Medix is looking to hire a Spanish bilingual Medical Biller/ Coder to join a non-profit community health center in Los Angeles, 90033. The Medical Biller will review medical records utilizing ICD-9 and ICD-10 and CPT coding conventions. Audits medical records to ensure specificity of diagnoses and procedures, and to ensure appropriate and optimal reimbursement from proper payer types.

Responsibilities:

• Analyze medical records and ensure all appropriate International Classification of Disease (ICD-9 & 10) and /or current Procedural Terminology (CPT) coding for billing of proper patient programs.
• Enter and retrieve patient medical data from EPIC-Ochin System updating entries as necessary; audit medical records for accuracy and completeness, note deficiencies and refer for appropriate follow up and completion.
• Consult with physicians and other personnel on coding practices and conventions to provide detailed coding information or gather additional documentation;
  maintain comprehensive records of all communications regarding suggested changes.
• Research and initiate activity to resolve charges and coding issues, review difficult situations to determine the most appropriate codes.
• Recognize potential for additional coding revenue and initiate the change in the EPIC-Ochin System.
• Enter charges as recorded by back office or clinicians in a timely manner; charges should be posted within 48 hours of patient visit.
• Post payments to the patient's accounts within a timely period, review all denials and resubmit to the correct payer.
• Investigate and follow up on all denials, recording any changes in the MIS System.
• Review and track payments of all submitted billing, reconcile visits and payers records on a weekly basis.
• Assist patients on program eligibility and on billing information.
• Handles special projects as requested. Observes CMOAR Appearance/Dress Standards.
• Observe regulations on time card use and reporting.
• Adhere to additional organizational rules and regulations.

Requirements / Experience:

• HS diploma
• Minimum two (2) years of continuous, relevant ICD/CPT coding experience in an acute care facility within the last five (5) years is required
• Knowledge of Medical Terminology and Anatomy & Physiology required
• Prior case management experience in an outpatient setting (preferably internal medicine) and hospital transitions

Schedule:

• Monday- Friday 8:00 -5:00 pm

Pay range:

$21-23/hr BOE

Medix is acting as an Employment Agency in relation to this vacancy.