Job Title: Coder II
Location: 2975 Red Hill Ave, Costa Mesa, CA, 92626, USA
Work Mode: Onsite
Duration: 3 months
Part Time
Shift: Mon – Fri (8am – 5pm)
- The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results.
- Codes are used for billing, internal and external reporting, research, and regulatory compliance activities.
- Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines.
- Verify that all ICD-10-CM codes are correctly captured.
- Verify that physician is correctly abstracted.
- Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services.
- Participates in internal and external quality review meetings.
- Performs other duties as assigned.
Coding:
- In addition to the above, the coder meets ongoing productivity and quality standard of 95% accuracy rate or better.
- The coder follows all coding conventions and serves as a coding consultant to providers.
- Discrepancies are identified that may impact quality of care and/or billing issues.
- The coder will serve as a resource and subject matter expert to other coding staff.
- Completes coding charge review and claim edits in Epic or other appropriate EMR system which would entail coding and correcting ICD-10 codes, modifiers, CPT, E/M, and procedure codes.
Skills:
- Critical thinking, diversity, technical and equipment skills, interpersonal skills, job knowledge, oral/written communication, possible travel.
- Business acumen, customer satisfaction, innovation, trust and accountability.
Education:
- High school diploma or equivalent required.
Coding: Required: Minimum 2+ years of work experience as a medical coder.
Preferred:
Coding experience in multiple specialties to include but are not limited to:
OB/GYN, Urology, Oncology, Pain Management, Cardiology, General Surgery, Cardiothoracic, Neurosurgery, Neurology, and Orthopedics procedures.
Knowledge of E/M coding. Certifications required:
For Coding: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Coding Specialist Physician-Based (CCS-P), Certified Coding Specialist (CCS), or Certified Professional Medical Auditor (CPMA).