Coder Salary at Experian Us BETA

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 Job Description Job Title: Medical Coder (Emphasis on Superbills) Location: Mission Viejo, CA Schedule: Full-time, 40 hours per week, 8-hour shift Job Summary: We is seeking a detail-oriented and experienced Medical Coder with a strong emphasis on superbills. In this role, you will be responsible for coding diagnoses, procedures, and services on superbills, ensuring accurate and timely documentation for proper reimbursement. The ideal candidate will be proficient in ICD-10, CPT, and HCPCS coding systems and have hands-on experience in processing and reviewing superbills. This position requires accuracy, strong communication skills, and a thorough understanding of medical terminology and healthcare regulations. Key Responsibilities: Review and process superbills to assign appropriate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services rendered. Ensure accuracy and completeness of superbills, preparing them for claim submission and reimbursement. Communic

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

Job Description Job Description Social Worker or RN Case Manager needed to support hospital system. '..Under the direction of the Director, Care Management, the Manager, Care Management is responsible for the overall daily operations and clinical practice of the assigned service areas. This position will oversee Case Managers and Care Management Coordinator support staff to assure the proper case management of our patients through the continuum of care. The Manager, Care Management ensure the Case managers to advocate for and assist the patient in the achievement of optimal health, access to care, and appropriately utilizing resources...' Must have '..minimum 3 years experience of working as a RN or as a Social Worker in a hospital/in-patient setting, 3 years experience working as a RN or Social Worker directly in Case Management or Discharge Planning in a hospital/inpatient setting, Minimum of 1 year experience in leadership and managing people directly..' 5 Company Description Contin

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 POSITION SUMMARY The Risk Adjustment Coder- Admin is responsible for Risk Adjustment HCC coding management and training both internally and externally to ensure that physicians, office staff and health plan representatives are working together effectively to achieve goals. Reports to Director of IPA Administration. RESPONSIBILITIES-DUTIES Review medical record information to identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC) Audit provider documentation of CPT, ICD-9 and ICD-10 codes to ensure adherence with coding and CMS Risk Adjustment guidelines Evaluate HCC auditing processes and provide analyses and recommendations to improve overall provider documentation and coding Responsible for ongoing provider education on HCC Support and participate in process and quality improvement initiatives Meet productivity and quality standards Review Comprehensive Annual We

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 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