We are recruiting for an experienced Certified Medical Coder for a stable healthcare company that is experiencing significant growth. This is an onsite contract opportunity in Sacramento for approximately 60-90 days and a chance to work with an amazing organization. The Medical Coder will be responsible for managing day-to-day coding and billing operations. Pay: $30-$32/hour DOE.  

The ideal candidate will have two years experience and expertise in medical coding guidelines and medical billing processes, with proficiency in Epic and CPC certification. Surgery billing experience is required. 

RESPONSIBILITIES: 

• Coding & Billing: Review and adjudicate coding of services from documentation in a timely manner.

• Procedure Coding: Code physician/provider visit procedure notes to identify appropriate ICD-10 and CPT-4 codes for charge processing.

• Code Optimization: Ensure that all diagnosis ICD-10 codes and procedure CPT, HCPCS codes are identified, sequenced, and coded accurately and ethically for optimized reimbursement.

• E&M Coding: Assign Evaluation and Management codes based on key documented concepts/elements, adhering to defined coding guidelines.

• Research: Identify correct codes for routine, new, or unusual diagnoses and procedures not clearly listed in ICD-10 and CPT guidelines.

• Modifier Identification: Identify procedures requiring modifiers (including 340B) for billing and reporting.

• Clinical Data Consultation: Consult with physicians and providers for clarification of clinical data when encountering conflicting or ambiguous information and/or significant missing documentation.

• Documentation Tracking: Track cases with insufficient documentation to ensure they become appropriately coded and billed.

• Policy Adherence: Ensure documentation adheres to Federal, State, and County billing policies.

SKILLS & QUALIFICATIONS:

• Minimum 2 years of experience in medical coding.

• High school diploma or equivalent required.

• Current CPC certification through AAPC or AHIMA required.

• Surgery billing experience is required.

• Comprehensive knowledge and understanding of medical coding, including insurance payor guidelines, ICD-1O, CPT Billing, and E/M coding.

• Ability to analyze medical records in an Electronic Health Record system to identify documentation deficiencies and verify documentation supports diagnoses, procedures, and treatments.