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 with 3 years of surgical coding 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.

This is an Onsite/In Office position. Due to COVID-19, currently and temporarily working from home.

Please send your resume with your response to the following questions to: Pmghumanresource@chla.usc.edu

1. What is the highest level of education you have completed?
2. Do you have a valid Medical Coding Certification?
3. How many years of Medical Coding experience do you have?
4. How many year so ASC or OR Coding experience do you have?
5. How many years of Abstract Surgical Coding experience do you have?
6. What do you find the most challenging about abstracting from records?
7. Are you familiar with Medi-cal coding and modifier guidelines?
8. What coding credentials do you currently have?
9. What specialties have you coded?
10. What specialty do you feel most comfortable with?
11. What is the meaning of modifier AG?
12. Would you append modifier 51 to add-on procedure codes?