CPC) Certification is highly desired but not required.

Responsibilities

• Review patient medical records to identify principal diagnoses and applicable secondary diagnoses and procedures in compliance with CPT and ICD-10 guidelines.
• Review coded records for completeness and accuracy; ensure Medicare, Medi-Cal and third-party billings are accurate.
• Interact with clinical staff to clarify and validate documentation; provide ongoing training on coding & documentation issues.
• Potentially supervise staff; analyze state and federal healthcare billing regulations to support changes in medical billing.

Skills

Medical billing

ICD-10 coding

CPT coding

HIPAA compliance

Medicare / Medi-Cal

Tools

CPC Certification

Job description

County of Orange seeks a Medical Billing Coder (Staff Specialist) to review records for principal and secondary diagnoses and procedures under CPT/ICD-10 guidelines. You'll validate billings to ensure accuracy for Medicare, Medi-Cal, and third parties, and train clinical staff on coding issues.

Under minimal supervision, you may supervise staff and focus on adapting to changing billing regulations in a public sector environment. Clinical collaboration is essential.