Certified Outpatient Coder

MISSION

Kheir’s mission is to increase and provide access to culturally and linguistically-sensitive quality primary healthcare and human services support to the underserved and uninsured residents of Southern California.

CERTIFIED OUTPATIENT CODER ASSIGNMENT SUMMARY

The Certified Outpatient Coder is responsible for processing patient-related billing, processing and submitting billings for reimbursement from Medi-Cal, managed care, My Health LA, Family PACT, CHDP, EWC: CDP and more. They will verify patient charts for accuracy and completeness, signatures and assembly in accordance with reimbursing agency requirements, and ensure proper billing codes are being used. The Certified Outpatient Coder will prepare statistical and other reports related to billing and coding. The position typically requires prior experience in HCPCS Coding.

BENEFITS

• 100% Employer Sponsored Medical, Dental and Vision benefits
• 403(B)
• 403(b) matching
• Paid time off
• 12 Paid Holidays
• Referral program

CERTIFIED OUTPATIENT CODER ESSENTIAL FUNCTIONS/RESPONSIBILITIES

• Coordinates the release of progress notes.
• Ability to assign ICD-10/CPT/HCPCS codes to medical records.
• Demonstrate ability to understand and correlate the clinical content of a health record.
• Demonstrate the skills of working with Electronic Health Records, encoder, abstracting tools and different utilization systems: MS-DRG, APR-DRG (California) and APC.
• Ensuring compliance with various coding practices, ICD conventions, Official Coding Guidelines, CMS IPPS & OPPS rules, AHA Coding Clinic, HIPAA and other regulatory and compliance documents.
• Ability to use basic to intermediate PC hardware and software applications. Solving simple computer problems and ability to perform basic troubleshooting. Proficient with Word, Excel, Outlook and other healthcare and business applications.
• Strong communication skills on the phone and in writing.
• Create and analyze billing reports.
• Ensure high reimbursement rates by efficiency of billing codes.
• Ability to identify trends and patterns in billing issues, and resolve accordingly.
• Support billing department and accounting team.
• Work in conjunction with the QI team to help streamline and implement new processes.
• Other duties as assigned.

CERIFIED OUTPATIENT CODER MINIMUM QUALIFICATIONS

• Associates Degree in health services , business, or other related field
• Coding credential required (CPC, COC)
• 2 years of current coding and abstracting experience in inpatient, outpatient and ER services utilizing ICD 9, ICD 10 CM/PCS, HCPCS and CPT coding classifications
• Excellent reading and writing ability
• Proficiency in Microsoft Office Suite (Word, PowerPoint, Excel, Outlook, etc.)
• 1 year experience with EMR

WORKING CONDITIONS/PHYSICAL REQUIREMENTS:

This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a company provided computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper. The position requires occasional travel to attend on- and off-site meetings.

----------------------------------------------------------------------------------------

Kheir Clinic provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Kheir Clinic complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Kheir Clinic will consider for employment all qualified Applicants, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance.

Please note that this job description is subject to change to meet the needs of Kheir Clinic.