You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a Coder responsible for utilizing encoder software and online tools to accurately assign medical codes, ensuring timely claims submission and adherence to coding guidelines. The role involves reviewing patient records, interpreting reimbursement rules, and collaborating with various departments to resolve claims issues.

Key Responsibilities

• Utilize encoder software and online tools to assign ICD-CM, CPT/HCPCS, and APC codes; resolve system edits and support timely claims submission.
• Apply coding guidelines from CMS, AHA Coding Clinic, AMA CPT, and AHIMA Standards of Ethical Coding; adhere to all coding procedures.
• Review patient records and related systems to determine all required codes, modifiers, and edits affecting reimbursement.
• Interpret bundling/unbundling rules (NCCI), LCD/NCD edits, and payer policies.
• Work internal/external outpatient claim edits; route non-coding edits to appropriate teams.
• Meet organization standards for coding quality and productivity.
• Use compliant query practices when documentation requires clarification; track missing documentation using EMR tools.
• Collaborate with HIM, Revenue Integrity, Billing, and PFS on claims, denials, and appeals.
• Maintain CEUs and current knowledge of changes in outpatient coding regulations.
• Identify workflow or EMR issues impacting coding; escalate documentation or ethical concerns when needed.
• Maintain knowledge of relevant laws, regulations, and ethical standards.
• May abstract additional data; perform other duties as assigned.

Qualifications

• Accredited Coding certification
• 3+ years of denial coding in PB space specifically
• Experience working with Epic and Encoder
• HS/GED equivalent

Additional Requirements

M-F 7am - 6pm (flexible but should pick a consistent shift)

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.