Mar 09, 2023

Coder - E&M

  • Costa Mesa, CA, United States
(CPC) Certified Professional Coder

Job Description

  • The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM. 
  • Codes are used for billing, internal and external reporting, research, and regulatory compliance activities.
  • Resolves billing related errors and assists with workflow changes and process improvement projects.
  • Meets ongoing productivity and quality standard of 95% accuracy rate or better.
  • Verifies that all ICD-10 codes are correctly captured. Verifies that physician is correctly abstracted.
  • Keeps abreast of coding guideline changes. Participates in internal and external quality review meetings.
  • May identify chargeable items for facility level for given department.
  • May assign codes for diagnoses and treatment for ancillary outpatient encounters. 
  • Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines.
  • Performs other duties as assigned.
  • Coder I may be asked to assist Fiscal Coder with reviewing codes on front end and/or back-end claim edits. "
  • Ensuring accurate and compliant coding for both inpatient and outpatient services, diagnostic and other medical services.
  • Accurate coding under compliance guidelines and knowledge of what is required to support code assignment/site coding documentation for coding compliance standpoint. 
  • Have knowledge of various specialties i.e., Dermatology, Oncology, Neurology, OBGYN, Thoracic Surgery, General Surgery, etc. 
  • Abstract coding - must be able to code off the provider documentation.
  • Must have active CPC, CCS, OR CCS-P certification; Professional coding experience with Medical Groups or larger doctor's offices/practices. 
  • E&M coding experience ICD 10, HCPCS codes (coding E&M, procedures, and surgical cases). 
  • At least 2-3 years.
  • Immediate knowledge of how-to problem solves insurance rejection denial issues.
    As an equal opportunity employer, ICONMA prides itself on creating an employment environment that supports and encourages the abilities of all persons regardless of race, color, gender, age, sexual orientation, citizenship, or disability.