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 an experienced Inpatient Coder proficient with CPT and ICD-10-CM coding systems. The successful candidate will be responsible for accurately and completely assigning ICD-10-CM diagnoses and CPT procedure codes to ensure optimal reimbursement and coding quality, adhering to established coding guidelines, quality, and productivity standards.

Key Responsibilities

• Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers.
• Reviews physician assigned diagnosis code after thorough review of the medical record and, if necessary, queries physician for additional clarity in a professional manner.
• Accurately abstracts information from medical records into the abstract system, according to established guidelines.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC), and adheres to official coding guidelines.
• Enters and validates codes, charges and other edits flagged in EPIC for review.
• Reviews documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (e.g., NDC #, or number of units).
• Uses CCI edit software to check bundling issues, modifier appropriateness, and LCD’s/NCD’s for medical necessity.
• Communicates with other departments to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns.
• Meets and/or exceeds established coding productivity standards.
• Effectively communicates with clinicians and billing/coding teams regarding code changes and denials.
• Codes/audits encounters within the Professional Services Coding Epic queues.
• Completes accountable work related to daily unbilled charges to ensure timely billing in conjunction with billing and compliance guidelines.
• Addresses appeals and reviews documentation needed for insurance denials to facilitate expedient resolution and reimbursement.

Qualifications

• Proficient with CPT and ICD-10-CM coding systems.
• Knowledge of Anatomy and Physiology, Pharmacology, Disease Pathology, and Medical Terminology.
• Knowledge of modifiers, ICD-10-CM, CPT (including E/M) and HCPCS coding.
• Knowledge of Evaluation and Management Guidelines and auditing to assist in provider education and identifying possible revenue opportunities.
• Comprehension of disease processes.
• Multi-specialty coding background strongly preferred.
• Adherence to company policies, procedures, and directives.

Skills

• Ability to assign ICD-10-CM diagnoses codes and CPT procedure codes accurately and completely.
• Ability to accurately abstract information from medical records.
• Proficiency with EPIC for coding queues and charge validation.
• Experience with CCI edit software for bundling issues, modifier appropriateness, and LCDs/NCDs.
• Conversion of written description to proper billing codes.
• Ability to appeal CPT and ICD-10-CM for maximum reimbursement.
• Ability to navigate Electronic Medical Records for coding/billing documentation.
• Critical thinking and problem-solving abilities.
• Effective communication with clinicians and billing/coding teams.
• Strong teamwork and interpersonal skills.
• Personal time management, organization, prioritization, and multitasking skills.
• Strong work ethic, honesty, and dependability.

Additional Requirements

• Core Hours: 6:00 AM – 6:00 PM PST (Strict requirement regardless of candidate location).
• Can only hire in the following states: Texas, Arizona, Utah, Florida, Idaho, Oregon, Washington.

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.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*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.