PACE Medical Coding Lead (Hybrid) San Ysidro Health - 3.5 San Diego, CA Job Details Full-time $29.36 - $38.41 an hour 15 hours ago Qualifications Anatomy knowledge Medical coding Physiology knowledge AHIMA Microsoft Office High school diploma or GED Certified Professional Coder ICD-10 Certified Coding Specialist CPT coding 1 year Senior level Communication skills Employee evaluation

Full Job Description Position Summary:

The PACE Medical Coding Lead will review clinical documentation and diagnostic results as necessary to verify the appropriate assignment of the ICD-10 CM, CPT and HCPCS codes as per Official Guidelines for Coding and Reporting. While reporting to the PACE Coding Manager, will work collaboratively to perform coding training, audits, research, and assist with special projects. This position is intended to be a hybrid role, where the incumbent will be expected to primarily work remotely. There is a minimum expectation to work on-site at least once per month; additional on-site presence may be required based on business need Essential Functions of the

Job:

Performs coding training, coding audits, provider audits, research, scheduling, and special projects assigned by the PACE Coding Manager Responsible for monitoring coding work queues, including deployment of coders to areas of greatest need Assist with education in-services for physicians, other providers and clinical staff relating to documentation, coding and charging guidelines Perform research, run various reporting and assist with general coding as needed and as requested Monitor coding operations with respect to workflows and regular reporting: evaluate workflows for maximum efficiencies and problem solve work queue issues when accounts/charges are not flowing properly, making recommendations as necessary Maintain updated documentation of all workflows Codes complicated medical charts exceeding 50 diagnoses Determines all HCC codes associated with patient encounters Keeps up to date with the latest CMS risk adjustment guidelines Reviews Chart Progress Notes, patient documentation for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers Verifies all diagnostic procedural codes from the electronic health record using ICD-10 CPT and HCPCS coding classifications Communicates effectively with providers concerning documentation to assure proper coding and reimbursement Identifies all chargeable items within each progress note to ensure proper

CPT/HCPCS

codes for each of the items Applies sequencing guidelines for the diagnosis codes and selection of the principal diagnosis and procedure according to ICD-10 guidelines Tracks open/close encounter reports to assure that all patients seen in the clinic are properly coded Organizes & prioritizes all work to ensure that records are coded in time frames that will be in line with department policies Maintains knowledge of Anatomy & Physiology to interpret general medical classifications for coding including the most complicated encounters/cases Acts as an expert resource person to other coders & personnel in other departments regarding coding questions & issues Participates in ongoing education, including in-service training and other activities to maintain and improve competence Adheres to SYHC's Core Competencies and professional Code of Conduct Behavior Standards in their day-to-day work by consistently demonstrating the

Core Values of Respect, Excellence, Integrity and Empowerment Additional Duties and Responsibilities:

Adheres to all applicable SYHC's Policies, Procedures and processes Demonstrates skills in collaboration with team and problem-solving Excellent written and oral communication skills Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops Attends meetings as required and participates on committees as directed Demonstrates courtesy and treats every patient and employee with dignity in every interaction Assists in the maintenance and/or revision of established Departmental Policies and Procedures Maintains confidentiality of all patient electronic medical records Maintains a clean, safe, and organized work area at all times Performs all other related duties as assigned or requested

Job Requirements Experience Required:

One (1) year of medical coding experience required with a

CPC, CRC, or CCS Education Required:

High School Diploma or GED Equivalent Certifications Required:

Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), Certified Professional Medical Auditor (CPMA), or Certified Professional Compliance Officer (CPCO) from the American Academy of Professional Coders (AAPC) Or, Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA) Verbal and Written Skills Required to Perform the

Job:

Good written and verbal communication Strong communication and presentation skills Comfortable speaking with people at an executive level or physician level Technical Knowledge and Skills Required to Perform the

Job:

Superb organizational ability and exceptionally analytical Experience and knowledge with Microsoft Office software

Equipment Used:

Company's Laptop, occasionally personal phone

Working Conditions and Physical Requirements:

This position is intended to be a hybrid role, where the incumbent will be expected to primarily work remotely. There is a minimum expectation to work on-site at least once per month; additional on-site presence may be required based on business need Long Irregular hours; may work weekends Prolonged periods of sitting, and constant walking and standing Driving and occasional travel required

Universal Requirements:

Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs. Compliance with all mandated vaccinations and all boosters is a term and condition of employment. About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our mission-driven team! San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment. Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.