SUD Billing & Compliance Coordinator

clinicaromero; Los Angeles (CA); On-site; USD 52,000 - 75,000; Full time

Job summary

Clinica Romero in Los Angeles, CA seeks a Substance Use Disorder Billing Support Coordinator to ensure accurate, complete, and compliant documentation prior to billing submission. You will collaborate with case managers, counselors, and the billing team to review records and prepare information for timely submission.

Responsibilities include processing monthly services and billing docs, monitoring actions for compliance, preparing progress reports, and finalizing drafts for submission.

Qualifications

• Must communicate clearly with State, Federal, and County officials.
• Strong computer proficiency required.
• A minimum of two years’ experience working in the field of addiction.
• Must be highly motivated with strong verbal and written communication skills.
• Proficient in Microsoft Office Suite.
• Experience working with Drug Medi-Cal clients (Adult and Youth) preferred.
• Understanding of Drug Medi-Cal requirements/process preferred.

Responsibilities

• Process all services and billing documentation for current month.
• Monitor corrective and preventive actions related to documentation accuracy, compliance, and billing readiness.
• Prepare reports to communicate billing status and documentation completeness.
• Finalize draft billing to ensure it is ready for processing at the Directors request.
• Track and report staff billing documentation every 24-48 hours to program director.
• Obtain medical director’s signature for billing and documentation purposes.
• Communicate with SAPC to make requested changes and provide required information.
• Review sign-in sheets for accuracy, make corrections as needed, and ensure proper documentation and submission to the Program Director
• Ensure billing logs are completed and submitted to the Program Director on the 3rd of each calendar month.
• Attend county meetings relevant to the adult program, including MAT and SUD program-related meetings.
• Complete all reporting and spreadsheet requirements in accordance with requests from the Program Director and Billing Director.
• Maximize billing opportunities by accurately identifying and applying all appropriate CPT codes to ensure the full range of eligible services are captured and billed.
• Compile documentation for providers to finalize charts/records in PCNX prior to submission to the Billing department.
• Submit billable reports to the Billing Department within the appropriate timelines
• Other duties as assigned by supervisor.

Skills

Communication skills

Computer proficiency

Addiction field experience

Verbal and written communication

Microsoft Office

Drug Medi-Cal knowledge

Education

Two years’ experience in addiction

Tools

PCNX

Microsoft Office Suite

Job description

Clinica Romero in Los Angeles, CA seeks a Substance Use Disorder Billing Support Coordinator to ensure accurate, complete, and compliant documentation prior to billing submission. You will collaborate with case managers, counselors, and the billing team to review records and prepare information for timely submission.

Responsibilities include processing monthly services and billing docs, monitoring actions for compliance, preparing progress reports, and finalizing drafts for submission.