3 jobs found in Stockton

Calaim Medical Billing Specialist The CalAIM Medical Billing Specialist is responsible for managing the day-to-day administrative and billing operations related to Enhanced Care Management (ECM) and Community Supports (CS) services. This position supports the organization's CalAIM programming by ensuring accurate claims submission, authorization management, billing compliance, encounter tracking, and reimbursement optimization in accordance with DHCS, Managed Care Plan (MCP), Medi-Cal, and organizational requirements. The Billing Specialist works closely with care managers, housing support staff, leadership, and Managed Care Plans to ensure timely and compliant billing processes while maintaining accurate records within electronic medical records (EMR/EHR) and billing systems. Qualifications: High school diploma or equivalent required; Associate's degree in Medical Billing and Coding, Healthcare Administration, Business Administration, or related field preferred Minimum...

Kaiser Permanente is seeking an E&M/Specialty Coder in Stockton, California. The role involves accurately coding professional services from medical records using ICD-CM and CPT coding systems under supervision. Candidates must have at least two years of certified coding experience in the last three years and hold a relevant certification. The position ensures compliance with coding standards while promoting thorough documentation practices. Opportunities for continuous education are provided within a supportive work environment. #J-18808-Ljbffr

Job Summary: Under direct supervision, the E&M/Specialty Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, CPT and HCPCS Level II codes. All work is performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. Essential Responsibilities: Review Medical Records to identify diagnoses/procedures. Under supervision, codes all diagnostic and operative information from the medical record using ICD-CM, CPT and HCPCS coding classification systems. Verifies and abstracts all medical data...