Physician Billing Certified Coder I

Job Summary:

The Certified coder I is responsible for properly reviewing provider documentation and can perform all coding functions. Possesses a solid understanding of the professional billing workflow and assists with general billing duties as necessary to include claim edits, claims processing, claim rejections, data entry, and queries and communicates with physicians on documentation issues related to code assignment and provides feedback to physicians and the physician billing entity on variances between hospital and physician CPT coding as needed. Helps identify and resolve incorrect claims issues and is responsible for drafting letters to coordinate appeals as well as other areas related to billing as assigned by the manager.

Qualifications:

Education

• High School Diploma/G.E.D. (required)

Licenses and Certifications

• CPC - Certified Professional Coder - AAPC - American Academy of Professional Coders (required)

Work Experience

• Minimum two (2) years Related experience or RHIT certificate (preferred)
• Minimum two (2) years ICD-10 CM/PCS and CPT-4 coding experience with outpatient surgery medical records. (preferred)
• Minimum one (1) year Anesthesiology coding experience (preferred)

Skills and Abilities

• Ability to work independently with limited supervision. Skilled in gathering and reporting information. Ability to multi-task and prioritize needs in order to meet timelines. Knowledge of medical terminology and anatomy. Knowledge of CPT, ICD-10, ASA and HCPCS coding.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Compensation Range:

$30.82 - $44.80

Workshift:

Position Exempt:

No

FTE %:

100

Scheduled Weekly Hours:

40

Daily Hours:

8

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About Us

Valley Children’s Healthcare – one of the largest pediatric healthcare networks in the nation – provides Central California’s only high-quality, comprehensive care exclusively for children, from before birth to young adulthood. With more than 670 physicians and 3,500 staff, Valley Children’s delivers high-quality, comprehensive care to more than 1.3 million children in our service area. Our network offers highly specialized medical and surgical services to care for children with conditions ranging from common to the highly complex at our 358-bed stand-alone children’s hospital that includes 28 regional NICU beds. Our family-centered, pediatric services extend from a leading pediatric cancer and blood disorders center home on the West Coast, and a pediatric heart center known for its expertise and pioneering treatments, to a Regional Level IV neonatal intensive care unit (NICU), the highest level referral center between Los Angeles and the Bay Area. We participate in community initiatives, we support community efforts, we get involved where we can do the most good.