DirectHire
We are seeking a certified Medical Coder to support our Sacramento based clients mission of delivering high-quality inclusive care to diverse patient populations. This role ensures accurate coding and billing for Medi-Cal Medicare Quest Lab and other clinical services supporting timely billing regulatory compliance and optimized reimbursement.
The ideal candidate will hold a current CPC certificate combined with at least 1 year experience of certified coding in EPIC for Medi-Cal Medicare and Laboratory coding.
- Pay: $27.00-$35.00/hour DOE
- Location: Sacramento
- Hybrid work schedule after training
- Direct Hire
PRIMARY RESPONSIBILITIES:
- Perform accurate coding and documentation review using ICD-10 CPT HCPCS and E/M guidelines to ensure compliant and optimized charge processing.
- Research and resolve coding discrepancies including ambiguous or missing documentation by consulting providers and referencing regulatory standards.
- Apply modifiers and specialty codes (e.g. 340B) as needed for billing accuracy and reimbursement integrity.
- Ensure compliance with federal state and payer regulations maintaining up-to-date knowledge of CMS HIPAA and industry coding standards.
- Support audit readiness and claims resolution by participating in internal reviews addressing denials and contributing to continuous improvement initiatives.
- Utilize EHR and coding software tools (e.g. Epic EncoderPro) while maintaining high standards of productivity accuracy and professional communication.
- Collaborate with billing and clinical teams to support education on coding protocols and regulatory compliance.
SKILLS AND QUALIFICATIONS:
- High school diploma or equivalent required.
- Possess an active CPC certification through AAPC or AHIMA demonstrating ongoing compliance with industry standards.
- 1-3 years certified coding experience for Medi-Cal and Medicare billing.
- In-depth knowledge of medical coding practices including ICD-10 CPT E/M coding and payer-specific billing guidelines.
- FQHC coding experience a plus.
- Ability to leverage experience in clinical documentation review to ensure coding accuracy and identify deficiencies within Electronic Health Record systems.
- EPIC or Ochin Epic system experience a plus.
DirectHireWe are seeking a certified Medical Coder to support our Sacramento based clients mission of delivering high-quality inclusive care to diverse patient populations. This role ensures accurate coding and billing for Medi-Cal Medicare Quest Lab and other clinical services supporting timely bil...
DirectHire
We are seeking a certified Medical Coder to support our Sacramento based clients mission of delivering high-quality inclusive care to diverse patient populations. This role ensures accurate coding and billing for Medi-Cal Medicare Quest Lab and other clinical services supporting timely billing regulatory compliance and optimized reimbursement.
The ideal candidate will hold a current CPC certificate combined with at least 1 year experience of certified coding in EPIC for Medi-Cal Medicare and Laboratory coding.
- Pay: $27.00-$35.00/hour DOE
- Location: Sacramento
- Hybrid work schedule after training
- Direct Hire
PRIMARY RESPONSIBILITIES:
- Perform accurate coding and documentation review using ICD-10 CPT HCPCS and E/M guidelines to ensure compliant and optimized charge processing.
- Research and resolve coding discrepancies including ambiguous or missing documentation by consulting providers and referencing regulatory standards.
- Apply modifiers and specialty codes (e.g. 340B) as needed for billing accuracy and reimbursement integrity.
- Ensure compliance with federal state and payer regulations maintaining up-to-date knowledge of CMS HIPAA and industry coding standards.
- Support audit readiness and claims resolution by participating in internal reviews addressing denials and contributing to continuous improvement initiatives.
- Utilize EHR and coding software tools (e.g. Epic EncoderPro) while maintaining high standards of productivity accuracy and professional communication.
- Collaborate with billing and clinical teams to support education on coding protocols and regulatory compliance.
SKILLS AND QUALIFICATIONS:
- High school diploma or equivalent required.
- Possess an active CPC certification through AAPC or AHIMA demonstrating ongoing compliance with industry standards.
- 1-3 years certified coding experience for Medi-Cal and Medicare billing.
- In-depth knowledge of medical coding practices including ICD-10 CPT E/M coding and payer-specific billing guidelines.
- FQHC coding experience a plus.
- Ability to leverage experience in clinical documentation review to ensure coding accuracy and identify deficiencies within Electronic Health Record systems.
- EPIC or Ochin Epic system experience a plus.
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