Coder Salary at Codebusters Inc BETA

Job Description Job Description Summary: Responsible for overseeing the quality of both outpatient and inpatient coded clinical and administrative date. Responsible for synthesizing audit findings to provide actionable feedback to physicians and administrators on areas of improvement. Candidate is expected to be an active participant in continuous quality improvement processes and workgroups with a strong partnership with HCC co-worker specialists and other quality management staff. Educate providers and administrative staff on correct coding and charting as it applies to Medicare Advantage and Covered CA members. Will provide in-services in small and large group settings. May requires driving to Southern CA clinics and provider offices. Duties and Responsibilities: 1. Reviews and audits medical records at provider offices/clinics to identify coding risk areas and ensure that training activities are addressing these areas. 2. Review records for completeness, accuracy and compliance wit

Job Description Job Description South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding. Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit HEDIS coding and record collection Report Coding discrep

Job Description Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have high levels of employee engagement. We provide an outstanding benefit package that includes healthcare and a 403(b), along with competitive compensation. Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals. What Will I be Doing in this Role? Under the general direction of the HID Audit Supervisor, the role operates as a Coding Auditor and shall: Monitor coding compliance through prebill and retrospective reviews or audits of ICD and/or CPT codes assigned by coding staff. Monitor coding compliance by performing focused audits on high-risk areas iden

Job Description Job Description Director of Case Management needed to support hospital system in Los Angeles, CA to support Quality Management Program. 5+ years acute care quality management and supervisory experience. 5 Company Description Continuum Medical Staffing is a boutique national staffing firm with a big purpose. Our mission and passion is to cultivate talent in the healthcare field and connect exceptional talent with meaningful and rewarding employment opportunities. We help our elite candidates achieve their career goals through personal attention and ongoing support by taking a consultative approach delivering innovative solutions that meet your individual needs. Our clients trust us to develop long-term relationships and continually send them highly qualified talent who exceed their expectations. Continuum Medical Staffing employs and places healthcare professionals such as Senior Leader Management, Physicians, Physician Assistants, Nurses, Nurse Practitioners, Therapists

For more details, please connect with Ibad Khan at 971-431-1753 or email at ibadk@vgroupinc.com Client: Healthcare Job Title: Medical Biller/ Coder/ Authorization Assistant Duration: 06 Months Start Date: ASAP Location: 505 City Parkway West, Orange CA 92868 (Onsite) Position Type: Contract Description: The Medical Authorization Assistant (Multipurpose Senior Services Program) will provide office and case management support services. The incumbent will serve as a contact between members, physicians, providers and CalOptima Health’s staff to gather information and serve as an interpreter as needed. Under the manager’s direction, the incumbent will be responsible for providing effective, efficient and courteous interaction with providers, members and families and other CalOptima Health staff. The incumbent will perform medical administrative and routine tasks specific to the assigned program and may also perform administrative support functions. Duties & Responsibilities: 80% - Program S

We are seeking a highly skilled and detail-oriented Medicare Advantage Risk Adjustment Auditor to support our client's risk adjustment initiatives. In this role, you will serve as a subject matter expert in ICD-10-CM coding and documentation guidelines related to chronic conditions. You will collaborate with physicians, IPA coders, and health plan risk adjustment teams to ensure the accuracy and compliance of diagnostic coding and documentation. Key Responsibilities: Medical Record Audits: Conduct in-depth retrospective and prospective medical record audits for physicians (MD, DO, NP) to assess the accuracy of ICD-10-CM coding for chronic conditions and validate risk-adjustable diagnoses. Coding Pattern Analysis: Analyze trends and patterns in diagnosis coding across physician groups to identify potential gaps, risks, or areas for improvement. Provider Education: Develop and deliver tailored education sessions and materials to physicians and medical groups, focusing on best practices f

Job Description Job Description Job Title: CPC Medical Coder Auditor The Medical Coder Auditor plays a crucial role in ensuring the accuracy and compliance of medical coding practices. This position involves reviewing medical records, coding data, and billing information to verify coding accuracy and adherence to coding guidelines and regulations. Key Responsibilities: Auditing and Review: Review medical records and coding data to ensure accurate coding assignment. Identify and analyze coding errors, discrepancies, and inconsistencies. Validate code assignments against documentation and coding guidelines (ICD-10, CPT, HCPCS, Modifiers). Perform audits on an ongoing basis Compliance and Regulatory Adherence: Stay up-to-date on coding updates, changes, and regulatory requirements. Identify and report potential compliance issues or areas of concern. Serve as a resource for coding staff, answering questions and providing guidance. Ensure compliance with relevant coding guidelines, regulati

Job Description Job Description '..Care Manager LCSW for our Care Management team in Torrance, CA. Care Management within the Department of Psychiatry includes a collaborative practice with patients, caregivers, nurses, social workers, physicians, payers, support staff, other practitioners and the community. Social workers facilitate communication and care coordination along a continuum through effective transitional care management. Recognizing the patient's right to self-determination, the significance of the social determinants of health and the complexities of care (barriers to coping, abuse, mental health, substance use, lack of resources, psychosocial issues, etc.). ' 5 Company Description Continuum Medical Staffing is a boutique national staffing firm with a big purpose. Our mission and passion is to cultivate talent in the healthcare field and connect exceptional talent with meaningful and rewarding employment opportunities. We help our elite candidates achieve their career goa