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Certified Coder Job in San Leandro, AA

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Job Title: Certified Coder

Employer:Community Health Center Network
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.


Kham Souvannavong
Recruitment Manager

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