Coder (Level 1/ Level 2 Tiers)
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Role details
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Job description
The Medical Coding Specialist will review provider pre-coded claims, ensure coding accuracy and compliance, resolve discrepancies, and support timely and accurate billing., * Review and audit provider pre-coded claims for accuracy.
- Assign and validate CPT, ICD-10-CM, HCPCS Level II codes and appropriate modifiers.
- Review documentation to ensure services are coded accurately and compliantly.
- Code professional E/M and procedural services.
- Identify coding discrepancies and communicate concerns for correction.
- Assist with coding denials and identify recurring denial trends.
- Verify patient demographics and insurance information when needed.
- Maintain required coding quality and productivity standards.
- Track daily productivity using Excel.
- Follow applicable coding guidelines, NCCI edits, documentation requirements, payer policies, and federal/state regulations.
Procedures may include E/M services, trigger point and bursa injections, Botox, intrathecal pump maintenance, medial branch blocks, radiofrequency ablations, epidural steroid injections, and other outpatient/ASC procedures.
Requirements
We are seeking a detail-oriented Medical Coding Specialist to join a growing healthcare organization. This is a great opportunity for both newly certified coders looking to begin their career and experienced coders with professional and ambulatory surgery center (ASC) experience., * Active AAPC or AHIMA certification required - CPC, CPC-A/CPCA, or CCS.
- Knowledge of CPT, ICD-10-CM, HCPCS Level II, modifiers, and medical terminology.
- Strong attention to detail and organizational skills.
- Ability to receive and apply feedback while maintaining coding accuracy.
- Comfortable working in a high-volume, productivity-driven environment.
- Comfortable working 100% onsite.
Entry-level coders are encouraged to apply. Candidates with an active CPC-A/CPCA may be considered with 0 years of professional coding experience.
Experienced Coder / Level 2 Qualifications
Candidates being considered for Level 2 should have:
- 2+ years of medical coding experience.
- Professional/outpatient E/M coding experience.
- ASC coding experience.
- Strong understanding of CPT, ICD-10-CM, HCPCS, modifiers, NCCI edits, and payer guidelines.
- Ability to independently review more complex coding scenarios.
Pain management/procedural coding and eClinicalWorks (eCW) experience are highly preferred.
Benefits & conditions
$20.00 - $22.50 an hour - Full-time, Contract, Pulled from the full job description
- Opportunities for advancement, * Monday-Friday
- 8-hour shift with a 30-minute unpaid lunch.
- Flexible start time between 7:30 AM and 9:30 AM.
Why Consider This Opportunity?
- Entry-level coders with the appropriate certification are welcome.
- Structured training and clear opportunities for advancement.
- Flexible morning start time.
- Opportunity to build experience in professional and ASC coding.
- Potential for one remote day per week after full-time conversion, based on performance.
For California Applicants:
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).
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