PACE Medical Coder (Hybrid)

San Ysidro Health•San Diego, CA

10d•$30 - $38•Hybrid

About The Position

The PACE Medical Coder reviews clinical documentation and diagnostic results to verify appropriate assignment of ICD-10-CM, CPT, and HCPCS codes in accordance with Official Guidelines for Coding and Reporting. The role reviews patient documentation, identifies diagnoses, procedures, services, and chargeable items, and supports accurate coding, sequencing, and reimbursement. It also tracks encounters and prioritizes work so records are coded within department time frames, while serving as a resource for coding questions and maintaining coding knowledge through ongoing education. This is a hybrid position expected to be primarily remote. The employee must attend on-site quarterly meetings, and additional on-site presence may be required based on business needs. Applicants must currently live in California or be willing to relocate before employment. The position requires collaboration with providers and colleagues, confidentiality of electronic medical records, adherence to organizational policies and professional standards, and the ability to handle multiple activities. Evening or weekend work may be required.

Requirements

One year of medical coding experience with a CPC or CCS.
High school diploma or GED equivalent.
Current CPC certification from AAPC or certification from AHIMA.
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, HCPCS/CPT, HCC coding, and abstracting procedures.
Proficiency in typing and experience using computers and software systems.
Must currently live in California or be willing to relocate before employment.
Ability to handle multiple activities simultaneously, with good organizational skills and attention to detail.
Willingness to work with others as a team member.
Ability to work in a noisy setting.
May be required to work evenings and/or weekends.
Must satisfy pre-employment requirements, including I-9, physical, positive background and reference check results, completed application, new-hire orientation, and pre-employment PPDs.
Compliance with all mandated vaccinations and boosters is a term and condition of employment.

Responsibilities

Review chart progress notes and patient documentation for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers.
Verify diagnostic and procedural codes in the electronic health record using ICD-10, CPT, and HCPCS classifications.
Communicate with providers about documentation to support appropriate coding and reimbursement.
Identify chargeable items in each progress note and assign appropriate CPT/HCPCS codes.
Apply diagnosis-code sequencing guidelines and select principal diagnoses and procedures according to ICD-10 guidelines.
Track open and closed encounter reports to ensure all patients seen in the clinic are properly coded.
Organize and prioritize work so records are coded within department time frames.
Maintain anatomy and physiology knowledge to interpret medical classifications, including for complex encounters and cases.
Serve as an expert resource for other coders and personnel in other departments on coding questions and issues.
Participate in ongoing education, in-service training, and other activities to maintain and improve competence.
Adhere to organizational policies, procedures, processes, Core Competencies, and professional Code of Conduct behavior standards.
Collaborate with the team and use problem-solving skills.
Attend required meetings and participate in committees as directed.
Assist with maintaining or revising departmental policies and procedures.
Maintain confidentiality of patient electronic medical records and keep the work area clean, safe, and organized.
Perform other related duties as assigned or requested.