Job Details

  • Title

    Coder – Clinic Billing Services

  • Category

    Specialists (Clinical and Non-Clinical)

  • Department

    Clinic Billing Services

  • Schedule

    Full Time

  • Shift


  • Location

    Eisenhower Medical Center
    Rancho Mirage, CA

  • Job Objective: A brief overview of the position.

    • Works under the supervision of the Supervisor, Manager or Director of Patient Financial Services – Clinics. Assists with the training and continuing education programs for providers and PFS staff. Codes Medical Records utilizing ICD-9-CM or ICD-10-Cm, as appropriate, and CPT-4 coding conventions. Reviews the medical records to ensure specificity of diagnosis, procedures and appropriate/optimal reimbursement for facility and/or professional charges. Abstract information from medical records following established methods and procedures.

  • Reports to

    • PFS — Clinics Supervisor

  • Supervises

    • None

  • Ages of Patients

    • None

  • Blood Borne Pathogens

    • Minimal/ No Potential

  • Qualifications

    • Education

      • Preferred: Courses in Medical Terminology, Anatomy, Physiology

    • Licensure/Certification

      • Required: Certified Coding Specialist (CCS), Certified Professional Billing (CPB)Certified Professional Coder (CPC), CCS-P, Certified Coding Associate (CCA), RHIT, or Certified Billing Coding Specialist (CBCS)}

      • Preferred: N/A

    • Experience

      • Required: Minimum one year coding experience.

      • Preferred: Minimum one year prior hospital with physician billing experience. Experience billing professional services.

  • Essential Responsibilities

    • Review the complex (problematic coding that needs research and reference checking) medical records and accurately codes the primary/secondary diagnosis and procedures using ICD-9-CM or 10-CM and/or CPT/HCPCS coding conventions.

    • Coordinate/review the work of designated employees. Ensure quality of work performed through regular audits.

    • Assist with research, development and presentation of continuing education programs on areas of specialization.

    • Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9 or 10-CM and CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges.

    • Consult with and educate physicians and other providers on coding practices and conventions in order to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding.

    • Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-9 or 10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures

    • Other duties as assigned.

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