34 medical billing coder jobs found in San Francisco, CA

Medical Billing Coder job at University of California, San Francisco, CA. Medical Billing Coder FPO - Revenue Management Full Time 85300BR Job Summary Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional Fee Coder - Revenue Cycle Analyst will be responsible for front-end billing functions from procedural & diagnosis coding and charge entry to contacting physicians for documentation tracking and updating. Working under direct supervision the incumbent acquires knowledge of revenue cycle coding practices and concepts. Developing proficiency to manage 500 - 1000 code combinations to include Evaluation and Management Services as well as simple to moderately complex testing and procedural code services. The Medical Billing Coder will work to acquire and master all entry-level coding functions including assigning appropriate CPT and Dx codes, associated modifiers, appropriate NCCI edits, resolving coding edits and RFIs as well...

Job Summary The dermatology medical billing coder works under direct supervision, acquires skills and knowledge in revenue cycle practices and concepts. Learns to work on projects of limited scope and complexity. Coding all E/M and procedural coding for outpatient service for 45+ attending at UCSF Health Dermatology Department, as well as ensuring teaching physician guidelines are correct, including all minor and major procedure coding. The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors, including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The current hourly rate range for this position is $26.11-$55.32, with the entry point at $31.64, d.o.e., and is subject to change...

Medical Billing Coder - Dermatology at UCSF Health Job Summary The dermatology medical billing coder works under direct supervision, acquires skills and knowledge in revenue cycle practices and concepts. Learns to work on projects of limited scope and complexity. Coding all E/M and procedural coding for outpatient service for 45+ attending at UCSF Health Dermatology Department, as well as ensuring teaching physician guidelines are correct, including all minor and major procedure coding. Department Description The dermatology practices at UCSF Medical Center are regional centers offering a broad spectrum of diagnostic and treatment services for patients of all ages with cutaneous problems. We provide the most comprehensive skin cancer treatment program in Northern California, are the regions only vascular anomalies center, and provide a complete psoriasis treatment program. The Dermatology Clinic offers a wide range of treatments for patients with skin problems, including the...

Medical Billing Coder Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional Fee Coder - Revenue Cycle Analyst will be responsible for front-end billing functions from procedural & diagnosis coding and charge entry to contacting physicians for documentation tracking and updating. Working under direct supervision the incumbent acquires knowledge of revenue cycle coding practices and concepts. Developing proficiency to manage 500 - 1000 code combinations to include Evaluation and Management Services as well as simple to moderately complex testing and procedural code services. The Medical Billing Coder will work to acquire and master all entry-level coding functions including assigning appropriate CPT and Dx codes, associated modifiers, appropriate NCCI edits, resolving coding edits and RFIs as well as basic entry-level revenue cycle duties. Other duties may include assisting other Departments as needed/assigned. As a Medical...

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Medical Coder Position Bizforce and our medical billing division, MedCore Solutions, are seeking skilled Medical Coders to join our growing team. As a Medical Coder at MedCore, you will be responsible for translating details from a patient's medical documents into medical codes for health insurance claims purposes. Additionally, you will be liaising with the client and team members for coding-related queries and concerns, performing audits for coding denials and missing information, and maintaining a tracking system for coded charts. MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today! MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing,...

Medical Coder Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include: Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries...

Overview Medical Coding Auditor (CPC) role at Farragut Square Group / McDermott Will & Schulte. This position reports to the VP of Billing & Coding within the group and is suitable for a CPC certified Auditor who thrives in a fast-paced, thoughtful team environment. Responsibilities Perform accurate and compliant auditing reviews of pertinent medical records and physician services to identify and report audit outcomes and the need for coding education. Conduct coding reviews including practice- and ASC-based services, ensuring compliance with ICD-10 CM, ICD-10 PCS, CPT, CDT, HCPCS coding and Modifier guidelines. Explain findings clearly to internal team members, demonstrating knowledge of CMS, payor, and Federal and state regulatory requirements. Interact professionally with client practices to help locate missing documents and provide necessary chart information. Qualifications CPC designation is required; candidate must have audit experience and experience performing...

The Medical Coder is primarily responsible for performing chart reviews and coding audits; reviewing appropriate ICD-10 diagnoses codes, and CPT and HCPCS procedure codes assigned for evaluation and management of the patient. Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements. ESSENTIAL JOB FUNCTIONS: * Performs pre-appointment HCC or risk adjustment chart reviews, coding audits, or other coding-related projects * Acts as internal resource for all coding inquiries from providers, Billing, Laboratory, Radiology, and other departments. * Provides real time coding consultation and review and evaluation of...

The Medical Coder is primarily responsible for performing chart reviews and coding audits; reviewing appropriate ICD-10 diagnoses codes, and CPT and HCPCS procedure codes assigned for evaluation and management of the patient.Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements. ESSENTIAL JOB FUNCTIONS: Performs pre-appointment HCC or risk adjustment chart reviews, coding audits, or other coding-related projects Acts as internal resource for all coding inquiries from providers, Billing, Laboratory, Radiology, and other departments. Provides real time coding consultation and review and evaluation of documentation to...

Appeals Coordinator Duties and Responsibilities: Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing clearinghouse. Creates appropriate letters to substantiate the validity of claims. Meets with facility liaison to review documentation, resolve coding, and tagging files for follow-up. Investigates and problem-solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with facility liaison or other clinical staff as needed to provide documentation feedback and to develop appeals. Researches payer policies and processes. Reviews clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment. Works assigned work queues and tasks and reviews remittance advice for rejections and accuracy of payment...

Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions: Normal office environment. Typically...

Certified Coder Summary Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement. Performs related duties as required. Duties & Essential Job Functions NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the cooperating parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets. Selection and sequencing of diagnoses and procedures must meet the...

SUMMARY: Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement. Performs related duties as required. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 1. Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the cooperating parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets. 2. Selection and sequencing of diagnoses and procedures must meet the definitions...

Join our dynamic practice in Emeryville and make an impact immediately. We're on the lookout for a talented Medical Biller/Collector to join our team. With a flexible schedule and competitive pay, this is your chance to shine in a fast-paced environment. **Your Role: Medical Biller/Collector Extraordinaire** As a Medical Biller/Collector, you'll be the linchpin of our billing and collections process. Your experience, attention to detail, and proactive approach will help us ensure accurate reimbursements and smooth operations. **What You'll Do:** Master the art of billing, collections, and reimbursement for specific patient accounts. Identify and correct errors in claims, ensuring accuracy and timely processing. Champion the appeals process, fighting for additional benefits on wrongly processed claims. Initiate tracers and engage with insurance companies to secure rightful reimbursements. Handle correspondence regarding balances and updated insurance info. Collaborate with the...

Overview Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administrations (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all. The Temporary Certified Medical Coder is responsible for reviewing and interpreting medical documentation to assign appropriate diagnosis and procedure codes for billing and reimbursement purposes. The ideal candidate will have a deep understanding of coding guidelines and regulations and be able to ensure the accuracy and completeness of all coding work. Responsibilities Review and analyze medical documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes....

Ovation Healthcare At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated professionals with a desire to help independent hospitals...

Pro Fee Coder Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Job Description The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance...

Inpatient Medical Coder 2 This area codes inpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Medical Center and The James Cancer Hospital. ICD-10-CM/PCS codes are assigned for the diagnoses and procedures for all inpatients treated within the OSU Health System. Medical record abstract data is reviewed for accuracy in EPIC/IHIS before completing the chart. This position is responsible for coding some or all the following types of records: inpatient record types. The position is primarily responsible for coding medical records and other documents at the conclusion of the patient's visit. This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, and sequencing diagnoses and procedures. Codes flow from the Encoder Software to EPIC/IHIS Resolute Billing system. This staff member is responsible for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital...

Overview If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care - University Healthcare Alliance job. Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. Locations Stanford Health Care - University Healthcare Alliance What you will do Risk Adjustment Review May perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing Reviewing medical records to ensure...

Overview Farragut Square Group provides clients with research and policy advisory services on healthcare topics, including billing and coding, claims reviews of physician office practices and in- and out-patient facilities. Farragut Square Group is expanding by hiring a Medical Coding Auditor. This role is ideal for a CPC-certified Auditor who thrives in a fast-paced yet collaborative team environment. The position reports to the VP of Billing & Coding within the group. Responsibilities Perform accurate and compliant auditing reviews of pertinent medical records and physician services to identify and report audit outcomes and the need for coding education. Conduct coding reviews for practice- and ASC-based services, ensuring compliance with ICD-10 CM, ICD-10 PCS, CPT, CDT, HCPCS coding and Modifier guidelines. Explain findings clearly to internal team members, demonstrating knowledge of CMS, payor, and federal/state laws and requirements. Interact professionally with client...

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The Professional Coding Auditor performs reviews for professional/clinic based clinic visits and hospital setting claims reviewing provider’s diagnosis and procedural coded claims in ensuring coded data is in compliance with Official Coding Guidelines and American Medical Association CPT/HCPCS procedural coding conventions. The role of the auditor is to educate providers performing services in clinic base and hospital setting...

Ambulatory Professional Fee and Hospitalist Coder Apply for the Ambulatory Professional Fee and Hospitalist Coder role at NorthBay Health. Job Description At NorthBay, the Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT, and HCPCS codes in an accurate and timely manner in the hospital setting. The ideal candidate is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. The candidate can effectively communicate with providers via email, query, phone call, or in person to educate or discuss coding requirements. The role abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital’s abstracting system. Work is performed using the approved classification coding systems to include the modifiers. All work is carried out in accordance with the...

THE ROLE As a member of AMM's Compliance and Ethics team, the Compliance Coding Auditor is an important driver of our mission. They are responsible for supporting the Company's Compliance & Ethics Program (the Program) auditing, tracking, and monitoring initiatives. Robust auditing, testing, and monitoring capabilities are essential to fulfilling the expectations of AMM's key stakeholders, including patients and their families and government agencies, and AMM is committed to exceeding those expectations. The Program is led by AMM's CCEO, who reports to AMM's Chief Executive Officer and the AMM Board, and who oversees and manages the AMM Compliance Committee, consistent with industry best practices. The Compliance Coding Auditor for the Auditing, Tracking, and Monitoring team is expected to exemplify the Company's culture and core values. This is a role that requires sound and risk-aware judgment, productive collaboration across the Company, and demonstrated success in...