Healthcare Coder – Patient Financial Services Consultant

posted on April 5, 2018

Job Description

Location: San Diego, CA

Duration: 3 Months

Description:

  • This Coding position works in Patient Financial Services & addresses coding issues related to claims & billing.
  • This position is responsible for the research & resolution of Correct Coding Initiative (CCI) claim errors & denials.
  • The incumbent will research CCI & coding errors/denials & apply appropriate modifier or removes charges.
  • Provides coding education in relationship to charging to clinical departments & PFS staff.
  • Reports CCI error trends to PFS Leadership & Clinical Department leadership.
  • Recommends coding changes to Revenue Cycle CDM team.
  • The PFS Coder will assist department with resolution of other claim errors in claim error WQs as assigned.
  • Must be knowledgeable of ICD9 (ICD10), CPT-4, HCPCs, & modifiers.
  • Must understand & apply all regulations/laws/ & standards regarding coding to ensure appropriate & compliant billing.
  • Must understand & apply knowledge of the current billing forms to include UB04 & HCFA 1500.

Must-Haves:

  • Experience in a pediatric setting
  • Experience in hospital acute care setting
  • Experience working CCI edits

Nice to Have:

  • Experience with Epic

Education:

  • Associate’s Degree (Preferred)
  • S. Diploma, GED, or Equivalent (Minimum)

Experience:

  • 1 Year of Experience (Minimum)
  • 2 Years of Experience (Preferred)

Licenses and Certifications:

  • Certified Professional Coder (Preferred)

Other:

  • (Minimum) Knowledge of current billing forms to include UB04 and HCFA 1500.
  • (Minimum) Certified Coder: CPC through American Association of Professional Coders or CCS/RHIT/RHIA through the American Health Information Association.