Medical Coding Specialist
Codes and abstracts documents such as patient charts and pathology reports utilizing diagnostic codes. Enters data into computer system(s).
Essential Duties:
- Abstracts and assigns accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic).
- Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes.
- Provides completed patient data to billing staff or designated personnel.
- Answers incoming calls from billers, front desk staff and clinical staff as needed assisting in what may be necessary to satisfactory resolution of the issues.
- Reviews and resolves insurance denials by examining the provider documentation.
- Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate review of ICD10 and/or CPT code assignments with physician.
- Performs other duties as assigned.
Required Qualifications:
- High school or equivalent
- Specialized/technical training; Combined experience/education as substitute for minimum education Graduation from a formal coder training program or completion of academic class in medical coding
- Combined experience/education as substitute for minimum education
- 2 years; Combined education/experience as substitute for minimum experience 2 years' coding experience.
- Experience in using a computerized coding & abstracting software and an encoding/code-finder database systems.
- Demonstrates excellent verbal and written communication skills.
- Organization/time management skills.
- Able to function independently and as a member of a team.
- Demonstrate excellent customer service behavior.
Required Licenses/Certifications:
- Certified Professional Coder - CPC (AAPC) OR AHIMA Certified Coding Specialist-Physician (CCS-P); *Certified Coding Specialist (CCS) in lieu of (CCS-P) acceptable for employees hired prior to April 30, 2020.
- Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only).
The hourly rate range for this position is $33.00 - $54.02. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy.
We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at uschr@usc.edu. Inquiries will be treated as confidential to the extent permitted by law.