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Description
We are in search of a Medical Coder t for a role based in Costa Mesa, California. This position plays a critical role within our team, focusing on the review of clinical documentation and diagnostic results, application of appropriate ICD-10-CM, and CPT-4 codes, and assisting with workflow changes and process improvement projects. This role is part of the healthcare industry and requires a strong understanding of coding principles, regulatory compliance, and billing processes.
Responsibilities:
• Review clinical documentation and diagnostic results to ensure accuracy and compliance
• Apply appropriate ICD-10-CM, and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance activities
• Resolve billing-related errors in a timely and efficient manner
• Assist with workflow changes and process improvement projects to enhance productivity and quality
• Ensure all ICD-10 codes are correctly captured and that physicians are correctly abstracted
• Stay updated on changes in coding guidelines and implement them in your work
• Possibly identify chargeable items for facility level for a given department
• Assign codes for diagnoses and treatment for ancillary outpatient encounters
• Adhere to the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and all official coding guidelines
• Handle other duties as assigned within the scope of the role.
Requirements • Proficiency in Documentation and Procedures
• Familiarity with Policy and Research
• Ability to assure Quality in all tasks
• Knowledge of Medical Coverage procedures
• Understanding of Benefit Functions and Billing
• Ability to maintain Productivity in high pressure situations
• Experience in Clinical Trial Operations
• Knowledge in Coding, handling Queries and managing Reimbursements
• Ability to Diagnose Problems in workflows
• Familiarity with External Reporting and Regulatory Compliance
• Knowledge of 401k Administration
• Understanding of dental coverage procedures
• Familiarity with ICD-10 coding system
• Experience with Inpatient procedures
• Understanding of Indicators in a healthcare setting
• Knowledge of Licensure procedures
• Experience with Commissions
• Understanding of Ancillary services
• Ability to lead and manage Process Improvement Projects.
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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