Claims Edit Coder

🕒 May 19

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Cedars-Sinai

10,000+ employees

Since its beginning in 1902, Cedars-Sinai has evolved to meet the healthcare needs of one of the most diverse regions in the nation, continually setting new standards for quality and innovation in patient care, research, teaching and community service.

📋 Description

• Review medical documentation and health information within various electronic medical or health systems. • Assign applicable codes such as clinical modification (ICD-10-CM), current procedural terminology (CPT), evaluation and management (E&M), and healthcare common procedure coding system (HCPCS) while adhering to productivity and quality standards for the area(s) of assignment or specialty (Facility or Professional). • Focus on specialties including, but not limited to: Professional Multispecialty E&M, Facility Emergency Room (non-Single Path), and Outpatient Visits (Facility or Professional). • Resolve complex edits and alerts with consistent accuracy using current guidelines for the area(s) of assignment or specialty. • Handle edits such as: Simple Visit, Local and National Coverage Determination, and other Related Edits. • Communicates with physicians, providers, and external departments regarding documentation clarity, specificity, ensure completeness of documentation required for code assignment within area(s) of assignment or specialty. • Expanding skills in procedural coding such as CPT or PCS.

🎯 Requirements

• Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required upon hire. • High school diploma or GED required. • Minimum of 2 years of experience working doing code assignment in a healthcare setting. • Ability to produce quality work product within the established standards per hour.

🏖️ Benefits

• health care • paid time off • 403(B)

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