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10 Nov. 11, 2024
Job Description
Job Type: Full Time Remote Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences 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: Medical Coder

Location: Remote (Local candidates in Los Angeles, CA prioritized)
Work Hours: 8 AM - 5 PM
Duration: 6 months (with potential for extension)
Interview Process: 2-step video/Teams interview
Dress Code: Business Casual
Campus/Medical Enterprise: University of California - Medical Enterprise
Work Location: 2011 N. Soto St, Los Angeles, CA 90032


Job Overview:

The University of California is seeking a Medical Coder to join their team. This role involves accurately abstracting and reviewing procedure and physician documentation, ensuring compliance with federal coding regulations. The successful candidate will use ICD-10-CM/PCS, CPT-4, and HCPCS code sets to enter data into electronic medical billing systems (e.g., PBAR and Cerner). This is a fast-paced role with a focus on improving charge capture and billing accuracy, aiming for a 98% charge entry rate within 3 days of service.


Key Responsibilities:

  • Coding & Compliance: Abstract, reconcile, and review procedure and physician documentation using ICD-10, CPT-4, and HCPCS codes.
  • Data Entry: Enter procedure and supply charges into PBAR and Cerner, ensuring 98% of charges are entered within 3 days of service.
  • Collaboration: Work closely with physicians, staff, and management to improve charge capture and billing accuracy.
  • Error Resolution: Review and correct documentation errors, and recommend process improvements to enhance billing accuracy.
  • Consultation: Consult with medical providers to clarify records and determine appropriate codes for procedures and diagnoses.

Must-Have Qualifications:

  • Education: Graduation from a formal coder training program or academic class in medical coding.
  • Experience:
    • 2+ years of hospital coding or charge audit experience (or 4+ years of coding experience in lieu of formal education).
    • Experience with California payer mix and guidelines.
  • Technical Skills: Proficiency in ICD-10-CM/PCS, CPT-4, and HCPCS coding systems.
  • Billing Systems: Experience with electronic medical billing systems such as PBAR and Cerner.
  • Compliance: Strong understanding of federal coding compliance regulations.
  • Accuracy & Productivity: Ability to meet productivity standards (e.g., entering 98% of charges within 3 days).
  • Collaboration: Experience working with physicians and staff to improve charge capture and billing accuracy.

Nice-to-Have Qualifications:

  • Technical Proficiency: Familiarity with Soarian Financials Billing Edits and Billing Processes.
  • Additional Skills:
    • Experience editing previously submitted charges due to billing errors or insurance changes.
    • Ability to consult with medical providers to clarify record information and determine appropriate codes.
    • Knowledge of cardiac catheterization lab procedures and charges.

Primary Accountabilities:

  • Soarian Billing: Support Soarian Financials Billing Edits and Billing Processes.
  • Charge Reconciliation: Review and reconcile procedure documentation with charges and physician notes.
  • Collaboration: Work with medical staff to ensure accurate HCPCS, ICD-10, and CPT coding.
  • Charge Entry: Enter cardiac cath lab charges into PBAR and Cerner systems.
  • Billing Corrections: Edit previously submitted charges based on billing errors or insurance changes.
  • Consultation: Clarify missing or inadequate record information with medical providers.
  • Reporting: Provide completed patient data to billing staff.