HCC Coder
TEKsystems
Los Angeles, CA (In Person)
$62,400 Salary, Full-Time
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Job Description
HCC, ICD
‑10, CPT, and HCPCS guidelines. This position works as an integral member of the Finance Department and consistently meets established productivity and quality standards. Key Responsibilities + Audit provider medical records and super bills for accurate and compliant diagnosis and procedure coding + Review a wide variety of document types, including primary and specialty care, inpatient, outpatient, mental health, substance abuse, ancillary, laboratory, and pharmaceutical services for HCC values + Conduct both on‑site provider office audits and remote/online audits through medical record review + Interface professionally with physicians and office staff to address coding questions and discrepancies + Research and resolve coding issues using internal and external error reports + Provide education and feedback to providers and office staff on audit findings and best coding practices + Present educational materials to providers as needed + Upload and manage medical records within internal systems (i.e., iCode) + Generate Microsoft Excel spreadsheets to track audit activities and support department projects + Communicate with internal departments and provider offices via phone and email as needed + Learn and utilize department software and tools, including iCode, EZCap, Access Express, and the HCC model + Perform additional administrative support tasks as required, including scanning, faxing, photocopying, and document management Required Skills + Medical record auditing + EMR/EHR review + Data extraction and analysis + ICD‑10 coding + Claims adjudication + Managed care environment knowledge Qualifications + High school diploma or equivalent required + Coding certification required + Working knowledge of CPT, ICD, HCPCS, and HCC coding methodologies + Knowledge of medical terminology and anatomy +Preferred:
1 year of experience in coding, billing, auditing, and/or claims processing + Basic to intermediate proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook) Job Type & Location This is a Contract position based out of Los Angeles, CA 91325. Pay and Benefits The pay range for this position is $25.00 - $35.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Los Angeles,CA 91325.
San Francisco Fair Chance Ordinance:
Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.Massachusetts Lie Detector:
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.Similar remote jobs
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