Medical Coder/Biller

Job Summary

Review/audit medical records for questionable coding. Responsible for coding for CPNFCMG and CPN (COVID, Sepsis, High Dollar amount, Highest Paid DRG). Review claims for appeal/PDR from providers. Any other task assigned by Supervisor/Manager/Director. Ability to estimate DRG based on medical records.

Qualifications

• CPC and CIC/COC/CCS Coding Certification (AAPC or AHIMA certified)
• ICD-10-CM and ICD-10-PCS proficient with Medical Terminology and Anatomy knowledge
• Minimum two (3) years’ coding experience, preferably in hospital coding

Responsibilities

• Review and assign appropriate medical codes for diagnoses and procedures using ICD-9 and DRG guidelines.
• Ensure accuracy in medical billing and coding to facilitate timely reimbursement from insurance providers.
• Maintain up-to-date knowledge of medical coding regulations and compliance standards.
• Collaborate with healthcare providers to clarify documentation for accurate coding.
• Process medical records efficiently while adhering to confidentiality regulations.
• Assist in resolving any discrepancies related to medical collections or billing inquiries.
• Participate in ongoing training and education related to coding practices and updates in the healthcare industry.

Job Type: Full-time

Pay: $40.24 - $45.78 per hour

Schedule:

• 8 hour shift

Experience:

• hospital coding: 3 years (Preferred)

License/Certification:

• Certified Professional Coder (Preferred)
• American Academy of Professional Coders (Preferred)
• AHIMA (Preferred)
• ICD-10 Certification (Preferred)

Ability to Commute:

• Apple Valley, CA 92308 (Required)

Ability to Relocate:

• Apple Valley, CA 92308: Relocate before starting work (Required)

Work Location: In person

Salary : $40 - $46