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CODER - DENIAL & APPEALS in San Diego, CA at Scripps Corporate Offices

Date Posted: 2/28/2019

Job Snapshot

Job Description

At Scripps Health, you will experience the pride, support, respect that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.
You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.
Join a winning team supporting Scripps Patient Accounting Department as a Coder for the Denial and Appeals Team.  Together, you’ll bring your expertise, compassion and excellence to all we do. The ideal candidate will thrive in a fast paced environment and enjoy providing world class customer service.
This position is responsible for correct and timely coding of all medical records utilizing appropriate systems, code procedures, diagnoses or conditions, and working from the appropriate medical record. May provide instructions to lower level coders as needed. Converts diagnosis and procedure data from patient medical record to ICD-9-CM/ICD-10 or similar coding scheme. Completes reimbursement or data abstraction forms for submission to appropriate parties. Identifies and sequences the diagnoses and procedures following all medical necessity guidelines. Meets productivity and quality standards. Interacts with physicians and other staff to clarify documentation.
The Coder for the Denial and Appeals Team is responsible for the timely and accurate review and resolution of coding related claim edit work queues in Epic,  supports the timely and accurate billing of claims to the payer for payment, and helps prevent untimely rejections and A/R denial adjustments by working edits timely and billing claims out timely.
This is a Full Time, Day position located at our 4S Ranch business services office.

Job Requirements

Required Education/Experience/Specialized Skills:
  • Good critical thinking and analytical skills.
  • Excellent written and verbal communication skills.
  • One or more years of coding or charge capture experience in ambulatory or professional fee billing.
  • Knowledge of medical terminology and Medicare regulatory requirements for coding, billing and reimbursement.
  • Understanding of Medical ICD9/ICD10 codes, CPT/HCPC codes and modifiers.
  • Must demonstrate the ability to establish/maintain cooperative working relationships with staff, operations and providers.
Required Certification/Registration:
  • Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) from American Academy of Professional Coders.
Preferred Education/Experience/Specialized Skills/Certification:
  • Associates Degree in Health Information Technology.
  • Experience coding denials and appeals.
Scripps Health is repeatedly named on the Fortune Magazine’s 100 Best Companies to work for, only San Diego-based company and Becker’s Healthcare Top Hospitals. Scripps Health offers a robust Total Rewards Program designed to compensate and motivate you throughout your career. Scripps Health Total Rewards Program includes a broad range of plans and programs including market competitive pay and performance incentives, health and wellness benefits, financial wellness benefits, work-life resources, learning and development opportunities, and rewards and recognition. Unlock your potential with Scripps Health today.
Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.