Physician Billing Certified Coder I

LE01 Valley Children's Hospital; United States; Presencial; USD 42.000 - 62.000; Jornada completa

Descripción de la vacante

Valley Children’s Healthcare is seeking a Certified coder I to review provider documentation and perform coding functions within the professional billing workflow. You will assist with claims processing, edits, rejections, data entry, and physician queries, while coordinating appeals as needed.

The role requires CPC certification, at least two years of related coding experience (RHIT preferred), and knowledge of CPT/ICD-10-CM with outpatient surgery coding.

Formación

• Education: High School Diploma/G.E.D. required.
• CPC certification required (AAPC).
• Minimum two years related experience or RHIT certificate preferred.
• ICD-10-CM/PCS and CPT-4 coding experience for outpatient surgery records; anesthesiology coding experience preferred.
• Ability to work independently with limited supervision.

Responsabilidades

• Review provider documentation and assign coding accurately.
• Assist with billing duties: claim edits, processing, rejections, data entry, and queries.
• Communicate with physicians on documentation issues related to code assignment.
• Draft letters coordinating appeals and other tasks as assigned by manager.
• Identify and help resolve incorrect claims issues.

Conocimientos

Medical terminology

Anatomy knowledge

CPT coding

ICD-10-CM/PCS coding

HCPCS coding

Independent work

Educación

High School Diploma/G.E.D.

RHIT certificate (preferred)

Descripción del empleo

Job Summary

The Certified coder I is responsible for properly reviewing provider documentation and can perform all coding functions. Possesses a solid understanding of the professional billing workflow and assists with general billing duties as necessary to include claim edits, claims processing, claim rejections, data entry, and queries and communicates with physicians on documentation issues related to code assignment and provides feedback to physicians and the physician billing entity on variances between hospital and physician CPT coding as needed. Helps identify and resolve incorrect claims issues and is responsible for drafting letters to coordinate appeals as well as other areas related to billing as assigned by the manager. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Qualifications and Experience

• Education High School Diploma/G.E.D. (required)
• Licenses and Certifications CPC - Certified Professional Coder - AAPC - American Academy of Professional Coders (required)
• Work Experience Minimum two (2) years Related experience or RHIT certificate (preferred)
• Minimum two (2) years ICD-10 CM/PCS and CPT-4 coding experience with outpatient surgery medical records. (preferred)
• Minimum one (1) year Anesthesiology coding experience (preferred)

Skills and Abilities

• Ability to work independently with limited supervision. Skilled in gathering and reporting information. Ability to multi-task and prioritize needs in order to meet timelines. Knowledge of medical terminology and anatomy. Knowledge of CPT, ICD-10, ASA and HCPCS coding.

Employment Details

• Compensation Range: $30.82 - $44.80 Workshift: Position Exempt: No FTE %: 100 Scheduled Weekly Hours: 40 Daily Hours: 8

Have Questions? Call Recruitment Services at 559-353-7071 or email us at [e-mail]

Valley Children’s Healthcare – one of the largest pediatric healthcare networks in the nation – provides Central California’s only high-quality, comprehensive care exclusively for children, from before birth to young adulthood. With more than 670 physicians and 3,500 staff, Valley Children’s delivers high-quality, comprehensive care to more than 1.3 million children in our service area. Our network offers highly specialized medical and surgical services to care for children with conditions ranging from common to the highly complex at our 358-bed stand-alone children’s hospital that includes 28 regional NICU beds. Our family-centered, pediatric services extend from a leading pediatric cancer and blood disorders center home on the West Coast, and a pediatric heart center known for its expertise and pioneering treatments, to a Regional Level IV neonatal intensive care unit (NICU), the highest level referral center between Los Angeles and the Bay Area. We participate in community initiatives, we support community efforts, we get involved where we can do the most good.

Disclaimer: Final compensation will be dependent upon skills and experience.