ICD-10: 2 years (Preferred)
CPC with sound knowledge of guidelines and regulations including compliance and reimbursement. Bea able to identify Documentation deficiencies for PC/RH, Maternal Health, PEDs, Behavioral Health, HIV, TB and properly query providers for proper code capture and assigning accurate CPT, HCPCS, ICD-10 codes etc. Familiar with HER billing processes.
Credentialed Medical Records Coders II with recent experience coding inpatient and/or outpatient medical records, preferably behavioral health services. Applicants for the current open positions must have professional coding work experience as described in the Experience category listed below. This position performs the following:
Develops, improves, and implements the review process for MediCal/Medicare and Medicare records
Determines appropriate codes, including diagnosis, ICD, CPT and procedure codes, and applies appropriate evaluation and management
Enhances the Department's Clinical Document Improvement program by providing appropriate clinician education and improved documentation methods
Performs routine review of claiming reports in order to identify trends and develops processes to address any identified issues
Continuously reviews and updates the charge description master for appropriate codes and insures the correct codes are available for the appropriate providers
Location: San Bernardino, CA
Top 3-5 Priorities:
1] 1= CCS / CPC / RHIT / RHIA
2] Abstract Code
3] Review Patient Charts ( to ensure correct ICD codes are correct)
4] Audit to ensure doctor did not miss a code
5] Must be detail orientate
Specialty: Physician Outpatient
Hours / Shift: M-F 8-5
Experience: Two (2) years of journey-level experience, within the past five (5) years, directly applying codes to inpatient or outpatient health visits for a healthcare organization utilizing ICD-9-CM or ICD-10-CM (International Classification of Diseases) and DSM-IV and DSM-5 (Diagnostic and Statistical Manual of Mental Disorders 5th Edition) coding classifications.
Coding experience gained in a behavioral health setting is highly desirable. The ideal candidate will think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; pay close attention to detail; and work independently with minimal supervision.
Job Type: Full-time
Pay: Up to $25.60 per hour
Work Location: One location