Sutter Health

An integrated network delivering accessible, high-quality, and life-saving healthcare when people need it most.

Clinical Quality Coder II

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteTeam 10,001+Since Sutter Health was founded in 1996.H1B SponsorCompany SiteLinkedIn

Location

California + 4 moreAll locations: California, Louisiana, Texas, Utah, Washington

Posted

21 days ago

Salary

$34 - $51 / hour

High School1 yr expEnglish

Job Description

• Conducts review of outpatient medical records using ICD-10-CM and CPT • Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures • Responsible for pre-appointment review of each encounter in scope • Alerts the physician of potential clinical conditions that may require review

Job Requirements

  • HS Diploma or General Education Diploma (GED)
  • CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification (CCS-P, CPC, COC or CPC-P)
  • 1 year recent relevant experience
  • Advanced knowledge of ICD-10 diagnosis coding conventions and requirements
  • Knowledge of Quality Coding Program requirements such as the Medicare Advantage Coding Program/HCC
  • Proficient use of grouper software and/or coding reference books to assign/validate diagnosis codes
  • National Correct Coding Initiative edits, Coding Clinic and CPT Assignment coding guidelines
  • Ability to work independently, as well as be part of the team
  • Demonstrated written and verbal communications skills

Benefits

  • Yes

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