| Employer: | Community Health Center Network |
| Type: | FULL TIME, OTHER |
| Job Location: | Partial Remote |
| Skills: | E/M coding,billing,auditing,ICD-10,ICD-9,medical coding |
| Specialties: | Medi-Cal Coding |
| Required Certifications: | CCS-P,CPC,CCA |
| Preferred Certifications: | CCA,CPC,CCS-P |
| Required Experience: | 1 to 2 years |
| Preferred Experience: | 3 to 4 years |
| Location: | 101 Callan Ave. Suite 300 San Leandro 94577, AA, US |
| Date Posted: | 10/26/2021 |
CHCN is seeking an experienced
Certified CPC coder to join its Operations team. The Certified Coder will
provide subject matter expertise on organization issues relating to coding and
code configuration and will examine professional claims from multiple
specialties.
·
Regularly review Medi-Cal Bulletins for
new or updated policies and benefits (APLs) that may impact CHCN Claims
operations
·
Provide subject matter expertise and
audits at CHCN clinics in regards to E/M coding and ICD-10 as needed.
·
Review selected processed claims as to ensure compliance with CHCN policies and
regulatory requirements/standards
·
Review claims on hold for Coder review
and related documents for appropriate adjudication that focuses on proper use
of codes and applicable coding edits
·
Provide training to the Health Center
billing staff on MediCal coding guideline as needed
·
Examine professional claims and medical
records and determine appropriate payment based on national coding guidelines
and Medi-Cal program
·
Implement process and configuration
regarding national and state coding guidelines including new Medi-Cal benefits
and procedure codes.
·
Ability to work and communicate across
teams, and leadership to assist with coding issues.
·
Identify opportunities to improve coding
knowledge of cross functional teams and offer coding education or feedback to
teammates
·
Review medical records to ensure
accuracy of diagnoses and procedures when appropriate.