Certified Professional Coder (CPC)

Company: Rkcharge
Location: Daly City
Posted on: May 10, 2022

Job Description:

California MSK MSO (MSK) is a Management Services Organization located in the greater Los Angeles area (Burbank and Glendale). MSK performs comprehensive management and billing services for physicians and medical professionals including ambulatory surgery centers, private clinics, physical therapy spaces, imaging offices, and urgent care settings. MSK is able to provide full or a la carte services based on the needs of their clients. Services include: Human Resources, Accounting, Credentialing, Revenue Cycle Management, Payer Contracting, Strategic Planning, Inventory Management, and Day to Day Oversight of Operations. MSK hires individuals who are committed to teamwork, excellence, and personalized care for all clients. Position Summary: The Certified Professional Coder (CPC) is responsible for assisting the Billing Department with reviewing and coding medical records in accordance with medical and legal standards to accurately submit claims to payors. The CPC will provide coding primarily for musculoskeletal cases and will focus on Urgent Care, Primary Care and Workers Compensation. Minimum Education: Employee will have a minimum of a high school diploma Skills and Qualifications: Required: 2+ years of experience in medical coding, specifically urgent care, primary care and workers compensation Knowledge of medical terminology, physician dictation, and operative reports General knowledge of CPT, ICD-10 Coding (preferably in Orthopaedics) Thorough understanding of CPT modifiers Thorough understanding of coding and billing for procedures Thorough understanding of insurance explanation of benefits and the ability to take the proper course of action based on the denial Knowledge of insurance and claims submission Accuracy in data entry/input Thoroughly understand the Revenue Cycle Management process Good time management Excellent communication (verbal, non-verbal, written) and phone skills Experience operating multiple software applications Good interpersonal skills Ability to multi-task and attention to detail Ability to problem solve for good outcomes Strong computer skills including: Microsoft Office EMR/HER/PACS Practice management/Appointment schedules Scanning Printing Copying of files and CDs Familiarity with medical legal needs within a medical office Good understanding of anatomical terms and orthopedic injuries Belief that their efforts are an important piece to the patient experience. Reports to: Directly to the Revenue Cycle Manager Partners and Medical Professionals have indirect oversight as well Job Responsibilities: Duties will consist of, but not be limited to: Translate medical notes and op reports in codes Load demographics and patient registration information in system. Enter charges and submit claims Verify insurance benefits and eligibility Verifying coding of the diagnosis required for accuracy of records Communicate with clinic to correct any errors Communicate monthly productivity reports for management Applies knowledge if ICD-10 and CPT to coding and submitting bills Resolves coding denials and identify any trends Follow up on payers denied claims and resubmit with corrections or appeals when necessary Review insurance over-payments and process or appeal as necessary Work with other staff members in a collaborative manner Assist with the answering of phones and taking messages as needed Maintaining a clean environment including shared cleaning duties. Maintains HIPPA Compliance Attending and participating in meetings as requested Show to work on time with a clean and presentable appearance Other duties as assigned Work Environment: Work area is temperate Well lit Moderate noise level including voices, printers, and ringing phones Use of headset Walking surfaces are low nap carpet, tile, and manufactured flooring Hybrid Model (remote/ office) Physical Requirements: Primarily working in a sitting position Must be fully vaccinated against Covid-19 (meaning you have received a booster OR completed your second dose of Pfizer or Moderna within the last 6 months OR completed the first dose of J&J within the last 2 months) Up to 90% on the computer Lifting requirement is normally less than 20 lbs Walking distances are occasional and no greater than 50 yards unless walking to or from the parking garage, but performed repetitively Moderate phone use. Headsets made available. Powered by JazzHR rciI0idqggby Jobble

Keywords: Rkcharge, Daly City , Certified Professional Coder (CPC), Other , Daly City, California