Medical Billing Coder – Clinica Romero – Los Angeles, CA

Status:
Full-time

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Schedule: *
40 hours; 8am-5pm Monday-Friday

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Benefits: *
Medical and Dental
Paid Holidays
Personal Days
Vacation
Sick Leave (10 days per year)
403 B Retirement Plan; 2% employer match after one year of employment
FSA
Life Insurance

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Position Summary: *
Review medical records utilizing ICD-9 and ICD-10 and CPT coding conventions. Audits medical records to ensure specificity of diagnoses and procedures, and to ensure appropriate and optimal reimbursement from proper payer types.

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Responsibilities: *

  • Analyze medical records and ensure all appropriate International Classification of Disease (ICD-9 & 10) and /or current Procedural Terminology (CPT) coding for billing of proper patient programs.
  • Enter and retrieve patient medical data from EPIC-Ochin System updating entries as necessary; audit medical record for accuracy and completeness, note deficiencies and refer for appropriate follow up and completion.
  • Consult with physicians and other personnel on coding practices and conventions to provide detailed coding information or gather additional documentation; maintain comprehensive records of all communications regarding suggested changes.
  • Research and initiate activity to resolve charges and coding issues, review difficult situations to determine the most appropriate codes.
  • Recognize potential for additional coding revenue and initiate the change in the EPIC-Ochin System.
  • Enter charges as recorded by back office or clinicians with in a timely manner; charges should be posted with 48 hours of patient visit.
  • Post payments to patient’s accounts within a timely period, review all denials and resubmit to correct payer.
  • All denials need to be investigated and follow up notes entered into the MIS System of any changes.
  • Review and track payments of all submitted billing, reconcile visits and payers records on a weekly basis.
  • Assist patients on program eligibility and on billing information.
  • Performs various collection actions including contacting patients and payers by phone, correction and resubmitting claims to payers for non –payment.
  • Follow’s up on Aging accounts over 90 day’s to determine claim on file, resubmission or denial.

Observes CMOAR Appearance/Dress Standards.

  • Observe regulations on time card use and reporting.
  • Maintain attendance as a policy.
  • Maintain a clean and safe work area.
  • Observe general Safety/Employee Health policies and procedures.
  • Maintain a current annual health screening.
  • Observe CMOAR Appearance/Dress standards.
  • Maintain the privacy and confidentiality of both client and employee with regard to medical records.
  • Display clearly visible identification
  • Treat all patients with respect and dignity and adheres’ to the Patient Bill of Rights.
  • Treats all employees with respect and dignity in accordance to non-discriminatory policy and procedure.
  • Treat all employees/clients in a courteous and professional manner.
  • Conduct only work related conversations when clients are waiting for service.
  • Do not discuss other staff members, policies, problems or medical care in public areas of clinic.

Qualifications/Requirements:

  • Highs School graduate or equivalent.
  • Associate Degree or two years of HIT college level coursework preferred
  • Knowledge of Medical Terminology and Anatomy & Physiology required
  • Knowledge of Title 22 medical record regulations preferred
  • Knowledge of Confidentiality and rules regarding HIPAA and State and Federal governing release of medical information required
  • Minimum two (2) years of continuous, relevant ICD/CPT coding experience in an acute care facility within the last five (5) years is required
  • System oriented experience in use of computerized medical records abstracting, encoding and database systems
  • AAPC American Academy of Professional Coders (CPC)
  • Must provide proof of up-to-date COVID-19 vaccinations including recommended doses in the primary series AND booster dose when eligible.

Job Type: Full-time

Source: Indeed.com
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