Billing and Coding Analyst - Surgical Subspecialty Clinic

Billing and Coding Analyst - Surgical Subspecialty Clinic Ventura, CA Job Details Full-time $30.27 - $42.38 an hour 3 days ago Benefits Employee discount Qualifications Medical coding compliance oversight Regulatory compliance in claims processing Process improvement Training material drafting Mid-level State healthcare regulations EMR/EHR Clinical staff training Staff training Medical billing Medical Billing Certification Data validation Medical claim denial management Documentation review Full Job Description JOB How to Submit a Successful Application video: https://hr.venturacounty.gov/how-to-apply/application.

THE POSITION

Under general direction this position is responsible for providing billing and coding support within the Ambulatory Care Clinic System. The clinic areas of specialization include ENT, plastic reconstruction, neurology, and urology.

Distinguishing Characteristics:

This classification is a bridge between the Medical Billing Specialist series and the Coder-Certified classification. It differs from the Coder-Certified classification in that the former is responsible for reviewing the accuracy of billing codes which have been entered by providers into our billing system and the latter is responsible for reviewing provider notes in patient's charts to determine the correct billing code and entering into our billing system.

AGENCY/DEPARTMENT

Health Care Agency - Ambulatory Care

EDUCATIONAL/BILINGUAL INCENTIVE

Some positions may be eligible for educational incentive. This incentive may be 2.5%, 3.5%, or 5% for incumbents in eligible positions based on completion of an Associate's, Bachelor's, or Master's degree that is not required for the classification. Incumbents may also be eligible for bilingual incentive depending upon operational need and certification of skill.

Billing and Coding Analysts are represented by SEIU and are not eligible for overtime compensation. The eligible list established from this recruitment will be used to fill current and future Regular (including Temporary and Fixed-term), Intermittent, and Extra Help vacancies for this position only. There is currently one (1) regular full-time vacancy.

TENTATIVE SCHEDULEOPENING DATE

March 23, 2026

CLOSING DATE:

April 3, 2026 EXAMPLE

OF DUTIES

Duties may include but are not limited to the following: Reviews electronic medical records initiated by a health care provider and ensures accuracy of diagnosis, procedure codes, and modifiers in accordance with Federal and State regulations in compliance with billing and coding guidelines.

Effectively monitors assigned work queues and reviews claim errors, ensuring timely and accurate resolution of accounts. Review, Analyze and validate medical records to ensure completeness and accuracy of code selections while identifying educational opportunities. Prepares educational materials to communicate with providers when identifying gaps in clinical documentation for the selection of appropriate diagnosis, procedure and modifiersPerforms edit checks on data entered prior to transmittal and correct errors as indicated by using our standard reporting such as discharged, not final billed (DNFB) Correction Required, Late Charges, Suspended Charges, Encounters with and without charges, and Past Due Arrival or other specialized reporting including Eligibility.

Ensures accurately coded data is integrated properly into the billing process timely while developing efficient workflows and streamlining the reimbursement. Collaborate with the billing staff to identify trends and improvement opportunities.

Conducts provider and staff training and on-going education on billing guidelines and audits the work of non-facility coders. Remains current with regulatory guidelines for billing and coding including health plans and coding updates. Review and Analyze denials, rejected claims, registration errors, missing authorizations and compiles training materials to educate the support staff for denial prevention and unnecessary claims rework.

May be assigned multiple locations to ensure accurate and timely completion of assigned reporting and billing activities.

Reviews application forms, supporting documentation, registration and billing for compliance with the sliding fee discount program. Participates in audit resolution, implementation and oversight of corrective action activities.

Performs other related duties as assigned.

SUPPLEMENTAL INFORMATION FINAL FILING DATE

Applications must be received by County of Ventura Human Resources in Ventura, California, no later than 5:00 p.m. on April 3, 2026. To apply on-line, please refer to our web site at hr.venturacounty.gov. If you prefer to fill out a paper application form, please call (805) 677-5184 for application materials and submit them to County of Ventura Human Resources-Health Care Agency, 646 County Square Drive, Ventura, CA 93003.Note to

Applicants:

It is essential that you complete all sections of your application and supplemental questionnaire thoroughly and accurately to demonstrate your qualifications. A resume and/or other related documents may be attached to supplement the information in your application and supplemental questionnaire; however, it/they may not be submitted in lieu of the application.

LATERAL TRANSFER OPTION

If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. If interested, please click here for additional information.

SUPPLEMENTAL QUESTIONNAIRE

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Qualifying:

All applicants are required to complete and submit the questionnaire for this exam at the time of filing. The supplemental questionnaire may be used throughout the exam process to assist in determining each applicant's qualifications and acceptability for the position. Failure to complete and submit the questionnaire may result in the application being removed from consideration.

APPLICATION EVALUATION

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Qualifying:

All applications will be reviewed to determine whether the stated requirements are met. Those individuals meeting the stated requirements will be invited to the written examination.

TRAINING & EXPERIENCE EVALUATION

A Training and Experience Evaluation (T&E) is a structured evaluation of the job application materials submitted by a candidate, including the written responses to the supplemental questionnaire. The T&E is NOT a determination of whether the candidate meets the stated requirements; rather, the T&E is one method for determining who are the better qualified among those who have shown that they meet the stated requirements. In a T&E, applications are either scored or rank ordered according to criteria that most closely meet the business needs of the department. Candidates are typically scored/ranked in relation to one another; consequently, when the pool of candidates is exceptionally strong, many qualified candidates may receive a score or rank which is moderate or even low resulting in them not being advanced in the process.

ORAL EXAMINATION - 100

%: A job-related oral examination will be conducted to evaluate and compare participating examinees' knowledge, skills, and abilities in relation to those factors which job analysis has determined to be essential for successful performance of the job. Examinees must earn a score of seventy percent (70%) or higher to qualify for placement on the eligible list.

NOTE:

The selection process will likely consist of an Oral Exam, which may be preceded or replaced with the score from a Training and Experience Evaluation (T&E), contingent upon the size and quality of the candidate pool. In a typical T&E, your training and experience are evaluated in relation to the background, experience and factors identified for successful job performance during a job analysis. For this reason, it is recommended that your application materials clearly show your relevant background and specialized knowledge, skills, and abilities. It is also highly recommended that the supplemental questions within the application are completed with care and diligence. Responses such as "See Resume" or "Refer to Resume" are not acceptable and may disqualify an applicant from further evaluation.

If there are three (3) or fewer qualified applicants, a T&E or an Oral Examination will not be conducted. Instead, a score of seventy percent (70%) will be assigned to each application, and each applicant will be placed on the eligible list.

Applicants successfully completing the exam process may be placed on an eligible list for a period of one (1) year.

BACKGROUND INVESTIGATION

A thorough pre-employment, post offer background investigation which may include inquiry into past employment, education, and driving record may be required for this position. For further information about this recruitment, please contact Erin Niemi by e-mail at or by telephone at (805) 654-2568.EQUAL

EMPLOYMENT OPPORTUNITY

The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation.