Certified Medical Coder

Job Description

Johnson Service Group (JSG) is seeking a Certified Coding Specialist in Orange County, CA. This is an ON-SITE position.

Full time- 6 month contract.

Work Schedule : Monday- Friday (8 : 00am- 5 : 00pm)

• Duties and Responsibilities include : 95% - Program Support
• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals / priorities for the department.
• Supports the manager in ensuring current coding methodology and modifier rules are applied to appropriate reimbursement and ensures the organization is following Medicare and Medi-Cal protocol for payment of claims.
• Maintains and monitors code listing updates for International Classification of Diseases (ICD)-10-Clinical Modification (CM) / Procedure Coding System (PCS), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) as needed for all lines of business.
• Assists the manager with identifying questionable billing practices based on coding protocol.
• Responds with advice and instructions to any inquiries related to coding appropriateness and review of documentation provided.
• Assists the Contracting department with contractual billing requirements based on coding standards by identifying applicable procedure codes according to provider specialty.
• Presents at provider workshops and assists with provider training on regulations for appropriate coding of medical charts and documentation required to support proper claims submission.
• Assists other departments regarding evaluation of medical records, procedures or diagnosis code questions; identifies ambiguous or non-specific medical documentation regarding coding protocols related to provider disputes, appeals and coding audits on submitted claims.
• Stays current on official health care regulations, including reimbursement and documentation requirements related to professional claims billing. Ensures compliance with the standards of ethical coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.
• 5% - Other
• Completes other projects and duties as assigned

Minimum Qualifications :

JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.