Certified Coder
at Medix

Date Posted: 6/20/2019

Job Description

Department:Network Management
Reports To:Director, Network Management
Private Health Information (PHI):Position requires 'read only' access to member authorizations and read and write access to member claims and eligibility
Job Classification:Non-Exempt
Job Type:Full time - Four-Day 10 hour days, Monday - Thursday
Pay Rate:Salary is based on qualifications and experience
Position Summary:Certified Medical Coder will serve on a team to audit quality and HCC reporting. HCC experience is desired. Familiar with quality reporting through HEDIS/NCQA/AMP in California. Participates in physician education as needed to enhance documentation/coding accuracy. Professional verbal and written communication skills. Strong computer literacy required to utilize our documentation system and manage data in spreadsheets. Ability to work with changing priorities and willing to attend webinars to stay updated on program requirements.
Essential Job Functions:
  • Establishes / generates reports and analyses the information against contract incentive programs and health plan data.
  • Receives HCC senior diagnoses and process then into the tracking programs. Recommends training opportunities and participates in provider trainings as needed. Audits and interfaces with outside coding vendors.
  • Recommends solutions to identify performance issues. Participates in webinars and conference as needed to stay abreast of IHA / NCQA requirements.
  • Serves as the user expert of software systems. Audits software accuracy from time to time. Attends user meetings and reports systems issues to the vendor.
  • Tracks and submits audit data for program compliance. Interacts with auditor to submit annual scores.
  • Performs other duties as assigned.

Position Qualifications and Requirements:
  • Minimum three years Healthcare Industry experience.
  • Knowledge of managed care concepts and healthcare delivery systems; understanding of health insurance industry and products.
  • Excellent organizational and interpersonal skills.
  • Experience working with CPT and ICD-10 codes and reading claims forms / reports.
  • Organized self-starter with follow through. Ability with changing priorities and varying deadlines.
  • String computer literacy, including competence with database and spreadsheet programs.
  • Microsoft Office products familiarity required.
  • Associates Degree with equivalent combination of experience in healthcare and/or information systems. Completed coursework in coding.

  • Licensure/Certification: Coding

Location:Mira Mesa, San DiegoReference number: 86670

Job Snapshot

  • Employee Type: Full-Time
  • Location: San Diego, CA
  • Job Type: Health Care
  • Experience: Not Specified
  • Date Posted: 6/20/2019

About Us

Medix provides workforce solutions to clients and creates opportunity for talent representing a variety of industries through our Healthcare, Scientific and Information Technology divisions. We have earned our reputation as an industry leader by providing unsurpassed customer service and top quality professionals to our clients.

At Medix we are extremely dedicated to our candidates, providing them with the best advice, support and direction during their job search. We work with all of our candidates personally to understand their skills and aspirations and best match them with opportunities that fit their goals. As we place contract, contract-to-hire and direct hire employment plans, we offer the flexibility to accommodate your schedule and needs.  We will also provide guidance and support during the interview process.  The benefits at Medix don’t stop there. After being employed for 30 days and averaging 30 hours per week for those 30 days, you become eligible for our benefit program.

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