Patient Billing Coder - Venice Family Clinic

Description

Venice Family Clinic is a leader in providing comprehensive, high-quality primary healthcare to people in need with compassion, dignity, and respect. In November 2021, Venice Family Clinic merged with South Bay Family Health Care, uniting more than a century of experience helping patients regardless of their income, insurance or immigration status. The organization now has more than 500 staff who serve 45,000 people from the Santa Monica Mountains through the South Bay. We have 17 locations, plus two mobile clinics, and an extensive street medicine program for individuals experiencing homelessness. Read more about us at venicefamilyclinic.org

Under the direction of the Revenue Cycle Director, this position :

• Codes, diagnoses, and procedures for a multi-specialty group. In performing the coding requirements, this position is required to utilize knowledge of AHA-Coding Clinic and AMA - CPT Assistant guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures.
• Assigns ICD-10 CM and CPT codes for patients receiving services at Venice Family Clinic.
• Accurately process outpatient claims to third-party payers, following all mandated billing guidelines.
• Provides quality control checks on paper claims; processes tracers, denials, and related correspondence;
• Initiates appeals; drafts, composes, and submits appeal letters specific to coding issues consistent with the most updated American Medical Association Current Procedural Terminology.
• Identifies and reports any potential compliance risks and reimbursement opportunities to the Revenue Cycle Director.
• Other duties may include computer operation using (Excel, Word, MS Office, 3M Coder), data entry and retrieval

Note, may on occasion travel to our other locations within Los Angeles County to provide face-to-face training with providers.

Salary Range : $47.60 - $62.78 hourly Qualifications

Required :

Preferred : Experience in Epic Systems