Certified Coder in Northern CA - Onsite Only
- AAPC Recruiting Services
- Northern California, CA, USA
- $23.00 - $25.00 hourly
Job Description
Certified Coder is a nonexempt position responsible for front office and general coding billing duties. Responsible for Coding Audits, Claim, Billing review and compliance.
Performance Requirements
Knowledge
- Knowledge of billing practices and clinic policies and procedures.
- Knowledge of coding and clinic operating policies.
- Knowledge of medical terminology
- Knowledge of health care insurance claim practices and compliance.
- Knowledge of computer systems, programs, and applications.
Skills
- Proficient skills in computer programs.
- Skill in using a calculator.
Abilities
- Ability to understand and interpret policies and regulations.
- Ability to read and interpret medical charts.
- Ability to examine documents for accuracy and completeness.
- Ability to communicate effectively and work with others.
Major Duties and Accountabilities
- Coordinates with clinical staff to verify charge and/or documentation information as needed
- Audits information about procedures performed and diagnosis on charge.
- Audits 100% of new provider claims
- Audits providers quarterly for correct coding and optimal reimbursement
- Provides education to clinical staff as necessary with coding/documentation
- Reports quarterly on Bell Curves
- Responsible for Athena Work Lists as apply to med necessity and/or coding denials
- All other duties as assigned by the Business Office Manager
Position Competencies
- Role model for organization’s core values
- Customer Service: Demonstrates the highest standards for friendly, courteous and caring interaction with patients, physicians, customers, and fellow employees.
- Professional presence
- Communication Demonstrates ability to accept and understand instructions, expresses self clearly and concisely.
- Adaptability/Flexibility Demonstrates the ability to cope with pressure, grasp new ideas and methods, and adjust responses to meet the changing work environment.
- Independence/initiative Demonstrates reliability, follow‑through, ability to work with minimum supervision, and desire and ability to accept additional responsibility.
- Confidentiality
- Emotional Intelligence Maintain basic emotional and social competencies to include self-awareness, self-regulation, motivation, empathy, and social skills.
Job Qualifications
- Equipment operated; Standard office equipment including computers, fax machines, copiers, printers, telephones, calculators, etc.
- Education/Experience: Must have a high school diploma & AAPC or AHIMA Certification. Prefer minimum of one year coding experience in a health care organization.
- Physical: Position is in a well-lighted office environment and sitting and standing associated with a normal office environment.
Required Experience Level
Minimum Education
Minimum Experience Required
Required Travel
AAPC is the nation’s largest education and credentialing organization for medical coders, billers, auditors, practice managers, documentation specialists, compliance officers, and revenue cycle managers. All members of AAPC agree to abide by the AAPC Code of Ethics, which ensures high levels of professionalism, integrity, and ethical behavior.
Recruiting Services
When it comes to finding the best candidate to join your business, the hiring decision must be carefully considered. After all, who you choose will represent your company and play an important role in your revenue. At AAPC, we have the experience, resources, and network to help you find and hire people who will drive success for your business. Plus, our Recruiting Services are tailored to your organization’s needs.
We focus on finding the right candidate for your role, so you can focus on doing what you do best: care for your patients.
Benefits of AAPC Recruiting Services
Customized Recruiting
Our qualified healthcare professionals go through a rigorous screening process with an emphasis on accuracy and efficiency — and have demonstrated they’re qualified and ready to work in healthcare settings of every size, type, and specialty. Our Staffing Services are tailored to your organization’s unique needs.
Full-Service Solution
Our team of talented experts not only have access to the largest network of healthcare professionals, they're also highly skilled and the entire talent acquisition process. From posting jobs to vetting candidates and negotiating salary on your behalf, we provide full-service staffing solutions.
Large Talent Pool
Whether you're looking to hire a team of Certified Professional Coders (CPC) and Certified Professional Medical Auditors (CPMA), or your organization's next Compliance Officer, our talent pool is the largest in healthcare. With access to AAPC's network of more than 200,000 healthcare professionals in 50 countries, we can find you the right candidates, for the right jobs, at the right time.
Purpose
AAPC discovers, develops, and provides innovative products, services, and solutions to help the global healthcare industry recognize the full potential of their revenue cycle.
For Businesses
We help healthcare organizations ensure documentation accuracy, boost employee efficiency, and optimize their revenue cycle. Our elite team of subject matter experts create and manage customized solutions that are tailored to our clients’ unique pain points and goals. Whether it’s coding or audit services, ongoing education, or access to the industry’s most powerful tools and resources, AAPC is the trusted source for driving accuracy, profitability, and peace of mind.
For Individuals
We help people find, begin, and maintain new careers. We also help them determine the right career path, provide resources and support throughout their studies, help them land their first job and give them the means to advance their careers. From the tools and resources we offer to a network of over 220,000 coders, billers, auditors and AAPC employees to help them along the way, one thing is certain: AAPC members are never alone.
Industry Growth
Job growth for medical records and health information technicians is projected to grow 13% by 2026, according to the U.S. Bureau of Labor Statistics. This rate of growth exceeds the average of all occupations. As demand for healthcare services increases, more trained coders will be needed to manage the increased claims for reimbursement from insurance companies.
All USA physicians and hospitals are required by federal law to use standardized sets of medical codes to report supplies, diagnoses, procedures, and other services associated with patient care. All payments for medical services in the USA are linked to these codes. Medical codes are accurately assigned by coders, determine payment charged by billers, and are monitored and verified by auditors and compliance officers. Practice managers ensure these positions function well together to support the revenue cycle.
Standardized medical codes expedite information gathering, billing, and data collection. This system allows payers to better compare charges for services and set payment rates that fairly reward providers for their work while reducing insurers’ risks. The data can be collected and analyzed for trends, such as which treatment methods work best over time for certain conditions, or what is the frequency of certain diseases or treatments in specific localities? All of this contributes to an overall reduction in the cost of healthcare delivery and better patient care.
History
AAPC was founded in 1988 as the American Academy of Professional Coders, with the aim of providing education and certification to coders working in physician-based settings. These settings include group practices and specialty centers (i.e. non-hospital settings). As their services expanded beyond medical and outpatient coding, the full name was dropped in favor of the AAPC initialism.