Certified Medical Coder Job in Los Angeles, California

Pediatric Management Group, and Children's Hospital Los Angeles Medical Group, a 600+ physician academic practice affiliated with Children's Hospital Los Angeles, is seeking an experienced Medical Coder. This position is responsible for all aspects of medical coding, including:

• reviews and examines operative report for accurate and complete diagnostic and procedure information. May be required to request diagnosis or other data from physicians when not recorded in operative report, or if information is incomplete
• determines correct sequence of primary and secondary diagnoses according to uniform surgery procedure data guidelines
• abstracts all surgical and designated diagnostic procedures and assigns appropriate procedure codes using the International Classification of Diseases (ICD-10) system, and the Physicians’ Current Procedural Terminology (CPT-4)
• assures that proper Peer Review Organization: Medicare, Medicaid, and Commercial carrier authorizations and second opinions are obtained
• gathers and audits correct tickets with respect to proper linkage of CPT and ICD-10 codes, correct level of services performed, presence of accurate demographic information, total charges, and monitoring of patient’s chart to verify ticket information
• assists in abstracting and/or entering specific case mix data for special analyses, studies or reports
• updates International Classification of Diseases book with additions, deletions and changes
• analyzes and evaluates data with reference to standards and considers alternatives

The successful candidate has:

• credential from the American Academy of Professional Coders, A.R.T. or R.R.A. certifications
• knowledge of medical records coding procedures
• skill in preparing reports and answering correspondence
• knowledge of medical terminology, CPT and ICD-10 coding, Medicare, Medicaid, and other insurance procedures
• experience in medical setting, claims procedures
• ability to meet deadlines and to follow assignments through to completion
• a minimum of 5 years medical coding and healthcare experience
• thorough knowledge of medical terminology
• typing ability of 50 wpm

The position offers experience commensurate salary, an excellent benefits package including medical, dental, vision, 401(k), life insurance, subsidized public transportation, and close proximity to the MTA station.