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Claims Edit CoderCedars-Sinai • New York, New York, United States
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Claims Edit Coder

Cedars-Sinai
  • US
    New York, New York, United States
  • US
    New York, New York, United States
Apply Now

About

Cedars Sinai Medical Center Claims Edit Coder (Coder II) Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We provide an outstanding benefit package that includes health care, paid time off and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals. What You Will Be Doing In This Role: The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team. In this role, the Coder II reviews ICD-10-CM diagnosis coding and Current Procedural Terminology (CPT) procedure code for claim edit fall outs. The position entails conducting modifier review and assignment, handling complex coding edits that necessitate research and resolution, and validating key data elements like the billing physician and date of service. You are expected to abstract coded data accurately and promptly into the applicable system using relevant applications such as EPIC (CS-Link), EPIC HB and PB modules, Solventum 360Encompass, Solventum Standalone Encoder, and Select Coder. This role demands proficiency in these systems to ensure the integrity and efficiency of coding operations. Duties include:
Review medical documentation and health information within various electronic medical or health systems. Assign applicable codes such as clinical modification (ICD-10-CM), current procedural terminology (CPT), evaluation and management (E&M), and healthcare common procedure coding system (HCPCS) while adhering to productivity and quality standards for the area(s) of assignment or specialty (Facility or Professional). Focus on specialties including, but not limited to: Professional Multispecialty E&M, Facility Emergency Room (non-Single Path), and Outpatient Visits (Facility or Professional). Resolve complex edits and alerts with consistent accuracy using current guidelines for the area(s) of assignment or specialty. Handle edits such as: Simple Visit, Local and National Coverage Determination, and other Related Edits. Communicates with physicians, providers, and external departments regarding documentation clarity, specificity, ensure the completeness of documentation required for code assignment within area(s) of assignment or specialty. Expanding skills in procedural coding such as CPT or PCS.
Qualifications Requirements:
Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required upon hire. High school diploma or GED required. Minimum of 2 years of experience working doing code assignment in a healthcare setting. Ability to produce quality work product within the established standards per hour.
Job Info
Job Identification 15816 Legal Employer Cedars-Sinai Medical Center Department CSMC 8700002 CSRC Coding Audit Job Category Patient Financial Services Job Function Medical Coding Locations 6500 Wilshire Blvd, Los Angeles, CA, 90048, US (Remote) Overtime Status NONEXEMPT Primary Shift 1 Day Shift Duration 8 hour Minimum Salary 31.98 Maximum Salary 49.57 UKG Pay Rule C007
  • New York, New York, United States

Languages

  • English
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