Behavioral Health Services Medical Coder

Under general supervision the Behavioral Health Medical Coder plays a key role in ensuring compliance and accuracy in CPT coding for a County Behavioral Health Plan. This role includes performing moderately complex coding and abstracting tasks for outpatient inpatient and specialty behavioral health services. The position ensures compliance with Federal and State guidelines including MediCal and CMS requirements while supporting providers and staff in maintaining accurate and uptodate coding practices.

EDUCATIONALINCENTIVE: Some positions may be eligible for an educational incentive of be 2.5 3.5 or 5 based on completion of an Associates Bachelors or Masters degree that is not required for the classification.

PAYROLL TITLE: Program Assistant NE

Program AssistantNE is a Management nonexempt classification and is eligible for overtime compensation. Incumbents in this classification are eligible for benefits at the MB4 level.

The eligible list established from this recruitment may be used to fill current and future Regular (including Temporary and Fixedterm) and Extra Help vacancies in the Health Care Agency. There is currently one 1 Regular fulltime vacancy.

Duties may include but are not limited to the following:

• Reviews abstracts and codes behavioral health service data using current ICD10CM CPT4 HCPCS and MediCalspecific coding standards.
• Accurately assigns and sequences diagnosis procedure and service codes ensuring compliance with CMS DHCS and other regulatory requirements.
• Applies comprehensive knowledge of anatomy physiology medical terminology and behavioral health service processes to ensure accurate coding.

• Conducts coding reviews of providersubmitted documentation including electronic claims and charge tickets.
• Collaborates with providers and staff to ensure correct documentation and coding alignment.
• Provides education and guidance on CPT ICD and HCPCS coding updates as well as MediCalspecific requirements.

• Conducts coding audits to verify compliance with federal state and payerspecific regulations.
• Addresses discrepancies and charge errors and supports quality improvement efforts related to coding and billing.
• Monitors compliance with HIPAA confidentiality and data security regulations.

• Inputs coding information into the countys electronic health record (EHR) system and other billing platforms.
• Utilizes coding software online tools and reference materials to ensure precision and compliance.
• Assists in implementing policies and procedures to support consistent and compliant coding practices.

• Stays current on federal and state coding guidelines including MediCal updates and DHCS initiatives.
• Supports the development and refinement of coding policies and procedures tailored to Californias county behavioral health services.

These are entrance requirements to the exam process and assure neither continuance in the process nor placement on an eligible list.

EDUCATION TRAINING and EXPERIENCE

Minimum of three 3 years of coding experience using diagnosis and procedure codes in behavioral health or healthcare settings.

NECESSARY SPECIAL REQUIREMENTS

• Must possess and maintain a current Certified Professional Coder (CPC) Certified Coding Specialist (CCS) or equivalent certification.
• Training in ICD10CM CPT4 and HCPCS coding systems.
• Familiarity with MediCal Medicare and CMS regulations particularly those governing behavioral health services.

DESIRED

• Experience with MediCal billing and coding systems.
• Knowledge of California behavioral health regulations and service delivery models.
• Ability to deliver training or workshops for providers and staff.

KNOWLEDGE SKILLS and ABILITIES

Working knowledge of:medical terminology anatomy physiology and behavioral health service coding; ICD10CM CPT4 HCPCS and MediCal coding standards; and EHR systems computerized data systems and coding software.

Strong analytical and organizational skills with attention to detail and accuracy.

Ability to:identify and resolve coding discrepancies and errors and deliver training or workshops for providers and staff.

FINAL FILING DATE: Applications must be received by County of Ventura Human Resources in Ventura California no later than 5:00 p.m. on Monday April 14 2025.

To apply online please refer to our web site at www.ventura/jobs. If you prefer to fill out a paper application form please callfor application materials and submit them to County of Ventura Human Resources 800 South Victoria Avenue L1970 Ventura CA 93009.

Note to Applicants: It is essential that you complete all sections of your application and supplemental questionnaire thoroughly and accurately to demonstrate your qualifications. A resume and/or other related documents may be attached to supplement the information in your application and supplemental questionnaire; however it/they may not be submitted in lieu of the application.

LATERAL TRANSFER OPTION: If presently permanently employed in another merit or civil service public agency/entity in the same or substantively similar position as is advertised and if appointed to that position by successful performance in a merit or civil service style examination then appointment by Lateral Transfer may be possible. If interested please clickherefor additional information.

SUPPLEMENTAL QUESTIONNAIRE qualifying: All applicants are required to complete and submit the questionnaire for this exam at the time of filing. The supplemental questionnaire may be used throughout the exam process to assist in determining each applicants qualifications and acceptability for the position. Failure to complete and submit the questionnaire may result in the application being removed from consideration.

APPLICATION EVALUATION qualifying: All applications will be reviewed to determine whether the stated requirements are met. Those individuals meeting the stated requirements will be invited to continue to the next step in the screening and selection process.

Applicants successfully completing the exam process may be placed on an eligible list for a period of one 1 year. The eligible list established from this recruitment may be used to fill current and future Regular Temporary Fixedterm Intermittent or Extra Help vacancies for this position only.

BACKGROUND INVESTIGATION: A thorough preemployment post offer background investigation which may include inquiry into past employment education criminal background information and driving record will be required for this position.

For further information about this recruitment please contact Sabrina Anderson by email at or by telephone at.