Certified Medical Coding Specialist

Description

Join Elica’s mission and become a part of a team where every day is an opportunity to make a positive impact in your community!

At Elica Health Centers, we share a common goal: provide the best possible patient care to our growing community! Our passion extends throughout Elica, from the exceptional healthcare services we provide to our underserved patients at our Community Health Clinics and state-of-the-art mobile medicine program, Health on Wheels, to our Resource Center where we empower patients and members of the community to connect with resources to help them build healthy and full lives. 

WHAT YOU'LL DO:  

The CPC Coding Specialist ensures that maximum reimbursement is obtained through billing and coding or all services rendered. Position is responsible for correcting, completing, and processing claims of all payer codes. The ideal candidate will have previous experience processing all types of medical billing and have a working knowledge of medical billing practices.

BENEFITS:

Elica is proud to offer an exciting benefits package to qualifying full-time employees which can support your health, your family, and help you plan for the future.  

• 403B retirement savings account with up to 4% employer matching contribution and 100% immediate vesting.
• Healthcare: Medical (Kaiser or Anthem Blue Cross PPO), Dental, Vision - Individual and family plans available 
• Company funded Health Reimbursement Arrangement (HRA) to help pay for out-of-pocket costs related to medical coverage
• FSA Plans: 2 options for Flexible Spending Accounts - Health Care FSA and Dependent Care FSA
• Company paid basic Life and AD&D Insurance. (supplemental life and AD&D options available)
• Optional Critical Illness, Accident, ID Theft Protection and Pet insurance potions
• Accrued paid time off and paid holidays.
• Employee Assistance Plan with five (5) free counseling visits, financial services, legal services, and a plethora of online resources.
• Tuition Reimbursement program and CME/CEU program.

Learn more about Elica’s services and mission at our website or check us out on Facebook.   

Compensation Dependent Upon Experience - 

$23.00 - $29.90 per hour

Requirements

WHAT ARE WE LOOKING FOR?

The successful candidate will be willing and able to: 

• Ensures accurate and appropriate outpatient medical coding and documentation through auditing of assigned claims. 
• Maintain accuracy along with staying within the coding metrics assigned specific to the specialty and provider. 
• Processing required number of claims per work week. 
• Working in different billing platforms. 
• Processing and preparing Special Programs for submission to Payers. 
• Processing Medical Insurance claims for submission to payers. 
• Payment posting from all sources. 
• Processing denials and requests from all types of payers. 
• Assist in other duties as assigned.  

The successful candidate has: 

• Current Certified Professional Coder (CPC from AAPC) required.
• Minimum of 2 years of coding and billing experience in a healthcare setting. 
• Previous experience with coding for outpatient Primary Care and Specialty coding 
• Must have CPT/ICD 10 coding knowledge. 
• Previous experience with Medical Billing Software, OCHIC Epic preferred. 
• Knowledge of health care third party reimbursement programs, such as Medicare, Medi-Cal, geographic Managed Care Plans and Private Insurance. 
• Knowledge of the methods and practices of billing, accounts receivables and collections. 
• Previous training and HIPAA knowledge is a must 
• Some background in FQHC, RHC, or Community Health Center is preferred  

Additional Requirements

• Must have a current and valid California driver’s license and the ability to provide proof of personal auto insurance on the vehicle driven during working hours.
• If selected for an employment opportunity with Elica Health Centers, external hires must provide proof of immunizations (Hepatitis B, MMR, Varicella & Tetanus), tuberculosis clearance, and proof of COVID-19 vaccination status* prior to their scheduled start date. Please be advised that this position is subject to criminal background investigation and drug screen.

Physical Requirements and Work Environment 

The work environment is characteristic of normal office conditions. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to sit; use hands to handle or lift. The employee is occasionally required to stand; walk; and reach with hands and arms. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. The employee must also possess hearing and speech to communicate in person and over the phone. The noise level in the work environment is usually quiet. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

*Elica Health Centers is a healthcare facility that adheres to the mandates issued by the California Department of Public Health including the recent orders regarding the COVID-19 vaccine. Medical and religious exemptions will be considered.

Salary : $23 - $30