Medical Coder - Apidel Technologies

Description:

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Assignment Information:

Locals ONLY; Remote OK -

Work Location: 2011 N. Soto St, Los Angeles, CA 90032

Campus or Medical Enterprise: Medical Enterprise

Job Title: Coder

Number of Positions: 1

Duration: 13 weeks , with a possible extension

Work Hours: 8 AM 5 PM

Interview Process: 2-step video/Teams interview

Dress Code: Business Casual

Must-Haves:

Education and Experience:

Graduation from a formal coder training program orcompletion of an academic class in medical coding.

2%2B years of hospital coding or charge audit experience.(Two additional years of coding experience may substitute for educationalrequirements.), HS Diploma (or equivalent GED) is a MUST

MUST HAVE: Experience with California payer mix (Medicaland other California only guidelines)

Coding Knowledge and Skills:

Proficiency with ICD-10-CM/PCS, CPT-4, and HCPCS codesets/systems.

Experience with electronic medical billing systems suchas PBAR and Cerner.

Understanding of federal coding compliance regulationsand guidelines.

Accuracy and Productivity:

Ability to meet productivity and accuracy/qualitystandards, including entering 98% of CCL charges into the electronic billingsystem within 3 days of the date of service.

Collaborative Skills:

Experience working collaboratively with physicians,staff, and management to identify opportunities for improving charge captureand billing accuracy.

Error Resolution and Process Improvement:

Capability to review, reconcile, and correct charges anddocumentation errors.

Ability to provide recommendations for staff educationand process improvements to the CCL Manager.

Nice-to-Haves:

Technical Proficiency:

Familiarity with Soarian Financials Billing Edits andBilling Processes.

Additional Skills:

Experience in reviewing and editing previously submittedcharges due to billing errors or insurance requirement changes.

Ability to consult with medical providers to clarifyrecord information and determine appropriate codes.

Additional Experience:

Experience in reviewing and reconciling charges in otherelectronic medical billing systems beyond PBAR and Cerner.

Experience with cardiac Cath lab procedures and charges.

Summary:

In accordance with current federal coding complianceregulations and guidelines, use current ICD-10-CM/PCS, CPT-4, and HCPCS codesets/systems to accurately abstract, reconcile and review procedure andphysician documentation in order to code, and enter into PBAR, Cerner or otherelectronic medical billing systems. Understands coding/billing computer systemsin a manner to assure bills drop timely with appropriate codes. Meet theproductivity and accuracy/quality standards including, but not limited to 98%of CCL charges entered into the electronic medical billing system within 3 daysof date of service. Work collaboratively with physicians, staff and managementto identify opportunities for improving charge capture, accuracy and timelinessof entry into electronic billing systems. Recommendations for staff educationand process improvement will be escalated to the CCL Manager.

Minimum Education/Experience:

Specialized/Technical Training Graduation from a formalcoder training program or completion of academic class in medical coding.(Combined experience/education as substitute for minimum education.)

2%2B years with hospital coding or charge audit expertise

Combined experience/education as substitute for minimumeducation. *Two additional years of coding experience may be substituted foreducation requirement.

Primary Accountabilities:

Support Soarian Financials Billing Edits and BillingProcesses

Reviews and reconciles procedure documentation withsupply charges and physician documentation

Partner with staff and physicians to correct inaccuraciesin HCPCS, ICD-10, CPT coding to accurately capture services provided

Enters Cardiac Cath Lab procedure and supply charges intoelectronic billing systems (PBAR)

Consults with medical providers to clarify missing orinadequate record information and to determine appropriate diagnostic andprocedure codes. Provides thorough, timely and accurate review of ICD10 and/orCPT code assignments with physician.

Reviews, reconciles and corrects Cardiac Cath Lab chargesin Cerner

Reviews and edits previously submitted charges as neededdue to identified billing errors and/or insurance requirement changes.

Provides completed patient data to billing staff ordesignated personnel.

Performs other duties as assigned.

Medical Enterprise Non-Clinical Onboarding Must completeall onboarding requirements prior to the start date, with no exceptions.

Medical Enterprise Non-Clinical Onboarding Requirements:

Background, Education, and Employment

Background Check:

Social Security Trace: 7 years worked and lived found bySSN Trace

County Criminal F&M: 7 years

Federal Criminal: 7 years

Widescreen Plus National Criminal Search

National Sex Offender Registry

Healthcare Sanctions State

OIG/SAM

Education:

HS Diploma (or equivalent GED)

Employment:

Verification of 3 Employers, with 2 out of 3 verified

Other Requirements:

HIPAA Training

Application

Temporary Worker Agreement

Harassment & Discrimination Pamphlet

Medical Requirements:

Immunizations:

MMR (Measles, Mumps, Rubella): Proof of immunity orseries of 2 shots

Varicella (Chickenpox): Proof of immunity or series of 2shots

Hepatitis B: Proof of immunity or series of 3 shots;worker can decline with a declination form on file

TB Test:

Annual test required; results must be read within 24 to48 hours

Positive TB history requires chest x-ray results

Drug Screen:

Must be taken within 72 hours or the offer is rescinded.

10-panel drug test including:

Amphetamines

Barbiturates

Benzodiazepines

Cocaine metabolite

Opiates (Codeine, Morphine)

Hydrocodone

Hydromorphone

Oxycodone

Phencyclidine

Methadone

Propoxyphene

Influenza Vaccination:

Required for the current flu season (11/1 through 5/30)

Workers starting after May 1st should wait until afterSeptember 1st for the next flu shot season

Accepts signed personal/medical exemption

COVID Vaccinations:

Fully vaccinated with Covid-23-24 Vaccine

Accepts signed religious/medical exemption

Note: All items are billable except for the drug screen.

Qualified Applicants with arrest or Conviction recordswill be considered for Employment in accordance with the Los Angeles CountyFair Chance Ordinance for Employers and the California Fair Chance Act