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The health and safety of our patients and employees is our highest priority. We have mobilized a swift, efficient, and comprehensive response to the current situation related to COVID-19 so that our staff can stay on the front lines, giving care safely. We welcome your application and will connect with you as soon as we can, possibly virtually. Please note that many positions will not be progressing as fast as they normally would, as we prioritize our current needs. Although some positions will be on hold while we focus on providing support for our staff, trust that your application will be reviewed and considered for future openings.

Lead, Professional Services Coder

San Diego, California
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Job ID 4237 Date posted 07/29/2020 Schedule Full-Time Shift Day Department PFS - RCSSD

JOB SUMMARY:
Under the general direction of the Supervisor, Professional Billing & Coding and/or Director, Professional Billing & Coding, this position operates from within the Revenue Cycle Center to address coding issues related to professional billing claims. The incumbent is responsible for reviewing provider charges to ensure accuracy, reduce claim errors & denials while maintaining compliance with CCI & other payer specific coding Edits (McKesson). The incumbent is responsible for reviewing professional surgical coding performed by departmental Professional Services Coders to ensure accuracy. The incumbent will be responsible for identifying trends of incorrect coding & compiling examples. He/She will develop training guidelines & presentations of coding recommendations based on these identified trends & will meet with physician providers to train & educate. The incumbent will research CCI Edits, coding & payer websites to provide up-to-date information to coding & billing staff, as well as providers. The incumbent will monitor, track & report error & denial trends to Revenue Cycle Leadership. The incumbent will recommend coding changes based on audit & research. The incumbent will assist departments with resolution of claim errors stemming from coding errors. Responsible for processing patient complaintss related to a patient account/invoice. Responsible for establishing & maintaining accurate development of procedural coding for clinical services following Federal & State guidelines. Coordinate & delegate workflows of surgical coding staff. Serve as a resource & mentor to the Departmental Certified Coders & billing staff, assisting them with education & coding questions as they arise. Must be knowledgeable in ICD, CPT & HCPCS coding. Must understand & apply all regulations/laws/and standards applicable to coding to ensure appropriate & compliant billing.

MINIMUM QUALIFICATIONS:
H.S. Diploma,GED,or Equivalent
2 Years of Experience
Certified Professional Coder
Knowledge of coding methodology, abstract coding from medical/chart notes and operative reports.

PREFERRED QUALIFICATIONS:
Associate's Degree
3 Years of Experience

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  • PFS - RCSSD, San Diego, California, United StatesRemove