Coder

Confidential-posted about 1 year ago

$48,360 - $66,248/Yr

Full-time • Entry Level

Fresno, CA

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The Medical Biller/Coder position in Fresno, CA, is responsible for ensuring high accuracy in ICD-10 coding, maintaining compliance with MIPS, and managing all billable services for reimbursement. The role involves collaboration with healthcare providers, patients, and insurance companies to expedite claims processing and revenue retrieval. The position requires complex duties that necessitate judgment and discretion, adherence to established procedures, and proficiency in medical front office operations and customer service.

Assign codes to diagnoses and modalities/procedures using ICD-10 and CPT codes.
Maintain knowledge of appropriate coding systems; CPT/HCPCS and ICD-10, coverage; LCD/NCD and reimbursement associated with such codes.
Train front desk/staff for high-efficiency practices to expedite payment.
Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
Follow up with the provider on any documentation that is insufficient or unclear.
Communicate with other clinical staff regarding documentation.
Research, correct, and resubmit rejected, denied, and clean claims to the insurance companies either electronically or by paper.
Monitor multiple accounts and maintain compliance with insurance company rules and regulations, including maintaining MIPS compliance.
Contact physicians and other health care professionals with questions about treatments and/or needed signatures and clarifications.
Complete other duties as assigned.
Responsible for yearly CEUs and any relative needs to maintain Coding Certification, if applicable.

Certification preferred prior to hire date.
Completion of a certification coder program is preferred but not required.
Strong knowledge of anatomy, physiology, and medical terminology.
Previous (3 years) Billing/Coding experience in a healthcare organization preferred.
Excellent typing and 10-key speed and accuracy.
Commitment to a high level of customer service.
Familiarity with ICD-10 codes and procedures.
Solid oral and written communication skills.
Working knowledge of medical verbiage and anatomy preferred.
Able to work independently.
High school diploma or GED is required; College Education/Vocational Training in Medical Coding is preferred.

Three years of billing and coding experience in a healthcare organization.

401(k)
401(k) matching
Health insurance
Paid time off

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