12 jobs found

Your Role   The Medi-Cal Operations team is responsible for Claims processing and ensuring Medi-Cal benefits are applied. The Medical Coder Auditor Senior will report to the Director of Medi-Cal Performance. In this role you will Serve as an expert Medi-Cal resource in the areas of coding, documentation, auditing, including CMS/HHS regulations and compliance issues surrounding requirements for risk adjustment. Review and monitors all Medi-Cal, HIPAA and CMS regulations for updates and changes pertaining to Medi-Cal programs. Determine and implement changes needed for systems and processes.   Your Work   In this role, you will: Perform audit projects, including and not limited to Government RADVs, and internal compliance audits Support and implement prospective, retrospective and auditing project strategy to support improved clinical documentation and coding Be responsible for facilitating and/or performing an audit of the providers’ medical...

Organization benefits for position: 100% remote but candidate  must reside in California These are full-time opportunities Full Benefits - Health/Dental/Vision/Life/AD&D/FSA Basic Term Life Insurance and accidental death insurance 401(k) contributions  Client to p rovide Codify Equipment supplied Position – OP Ancillary Physician Coder: CPC or CCS required   CGSC preferred Minimum of  3 years of current experience  in a hospital or physicians office as a medical coder Expert knowledge of ICD10-CM, CPT, and HCPCS EPIC software experience  required Proficient with Microsoft Purpose Statement / Position Summary Under the direction of the Manager, Coding Compliance, the OP Ancillary/Physician Coder will play a key role in reviewing and analyzing billing and coding for processing. This role will be responsible for reviewing and...

Organization benefits for position: 100% remote but candidate  must reside in California These are full-time opportunities Full Benefits - Health/Dental/Vision/Life/AD&D/FSA Basic Term Life Insurance and accidental death insurance 401(k) contributions  Client to p rovide Codify Equipment supplied Position – OP Ancillary Physician Coder: CPC or CCS required   CHONC preferred Minimum of  3 years of current experience  in a hospital or physicians office as a medical coder Expert knowledge of ICD10-CM, CPT, and HCPCS EPIC software experience  required Proficient with Microsoft Purpose Statement / Position Summary Under the direction of the Coding Compliance Manager, the Pro-Fee Oncology Physician Coder will play a key role in reviewing and analyzing billing and coding for charge processing, specifically with Hematology/Oncology....

PRINCIPAL DUTIES AND RESPONSIBILITIES Reviews both handwritten and electronic anesthesia records and interprets documentation to identify all procedures and diagnoses Assigns proper CPT and ICD10 codes in accordance with coding guidelines and posts charges Stays informed of coding regulations and insurance plan polices and effectively applies this knowledge Performs reconciliation of all posted charges to OR schedules Runs concurrency reports for any anesthesia time discrepancies and escalates complex overlaps to Coding Supervisor Maintains 95% accuracy standards and meets daily productivity expectations Communicates to appropriate staff regarding any issues or concerns pertaining to coding Conforms to all HIPAA and billing compliance requirements   QUALIFICATIONS Certification requirement: Certified Professional Coder (CPC) through the American Academy of Professional Coding (AAPC) or Certified Coding Specialist (CCS) through the...

Who We Are Led by highly successful physician executives with a mission to improve health care quality for underserved populations. Rendr is a primary care-driven, multi-specialty medical group serving approximately 200,000 patients through its forty locations in Brooklyn, Manhattan, and Queens. Rendr is a growing physician practice dedicated to serving the Chinese American population throughout the New York metropolitan area. We bring together a group of world-class physicians with a proven executive leadership team and a robust care management platform to deliver the best care possible to this underserved population. Department: Billing Location: New York, NY (open to fully remote)  Position: Senior Coding Manager Rendr is looking for a Senior Coding Manager to manager and oversee daily operations, including but not limited to, overseeing the entire coding department and staff, data collection, analysis and reporting to meet the department’s...

Essential Skills of The Certified Professional Coder (CPC) Obtains operative reports for all posted surgeries and scans them into patient record. Uses correct coding guidelines to appropriately code surgical cases and posts surgical charges. Specializes in Workman’s Compensation claims, including obtaining authorizations as needed. Assists with review, assessment and retraining on provider audits. Prepares quarterly Assistant Surgeon Report. Trains and instructs providers and staff on appropriate coding and compliant documentation. Collects and enters patient’s insurance information into data base when appropriate. Responds to telephone calls from patients regarding account information, balances and insurance questions. Trains personnel new to the practice as necessary. Provides cross coverage for other billing personnel as required to ensure workflow is consistent. Additional duties as assigned and necessary for the function of both...