Certified Coder
Location
California
Posted
39 days ago
Salary
0
Seniority
Senior
No structured requirement data.
Job Description
Certified Coder
MCHC Health Centers
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Role Description We are seeking a Supervisor, RCM Coding to lead and support a high-performing coding team within a dynamic Revenue Cycle Management (RCM) environment. This role is ideal for an experienced certified coder with a strong background in emergency medicine coding and PatientKeeper workflows, who is ready to step into a leadership position. You will play a critical role in ensuring accurate, compliant, and timely coding practices, while mentoring team members and driving operational excellence across coding workflows. Key Responsibilities: - Supervise and provide day-to-day direction to the RCM Coding team, ensuring productivity and quality standards are met. - Partner with the Manager of RCM Coding to audit charge capture and coding accuracy, ensuring compliance with ICD-10 CM guidelines. - Train and onboard new coding staff on policies, procedures, and best practices. - Review and resolve coding edits, denials, and charge hold errors within PatientKeeper and MMIS work queues. - Identify coding trends by state and payor and recommend process improvements. - Assist with billing corrections, reconciliation, and risk management-related coding issues. - Manage HR-related responsibilities including hiring, performance management, and payroll support. - Escalate productivity or quality concerns and support continuous improvement initiatives. - Ensure strict adherence to PHI security and compliance standards. Qualifications - High School Diploma or equivalent. - 5+ years of experience as a certified AAPC coder. - Strong knowledge of ICD-10, CPT, and medical terminology. - Experience with claims processing across Medicaid, Managed Care, BCBS, and commercial payors. - Proficiency in coding workflows, charge capture, and billing systems (PatientKeeper experience strongly preferred). - Excellent organizational, analytical, and communication skills. Requirements - 3+ years of supervisory or leadership experience (preferred). - Associate’s or Bachelor’s degree in a related field (preferred). - Certified Obstetrics & Gynecology Coder (COC) or similar specialty certification (preferred). Benefits - A mission-based company with an amazing company culture. - Paid time off & holidays so you can spend time with the people you love. - Medical, dental, and vision insurance for you and your loved ones. - Health Savings Account (with employer contribution) or Flexible Spending Account options. - Employer Paid Basic Life and AD&D Insurance. - Employer Paid Short- and Long-Term Disability with Optional Short Term Disability Buy-up plan. - Paid Parental Leave. - 401(k) Savings Plan with match. - Legal Plan & Identity Theft Services. - Mental health support and resources.
• Assign accurate CPT, HCPCS, and ICD-10 codes for all services performed at BHC facilities • Apply appropriate modifier usage based on payer and service requirements • Ensure documentation supports medical necessity, procedural complexity, and level of services • Apply correct diagnosis sequencing and body-part specificity required for WC claims • Support WC-specific documentation requirements, including injury dates. Causality, and treating physician narratives • Collaborate with billing teams to ensure correct claim formats, attachments, and WC payer rules are met • Ensure coding compliance with CMS, AMA, NCCI, and OIG guidelines • Participate in internal and external coding audits , implement corrective actions as needed • Identify coding trends that impact denials, underpayments, or compliance risk • Provide feedback and education to provider to improve documentation and coding accuracy • Assumes other responsibilities as appropriate to the position and organizational needs
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Baylor College of MedicineFounded in 1900, Baylor College of Medicine - BCM is a Houston, Texas-based leading medical school and biomedical and clinical research center. With a total stu
Assigns appropriate modifiers to charges for clean claim submission. Utilizes the Optum encoder to review and/or assign ICD-10-CM, CPT, and HCPCS Level II codes on charges.



