Company Overview
Must-Haves:
Education and Experience:
Graduation from a formal coder training program or completion of an academic class in medical coding.
2+ years of hospital coding or charge audit experience. (Two additional years of coding experience may substitute for educational requirements.), HS Diploma (or equivalent – GED) is a MUST
MUST HAVE: Experience with California payer mix (Medical and other California only guidelines)
Coding Knowledge and Skills:
Proficiency with ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems.
Experience with electronic medical billing systems such as PBAR and Cerner.
Understanding of federal coding compliance regulations and guidelines.
Accuracy and Productivity:
Ability to meet productivity and accuracy/quality standards, including entering 98% of CCL charges into the electronic billing system within 3 days of the date of service.
Collaborative Skills:
Experience working collaboratively with physicians, staff, and management to identify opportunities for improving charge capture and billing accuracy.
Error Resolution and Process Improvement:
Capability to review, reconcile, and correct charges and documentation errors.
Ability to provide recommendations for staff education and process improvements to the CCL Manager.
Nice-to-Haves:
Technical Proficiency:
Familiarity with Soarian Financials Billing Edits and Billing Processes.
Additional Skills:
Experience in reviewing and editing previously submitted charges due to billing errors or insurance requirement changes.
Ability to consult with medical providers to clarify record information and determine appropriate codes.
Additional Experience:
Experience in reviewing and reconciling charges in other electronic medical billing systems beyond PBAR and Cerner.
Experience with cardiac Cath lab procedures and charges.
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