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Physician Billing Certified Coder I

Valley Children's Healthcare

Responsible for reviewing provider documentation and performing coding functions. This role supports the professional billing workflow by assisting with claim edits, claims processing, claim rejections, data entry, and documentation queries.

The coder communicates with physicians regarding documentation issues related to code assignment, provides feedback on variances between hospital and physician CPT coding, helps identify and resolve incorrect claims, and drafts letters to coordinate appeals and other billing-related tasks as assigned.

Requirements & Qualifications

Education

  • High School Diploma or GED required

Licenses and Certifications

  • CPC (Certified Professional Coder, AAPC) required

Experience

  • Minimum 2 years of related experience or RHIT certificate preferred
  • Minimum 2 years of ICD-10 CM/PCS and CPT-4 coding experience with outpatient surgery medical records preferred
  • Minimum 1 year of anesthesiology coding experience preferred

Skills and Abilities

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

Location

California, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

2 weeks ago

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