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Certified Medical Coder (Remote Ony Socal Candidates Accepted)

2+ years
$28.00–$31.15 (W2)
10 Nov. 23, 2024
Job Description
Job Type: Full Time Remote Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Cardiac Cath Lab Coder (Hybrid Remote for Southern California Candidates)


Location: Southern California (Hybrid Remote - Local Candidates Preferred)

Contract Length: 6 Months
Hourly Rate: $28.00–$31.15 (W2)
Open Positions: 3


Job Overview

We are seeking experienced Cardiac Cath Lab Coders with in-depth knowledge of California payer mix (Medi-Cal and California-specific guidelines). This role focuses on accurately abstracting, reconciling, and reviewing procedure and physician documentation to ensure proper coding and timely entry into electronic medical billing systems, such as PBAR and Cerner.

As a key member of the Patient Financial Services Department, you will collaborate with physicians, staff, and management to identify areas for process improvement and ensure compliance with federal coding regulations.


Key Responsibilities

  • Billing and Coding Accuracy:
    • Utilize ICD-10-CM/PCS, CPT-4, and HCPCS code sets to abstract and code accurately.
    • Ensure timely charge entry (98% of Cardiac Cath Lab charges entered within 3 days of service).
  • Charge Reconciliation:
    • Review and reconcile procedure documentation with supply charges and physician notes.
    • Partner with staff and physicians to correct inaccuracies in coding and ensure accurate service capture.
  • Collaboration:
    • Work with medical providers to clarify incomplete or missing information and assign accurate codes.
    • Recommend staff education and escalate process improvement opportunities to the CCL Manager.
  • System Proficiency:
    • Enter Cardiac Cath Lab charges into PBAR and Cerner systems.
    • Review, reconcile, and correct charges, addressing billing errors or insurance requirement changes.
  • Audit and Quality Control:
    • Conduct thorough reviews of ICD-10 and CPT code assignments.
    • Ensure adherence to coding compliance regulations and quality standards.
  • Perform other duties as assigned by the management.

Minimum Qualifications

Education

  • Completion of a formal coder training program or academic coursework in medical coding.
  • Alternatively, two additional years of coding experience may substitute for the education requirement.

Experience

  • 2+ years of hospital coding or charge audit expertise.
  • Strong understanding of California-specific payer guidelines, including Medi-Cal.
  • Experience with coding and billing systems (e.g., PBAR, Cerner).

Skills & Competencies

  • Advanced knowledge of ICD-10-CM/PCS, CPT-4, and HCPCS coding systems.
  • Expertise in working with Soarian Financials Billing Edits and processes.
  • Attention to detail with a focus on accuracy and timeliness.
  • Proficient in identifying and resolving discrepancies in physician and procedure documentation.
  • Strong communication and collaboration skills.
  • Ability to meet strict productivity and accuracy standards.

Why Join Us?

  • Hybrid remote work flexibility for local Southern California candidates.
  • Competitive hourly rate with W2 contract benefits.
  • A collaborative environment that values accuracy, efficiency, and continuous improvement.

If you have the skills, experience, and dedication to excel in this specialized coding role, we encourage you to apply and join our team!