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    Medical Coder

    System Soft Technologies
    2+ years
    Not Disclosed
    Los Angeles Remote, USA
    10 Nov. 11, 2024
    Job Description
    Job Type: Full Time Remote Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

    Job Title: Medical Coder

    Location: Remote (Local candidates in Los Angeles, CA prioritized)
    Work Hours: 8 AM - 5 PM
    Duration: 6 months (with potential for extension)
    Interview Process: 2-step video/Teams interview
    Dress Code: Business Casual
    Campus/Medical Enterprise: University of California - Medical Enterprise
    Work Location: 2011 N. Soto St, Los Angeles, CA 90032

    Job Overview:

    The University of California is seeking a Medical Coder to join their team. This role involves accurately abstracting and reviewing procedure and physician documentation, ensuring compliance with federal coding regulations. The successful candidate will use ICD-10-CM/PCS, CPT-4, and HCPCS code sets to enter data into electronic medical billing systems (e.g., PBAR and Cerner). This is a fast-paced role with a focus on improving charge capture and billing accuracy, aiming for a 98% charge entry rate within 3 days of service.

    Key Responsibilities:

    • Coding & Compliance: Abstract, reconcile, and review procedure and physician documentation using ICD-10, CPT-4, and HCPCS codes.
    • Data Entry: Enter procedure and supply charges into PBAR and Cerner, ensuring 98% of charges are entered within 3 days of service.
    • Collaboration: Work closely with physicians, staff, and management to improve charge capture and billing accuracy.
    • Error Resolution: Review and correct documentation errors, and recommend process improvements to enhance billing accuracy.
    • Consultation: Consult with medical providers to clarify records and determine appropriate codes for procedures and diagnoses.

    Must-Have Qualifications:

    • Education: Graduation from a formal coder training program or academic class in medical coding.
    • Experience:
      • 2+ years of hospital coding or charge audit experience (or 4+ years of coding experience in lieu of formal education).
      • Experience with California payer mix and guidelines.
    • Technical Skills: Proficiency in ICD-10-CM/PCS, CPT-4, and HCPCS coding systems.
    • Billing Systems: Experience with electronic medical billing systems such as PBAR and Cerner.
    • Compliance: Strong understanding of federal coding compliance regulations.
    • Accuracy & Productivity: Ability to meet productivity standards (e.g., entering 98% of charges within 3 days).
    • Collaboration: Experience working with physicians and staff to improve charge capture and billing accuracy.

    Nice-to-Have Qualifications:

    • Technical Proficiency: Familiarity with Soarian Financials Billing Edits and Billing Processes.
    • Additional Skills:
      • Experience editing previously submitted charges due to billing errors or insurance changes.
      • Ability to consult with medical providers to clarify record information and determine appropriate codes.
      • Knowledge of cardiac catheterization lab procedures and charges.

    Primary Accountabilities:

    • Soarian Billing: Support Soarian Financials Billing Edits and Billing Processes.
    • Charge Reconciliation: Review and reconcile procedure documentation with charges and physician notes.
    • Collaboration: Work with medical staff to ensure accurate HCPCS, ICD-10, and CPT coding.
    • Charge Entry: Enter cardiac cath lab charges into PBAR and Cerner systems.
    • Billing Corrections: Edit previously submitted charges based on billing errors or insurance changes.
    • Consultation: Clarify missing or inadequate record information with medical providers.
    • Reporting: Provide completed patient data to billing staff.

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