You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
The Medical Coder is responsible for accurately reviewing clinical documentation and assigning standardized codes for diagnoses, procedures, and services. This role ensures compliance with coding guidelines and supports timely, accurate billing and reimbursement while maintaining the integrity of patient records.
Key Responsibilities
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Clinical Data Translation: Critically review medical documentation and patient encounters to assign high-fidelity diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS classifications.
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Coding Accuracy & Compliance: Ensure all assigned codes align with current regulatory guidelines and payer requirements to support optimized reimbursement and minimize audit risk.
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Provider Collaboration: Serve as a bridge between clinical and billing departments by identifying documentation gaps and engaging with providers to clarify clinical details for more accurate coding.
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Revenue Cycle Integration: Partner with the billing and denials teams to investigate and resolve coding-related claim rejections, assisting with appeals and resubmissions as necessary.
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Quality Assurance & Auditing: Conduct recurring internal audits of coded records to maintain high standards of quality and identify areas for process improvement or staff education.
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Confidentiality & Reporting: Uphold strict HIPAA standards while managing sensitive health information and assisting leadership with reports on coding-related performance metrics and data trends.
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Clinical Data Translation: Critically review medical documentation and patient encounters to assign high-fidelity diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS classifications.
-
Coding Accuracy & Compliance: Ensure all assigned codes align with current regulatory guidelines and payer requirements to support optimized reimbursement and minimize audit risk.
-
Provider Collaboration: Serve as a bridge between clinical and billing departments by identifying documentation gaps and engaging with providers to clarify clinical details for more accurate coding.
-
Revenue Cycle Integration: Partner with the billing and denials teams to investigate and resolve coding-related claim rejections, assisting with appeals and resubmissions as necessary.
-
Quality Assurance & Auditing: Conduct recurring internal audits of coded records to maintain high standards of quality and identify areas for process improvement or staff education.
-
Confidentiality & Reporting: Uphold strict HIPAA standards while managing sensitive health information and assisting leadership with reports on coding-related performance metrics and data trends.
Qualifications
- Experience with reviewing patient medical records and applying coding classifications.
- Knowledge in ICD-10-CM, CPT, and HCPCS.
- Strong understanding of coding guidelines and regulations.
- Proficiency in maintaining coding accuracy for compliance purposes.
- Ability to communicate effectively with providers and work collaboratively with billing teams.
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.
Required Employment / Compliance Language
*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.
