3 Medical Coder Jobs in Monterey, CA
Astrana Health is Hiring a Medical Coder Near Monterey, CA
- Review provider documentation of diagnostic data from medical record to verify that all Medicare Advantage and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company
- Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
- Perform thorough review on the surveys and medical records provided by our nurse practitioners to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines
- Interacts with our team of providers regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
- Verify patient eligibility with insurance as needed, maintaining an open line of communication with all insurance carriers including follow-up, denials, and appeals
- Bill, post, review, and analyze superbills from providers to ensure accuracy in codes as per billing guidelines
- Other duties in support of department programs and goals
- High School diploma/GED or higher education
- Must possess and maintain AAPC or AHIMA certification, & Certified Coding Specialist (CCS-P), CCS, CPC
- Minimum of two years of experience in medical coding
- PC skills and experience using Microsoft applications such as Word, Excel, and Outlook
- Certified Risk Adjustment Coder (CRC)
- Knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
- General knowledge of medical billing
- Knowledge in insurance verification & eligibility
- Experience with Medicare STAR metrics and HEDIS measures
- Experience using EHR systems
- Honesty, integrity, and team-oriented mentality
- Value quality over quantity
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team
- Our organization follows a hybrid work structure where the expectation is to work two days in-office on a weekly basis, after a 90-day introductory in-office training period. After the introductory period, you will be working remote. The office is located at 568 W. Garvey Ave., Monterey Park, CA 91754.
- The total compensation target pay range for this role is: $19.00-22.00 per hour. The range represents our national target range for this role.
Job Summary
Full Time
$57k-75k (estimate)
02/16/2024
08/05/2024
The job skills required for Medical Coder include Billing, Clinical Documentation, Medical Billing, Integrity, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical Coder. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Medical Coder. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Medical Coder positions, which can be used as a reference in future career path planning. As a Medical Coder, it can be promoted into senior positions as a Tumor Registrar that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Coder. You can explore the career advancement for a Medical Coder below and select your interested title to get hiring information.
If you are interested in becoming a Medical Coder, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Medical Coder for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Medical Coder job description and responsibilities
Medical coders are usually placed on tight production schedules and expected to complete a determined number of notes each day or to keep their lag days at a specified timeframe.
01/25/2022: Virginia Beach, VA
Selecting the top patient note or billing sheet on the stack, medical coder begins reviewing the documentation to understand the patient's diagnoses assigned and procedures performed during their visit.
01/11/2022: Rochester, NY
At the end of the day medical coders return unprocessed work, check productivity either by a manual count or by running a system report, and clean their work area.
03/13/2022: Lincoln, NE
Medical coders spend their days reviewing medical records to assign these codes and ensure that the health care providers they support are properly reimbursed for services.
02/17/2022: Wichita Falls, TX
Medical coders do their research to process the medical claim with the correct medical code.
02/13/2022: Huntington, WV
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Medical Coder jobs
The CCA credential can distinguish a medical coder and help them secure better job prospects and the higher salaries that go with them.
03/19/2022: Killeen, TX
To maintain a standard of excellence, AHIMA requires medical coders to recertify every two years.
02/18/2022: Fargo, ND
Becoming a medical coder requires specialized training and certification.
02/14/2022: Florence, AL
Medical coder must carefully read the doctor’s and nurse’s notes to precisely determine the services received by the patient.
03/30/2022: Sumter, SC
Medical coder must also understand private payer policies and government regulations for accurate coding and billing.
03/19/2022: Richmond, VA
Step 3: View the best colleges and universities for Medical Coder.
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