Certified Coder - 34th Street CHC

Clinica Sierra Vista•Bakersfield, CA

9d•$23 - $29•Onsite

About The Position

Clinica Sierra Vista is seeking a Certified Coder to join their team. This role is responsible for all phases of billing and account follow-up, utilizing accepted billing and coding practices to ensure thorough and consistent account resolution, thereby promoting the financial health of Clinica Sierra Vista. The organization emphasizes patient-centered care and serves a diverse population, including those with low incomes and various cultural backgrounds, without regard to immigration status.

Requirements

High School graduate or equivalent.
Must be 18 years of age.
Minimum of two years experience in billing in the medical/dental field to include CPT and ICD10 Coding.
Medical coding from AAPC (CPC Certificate) or AHIMA (CCS Certificate, and Current certification from ADCA (CDC certificate).
Ability to post and make arithmetical computations accurately.

Nice To Haves

Knowledge of Epic practice management system preferred.
Previous FQHC/RHC experience preferred.

Responsibilities

Providing efficient and effective account receivable services to maximize reimbursement.
Accurately billing Medicare, Medi-Cal, self-pay/sliding fee, and commercial insurance claims in accordance with payer requirements and CSV Billing Policies and Procedures.
Posting patient and electronic and paper insurance remits.
Correcting claim and charge errors.
Thoroughly researching and resolving credit balances.
Answering phone calls from patients regarding their bill.
Assisting with the collection of receivables by monitoring accounts receivables, checking claim status and resubmitting claims of overdue accounts, filing corrected claims or appeals and alerting one’s supervisor of seriously overdue accounts.
Abstracting all necessary information to assign ICD-10-CM, CPT, and HCPCS codes which most accurately describe each documented diagnosis and procedure according to established government and private healthcare guidelines.
Assuring the final diagnoses and all other procedures as stated by the physician/provider are valid and complete.
Evaluating the medical record for documentation consistency and adequacy, ensuring that the final diagnosis and procedures accurately reflect the care and treatment rendered.
Reviewing the medical record for coding compliance in accordance with Medi-Cal and Center for Medicare Services (CMS) regulations.
Analyzing provider documentation to assure the appropriate Evaluation and Management (E&M) levels are assigned using the correct CPT code.
Establishing and maintaining positive working relationships with patients, payers, team members, clients and other stakeholders.
Maintaining confidentiality of patient information in compliance with HIPAA regulations.
Performing other specific projects related to billing, data entry, and computer operations as required.
Reasonable and predictable in person attendance.
Other duties as assigned.