Medical Coder CPC or CCS or CMC

San Diego, CA 92121

Employment Type: Direct Job Category: Medical Coder Job Number: 46236

Compensation

$22 to $30 Hourly

Benefits Offered

401K, Dental, Life, Medical, Vision

Employment Type

Full-Time

Seeking Rockstar Certified Coder with HCC knowledge (MUST), able to Audit quality for reputable managed care organization in San Diego.

4,10 hour-shifts, Monday-Thursday 6:30 am to 5:00 pm with a 30-minute meal period

Summary

Certified Medical Coder will serve on a team to audit quality and HCC reporting. HCC experience is highly desired. Familiarity with quality reporting through HEDIS/NCQA/AMP in California. Strong computer literacy required to utilize our documentation system and manage data in spreadsheets.

Responsibilities

  • Establish / generate reports and analyzes the information against contract incentive programs and health plan data.
  • Receives HCC senior diagnoses and process then into the tracking programs. Recommends training opportunities and participates in provider trainings as needed. Audits and interfaces with outside coding vendors.
  • Recommends solutions to identify performance issues. Participates in webinars and conference as needed to stay abreast of IHA / NCQA requirements.
  • Serves as the user expert of software systems. Audits software accuracy from time to time. Attends user meetings and reports systems issues to the vendor.
  • Tracks and submits audit data for program compliance. Interacts with auditor to submit annual scores.
  • Performs other duties as assigned

Qualifications

  • Minimum three years Healthcare Industry experience.
  • Knowledge of managed care concepts and healthcare delivery systems; understanding of health insurance industry and products.
  • Experience working with CPT and ICD-10 codes and reading claims forms / reports.
  • Organized self-starter with follow through. Ability with changing priorities and varying deadlines.
  • String computer literacy, including competence with database and spreadsheet programs.
  • Microsoft Office products familiarity required.

License/certification in medical coding (CPC OR CCS)

Benefits

  • Medical, Dental, Vision, and Life Insurance; Short Term Disability Insurance and Long-Term Disability Insurance (effective the first of the month following 30 days of employment).
  • Paid Time Off (PTO) accrual basis.
  • Paid Sick Leave (PSL)
  • 401 (K) Retirement Plan (after 90 days of employment and during open enrollment period).
  • 7 Paid Holidays

**THIS IS NOT A REMOTE ROLE**

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