Medical Coder, Certified (Remote)- Santa Barbara, CA

Employer: Sansum Clinic

Job Description:
GENERAL STATEMENT OF DUTIES: This position is responsible for ensuring efficient claims processing for services provided. Responsible for assigning accurate and appropriate clinical diagnosis and procedures codes in accordance with coding and compliance guidelines.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: (This list may not include all of the responsibilities assigned.)
- Keeps current on CPT, ICD9/ICD10 compliance and editing guidelines.
- Provide education to physicians and staff regarding regulatory issues and compliance.
- Keeps current on all regulatory issues and provides feedback to staff.
- Leads auditing of physician services to verify accuracy of billing.
- Works with or assists other Medical Coders and trainers in Coding department.
- Schedules follow-up audits for physicians not meeting clinic established standards of accuracy.
- Works with other department coders and auditors to verify accuracy of audits.
- Assists in assigned edits to keep department current, and to identify trends for further auditing.
- Communicates with physicians to ensure records are accurate and complete.
- Provides exemplary customer service to patients and staff.
- Maintains certification and license requirements and submits required evidence of certification/licensure as needed.
- Regular attendance is an essential job function.
- Completes annual performance and competency evaluation process with management and participates in goal setting, performance improvement and educational training as needed.
- Participates in department quality improvement, clinic safety, infection control and hazardous materials programs and activities.
- Participates in professional development activities and maintains professional affiliations.
- Attends required meetings and participates in committees as requested.
- Adheres to HIPAA regulations.
- Exercises discretion and maintains high level of confidentiality.
- Adheres to all policies and procedures.
- Performs related work as required.

KNOWLEDGE, ABILITIES, AND SKILLS: This position will have a combination of education and experience to demonstrate competency in the methods, policies, procedures, regulations and protocols of a Claims function. High degree of tact and diplomacy, clear and concise communications skills, proficiency in mathematics, ability to follow established protocols and procedures repeatedly and within established error tolerances, and good decision making within established guidelines. High level of computer competency and attention to detail. Keyboard and ten-key by touch.Able to speak, read, comprehend (and be comprehended) in English. Ability to organize and prioritize work. Ability to follow oral and written instructions. Ability to reason and make sound judgments. Skill in identifying problems and recommending solutions. Skill in establishing and maintaining effective working relationships with co-workers, management, patients, medical staff, and the public. Skill in accepting constructive criticism and giving suggestions in a professional manner.

Requirements
EDUCATION, EXPERIENCE AND LICENSURE:
- Minimum requirement graduation from High School or equivalent (some post secondary education preferred).
- Four or more year's prior coding experience as a certified Procedure Coder (AAPC or AHIMA credential).
- AAPC or AHIMA credential required.

Contact Person:
Phone:
Email:
Location: Santa Barbara, CA
Application Method: Online: https://recruiting.adp.com/srccar/public/RTI.home?r=5000786335806&c=1102541&d=ExternalCareerSite&rb=INDEED#/
Base Pay: DOQ

Posted on November 18, 2021

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