JWCH Institute

Job Description Mission Statement: The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles area through the direct provision or coordination of health care, health education, services, and research. Position Purpose: Review encounters for all payers' sources and maintain no more than 1% errors. Initiate investigation and correction for all discrepancies found in the encounters. Maximize the revenue following the individual payer guide lines. Initiate and investigate cover and non-cover services from all payer types. Provide weekly updates to the billing supervisor of all discrepancies found on the encounters. Review all accounts for potential re- bills, adjustments and write offs. Maintain payment posting up to date to better track the unpaid charges. Principal Responsibilities: * Review all encounters for discrepancies on a timely manner to avoid submitting encounters with error to the various...

Job Description Position Purpose: Under the direction of the Billing Department Supervisor, the Certified Medical Coder will be responsible for assigning diagnosis and procedural codes and modifiers for comprehensive medical services performed by JWCH physicians. The Certified Medical Coder must apply all appropriate coding guidelines and legal requirements to ensure compliance. The Coder will verify and perform audits on clinician-completed charge tickets by ensuring accuracy of code assignment and billing data. Duties and Responsibilities: * Acts as the primary staff liaison between the providers and the Billing Dept.; and, effectively communicates to clarify diagnoses, procedures coding and documentation requirements. * Recommends appropriate ICD-10-CM, CDT diagnosis codes, CPT codes and HCPC codes. * Review diagnosis and procedure coding within Next-Gen, on a regular basis; and, ensure appropriate coding for optimal billing. * Work closely with clinicians on appropriate use of...

Job Description Position Purpose: Under the direct supervision of the Director of Quality Assurance, the Licensed Vocational Nurse (LVN) is responsible for supporting the compliance functions of the Quality Assurance and Performance Improvement department of JWCH. The responsibilities include but not limited to maintaining a defined review schedule for JWCH, Wesley Health Centers by doing preparatory work for the audit including developing a scope of work, reviewing documentation, preparing reports and doing any necessary follow-up reviews. Additionally, this position will ensure that appropriate data is collected, securely kept, maintained and serve as a resource to clients in answering compliance questions from Internal Audit and Audit Advisory Services. Essential Duties and Responsibilities : * Conduct Compliance Reviews. * Complete compliance reviews within established parameters and initiate and carry out all assigned reviews according to defined departmental policies and...