About San Ysidro Health
Position Summary: The Medical Coder will review clinical documentation and diagnostic results as necessary to verify the appropriate assignment of the ICD-10 CM, CPT and HCPCS codes as per Official Guidelines for Coding and Reporting. This position is intended to be a hybrid role, where the incumbent will be expected to primarily work remotely. There is a minimum expectation to attend On-Site Quarterly Meetings; additional on-site presence may be required based on business need. Essential Functions of the Job: Review the Chart Progress Notes, patient documentation for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers. Verifies all diagnostic procedural codes from the electronic health record using ICD-10 CPT and HCPCS coding classifications. Communicates effectively with providers concerning documentation to assure proper coding and reimbursement. Identify all chargeable items within each progress note to ensure proper CPT/HCPCS codes for each of the items. Apply sequencing guidelines for the diagnosis codes and selection of the principal diagnosis and procedure according to ICD-10 guidelines Tracks open/close encounter reports to assure that all patients seen in the clinic are properly coded. Organizes & prioritizes all work to ensure that records are coded in time frames that will be in line with department policies. Maintains knowledge of Anatomy & Physiology to interpret general medical classifications for coding including the most complicated encounters/cases. Acts as an expert resource person to other coders & personnel in other departments regarding coding questions & issues. Participates in ongoing education, including in-service training and other activities to maintain and improve competence. Adheres to SYHC's Core Competencies and professional Code of Conduct Behavior Standards in their day-to-day work by consistently demonstrating the Core Values of Respect, Excellence, Integrity and Empowerment. Performs any other related job duties as assigned and/or requested. Additional Duties and Responsibilities: Adheres to all applicable SYHC's Policies, Procedures and processes. Demonstrates skills in collaboration with team and problem-solving. Excellent written and oral communication skills. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops. Attends meetings as required and participates on committees as directed. Demonstrates courtesy and treats every patient and employee with dignity in every interaction. Assists in the maintenance and/or revision of established Departmental Policies and Procedures. Maintains confidentiality of all patient electronic medical records. Maintains a clean, safe, and organized work area at all times. Performs all other related duties as assigned or requested. Job Requirements Experience Required: Zero (0) to One (1) year of medical coding experience required with CPC-A certification One (1) year of medical coding experience required with a CPC or CCS. Education Required: High School Diploma or GED Equivalent. Certifications Required: Current Procedural Coder (CPC) or CPC-A Certification from the American Academy of Professional Coders/Apprentice ( AAPC ) or AHIMA American Health Information Management Association certification required. Verbal and Written Skills Required to Perform the Job: Good oral and written communication skills. Good customer service skills. Technical Knowledge and Skills Required to Perform the Job: Extensive knowledge of medical terminology, human anatomy and physiology. Knowledge of diagnostic tests, procedures, pathology terms and drug reference books. Knowledge of ICD-10-CM and HCPCS/CPT, HCC coding & abstracting procedures. Proficient in typing skills and experience with using computers and software systems. Equipment Used: General office equipment to include PC and Software (Excel, Word, Office), phone, fax, etc. Working Conditions and Physical Requirements: This position is intended to be a hybrid role, where the incumbent will be expected to primarily work remotely. There is a minimum expectation to attend On-Site Quarterly Meetings; additional on-site presence may be required based on business need. Prolonged, extensive, and considerable standing/walking; always reaching, stooping ending, kneeling, crouching; manual dexterity and mobility. Able to work in a noisy setting. Ability to handle multiple activities simultaneously. Good organizational skills. Willing to work with others as a team member. Detailed-oriented. May be required to work evenings and/or weekends. Universal Requirements: Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs. Compliance with all mandated vaccinations and all boosters is a term and condition of employment.
98 Job openings in San Ysidro Health
Position Summary:Answer telephones greets assists and directs visitors patients and other clinic office callers. Guides screens and registers new patients. Assists patients in obtaining services and provides information on funding eligibility and inquiries related to patient access pr More...
Position Summary:Responsible for timely processing documenting and follow up of referrals and request for treatment authorizations as requested by the primary physician and contracted network providers/vendors.Essential Functions of the Job:Receives and processes referrals and approva More...
Community Care Registered Nurse (hybrid - San Diego Based)
47 - 65
Position Summary:Reporting to the HCBA Waiver RN Supervisor and as a member of the Care Management Team the Community Care RN (HCBA Waiver RN) coordinates an interdisciplinary approach to support continuity of care. This role develops and monitors the plan of treatment for a caseload More...
Position Summary:Responsible for the direct social work case management services to the participants of the San Diego PACE program. Provides such social services support as participant screening case management counseling and referral. Follows all policies and procedures of PACE appli More...
Position Summary:Assists pharmacists in the drug distribution process.Essential Functions of theJob:Counts packages prepackages and labels medication for inspection by pharmacist and fills routine orders for nonprescription pharmaceuticalsInputs patient and prescription data into the More...
Position Summary:Reporting to the Director Regional Clinic Operations under the mandate of Federally Qualified Health Centers (FQHC) the Clinic Services Manager (CSM) is accountable for the effective and efficient daytoday operation of the assigned Clinic regarding patient satisfactio More...
Benefits:Eligible Employees can enroll in Medical Dental & VisionNonstop Wellness Chiropractic Care and Therapy SessionsNonstop Wellness Visa CardAnnual Certification ReimbursementAnnual Tuition ReimbursementAnnual Merit Increases403b Retirement Plan162 Bonus Plan Paid Vacation Da More...
Position Summary:The HIS Specialist will uphold the integrity of the department by following the established policies and procedures standards and departmental goals and objectives. Ability to perform all functions including but not limited to sorting scanning uploading documents clos More...
Position Summary:Under the direct supervision of the HCBA Waiver Manager the HCBA Waiver Program Supervisor is responsible for all aspects of planning development and supervision of the Home and Community Based Alternatives (HCBA) MediCal Waiver enrollment process to increase enrollme More...
Position Summary:Responsible for the direct social work case management services to the participants of the San Diego PACE program. Provides such social services support as participant screening case management counseling and referral. Follows all policies and procedures of PACE appli More...
Licensed Professional Clinical Counselor (lpcc)
98571 - 131809
*Location of position is determined upon interview.*Experience with children ages 512 highly desired.Position Summary:Under the direction of the Chief Behavioral Health Officer the Licensed Professional Clinical Counselor is responsible for performing psychological assessments and pro More...
Position Summary:Under direct supervision of the PACE center manager and within established scope of practice the PACE Medical Assistant assists with coordinating multidisciplinary services panel management and population health services including clinical/behavioral health and admini More...
Patient Services Representative (bilingual Arabic/english)
25 - 33
Position Summary:Answer telephones greets assists and directs visitors patients and other clinic office callers. Guides screens and registers new patients. Assists patients in obtaining services and provides information on funding eligibility and inquiries related to patient access pr More...
Rda - Julian - *rural Travel Differential Offered*
26 - 35
Position Summary:Assists the Dentist at chair side in the concept of fourhanded dentistry and prepares patients in a manner that will instill confidence in the staff and services of the Dental Division.Essential Functions of the Job:Complies with all aspects of patient intake such as More...
Position Summary:Reporting to the HCBA Waiver Manager and as a member of the Care Management Team the Social Worker supports the development and monitoring of the plan of treatment for a caseload of Home and Community Based Alternatives Waiver Program participants and provides communi More...
Senior Analyst, Pace Health Plan - Kearny Mesa/hybrid
39 - 53
Position Summary:The Senior Analyst Health Plan operations of the San Ysidro Healths (SYH) San Diego Program for the AllInclusive Care of the Elderly (PACE). Responsible for overseeing the creation revision updating maintenance and dissemination of Best Use Practices guidelines polici More...
Position Summary:Under the supervision of the Quality Assurance Supervisor and lead by the Quality Manager assists in all activities related to the SD PACE (Program of AllInclusive Care for the Elderly) Quality Assurance and Performance Improvement (QAPI) Department. The QAPI Analyst More...
Position Summary:Assists the Dentist at chairside in the concept of fourhanded dentistry and prepares patients in a manner that will instill confidence in the staff and services of the Dental Division. Oversees RDAs and DAs cocoordinates with the Patient Access Lead and Dental Operati More...
Position Summary:Under the supervision of the Eligibility Supervisor the Eligibility Specialist will assist participants/potential participants in obtaining MediCal and Medicare Coverage to access PACE services.Essential Functions of the Job:Assists individuals in applying for and ret More...
Position Summary:Under the supervision of the PACE RN Supervisor and the day center nursing team the Personal Care Aide provides support to the CNA team in the delivery of personal care to participants and to participants in need of companionship services to and from medical appointme More...
