PACE Medical Coder (Hybrid)

San Ysidro Health•San Diego, CA

4d•$30 - $38•Hybrid

About The Position

The PACE Medical Coder will review clinical documentation and diagnostic results as necessary to verify the appropriate assignment of the ICD-10 CM, CPT and HCPCS codes as per Official Guidelines for Coding and Reporting. This position is intended to be a hybrid role, where the incumbent will be expected to primarily work remotely. There is a minimum expectation to attend On-Site Quarterly Meetings; additional on-site presence may be required based on business need. To be considered for this role, candidates must either currently live in California or demonstrate a willingness to relocate prior to employment.

Requirements

One (1) year of medical coding experience required with a CPC or CCS.
High School Diploma or GED Equivalent.
Current Procedural Coder (CPC) Certification from the American Academy of Professional Coders (AAPC) or AHIMA American Health Information Management Association certification required.
Good oral and written communication skills.
Good customer service skills.
Extensive knowledge of medical terminology, human anatomy and physiology.
Knowledge of diagnostic tests, procedures, pathology terms and drug reference books.
Knowledge of ICD-10-CM and HCPCS/CPT, HCC coding & abstracting procedures.
Proficient in typing skills and experience with using computers and software systems.
Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs.
Compliance with all mandated vaccinations and all boosters is a term and condition of employment.

Nice To Haves

Candidates must either currently live in California or demonstrate a willingness to relocate prior to employment.

Responsibilities

Review the Chart Progress Notes, patient documentation for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers.
Verifies all diagnostic procedural codes from the electronic health record using ICD-10 CPT and HCPCS coding classifications.
Communicates effectively with providers concerning documentation to assure proper coding and reimbursement.
Identify all chargeable items within each progress note to ensure proper CPT/HCPCS codes for each of the items.
Apply sequencing guidelines for the diagnosis codes and selection of the principal diagnosis and procedure according to ICD-10 guidelines
Tracks open/close encounter reports to assure that all patients seen in the clinic are properly coded.
Organizes & prioritizes all work to ensure that records are coded in time frames that will be in line with department policies.
Maintains knowledge of Anatomy & Physiology to interpret general medical classifications for coding including the most complicated encounters/cases.
Acts as an expert resource person to other coders & personnel in other departments regarding coding questions & issues.
Participates in ongoing education, including in-service training and other activities to maintain and improve competence.
Adheres to SYHC's Core Competencies and professional Code of Conduct Behavior Standards in their day-to-day work by consistently demonstrating the Core Values of Respect, Excellence, Integrity and Empowerment.
Performs any other related job duties as assigned and/or requested.
Adheres to all applicable SYHC's Policies, Procedures and processes.
Demonstrates skills in collaboration with team and problem-solving.
Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops.
Attends meetings as required and participates on committees as directed.
Demonstrates courtesy and treats every patient and employee with dignity in every interaction.
Assists in the maintenance and/or revision of established Departmental Policies and Procedures.
Maintains confidentiality of all patient electronic medical records.
Maintains a clean, safe, and organized work area at all times.
Performs all other related duties as assigned or requested.