Certified Coder - Credentialing Torrance Memorial Physician Network Torrance, CA Job Details Full-time $28 - $37 an hour 1 day ago Benefits Health insurance Dental insurance Flexible spending account Employee assistance program Vision insurance Life insurance Qualifications Anatomy knowledge HIPAA Certified Professional Coder Attention to detail Medical terminology Full Job Description A Certified Professional Coder (CPC) translates patient diagnoses, medical services, and procedures into standardized alphanumeric codes for healthcare billing, compliance, and records.

Core Responsibilities Review Medical Documentation:

Read physician notes, operative reports, and patient charts for verification and coding accuracy.

Assign Standardized Codes:

Apply ICD-10-CM, CPT, and HCPCS Level II code sets accurately.

Support Medical Billing:

Process and verify claims so healthcare providers receive proper reimbursement from insurance payers.

Ensure Regulatory Compliance:

Follow healthcare laws, payer guidelines, and privacy standards like HIPAA to prevent fraud and abuse. Participate in internal chart audits.

Resolve Claim Denials:

Investigate rejected claims, correct mismatched codes, and communicate with providers or billing teams to fix errors.

Provider Communication:

Query physicians and healthcare staff to clarify missing, incomplete, or ambiguous documentation.

Coding Education:

Keep up-to-date with annual code set updates and regulatory changes.

Key Skills and Qualifications Clinical Knowledge:

Strong grasp of medical terminology, human anatomy, and physiology. Attention to

Detail:

Meticulous precision to prevent costly billing errors or claim rejections.

Technical Proficiency:

Comfort with Electronic Health Records (EHR) and coding encoder software.

Communication:

Excellent written and verbal communication skills.

Credentialing:

Holding a valid CPC certification from AAPC.

Job Type:

Full-time Pay:

$28.00 - $37.00 per hour

Benefits:

Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Vision insurance

Work Location:

In person