Job Detail

Title : Medical Coder

Location: Pomona, CA

Duration: 3 months to long-term

Job Description:

Outpatient Clinical Documentation Specialist, is responsible for concurrent and retrospective review and ongoing audits of outpatient records for accuracy of diagnosis and procedure codes. Proficient knowledge in: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency & Trauma Departments, and other select OP records is a must!

Position requires clinical knowledge of acute and chronic conditions (HCCs, CCs, MCCS), and procedure coding knowledge in documentation opportunities that can directly influence quality of care and severity of illness of our patients.

Interacts with physicians through established query process in order to clarify documentation supporting accurate patient diagnostic and procedure coding.

Provides outpatient education and training to providers, hospital staff and clinical managers on documentation and billing related issues.

May participate in committees and work groups.

May be responsible in creating visual aids, tips, brochures, and formal presentations to providers and assist in training efforts regarding outpatient initiatives.

Basic Qualifications:

Experience

• Knowledge in risk adjustment, EM Levels, ICD-10 CPT, APC, HCPCs, HCCs, HEDIS, OSHPD and CMS compliance, Extensive knowledge in coding Interventional Radiology, Cardiac Rehabilitation, Physical therapy, Observation, Trauma and ER service lines.

License, Certification, Registration

• requires the following current credential: AHIMA Certified Coding Specialist (CCS).

Preferred Qualifications:

• Minimum three (3) consecutive years of hospital licensed space experience as a Certified Hospital Coder.
• Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), and Certified Outpatient/ Professional Coder qualifications, Registered Nurse or Foreign Medical Graduate.

Job Type: Full-time

Schedule:

• 8 hour shift
• Day shift

License/Certification:

• Certified Coding Specialist (Preferred)
• AHIMA (Preferred)

Work Remotely:

• No