Job Description

Job Description

Job Description

Job Description:

Position: HIM Coding Specialist I/II/III – Health Information Management
Location: Remote (California residents only)
Schedule: Days, 8:00 AM - 4:30 PM
Pay Scale:

• Level I: $24.64 - $34.50 per hour
• Level II: $27.17 - $38.03 per hour
• Level III: $29.95 - $41.93 per hour

Overview:
We are seeking dedicated and detail-oriented HIM Coding Specialists (Levels I, II, and III) to join our Health Information Management team. This is a remote opportunity, ideal for individuals passionate about accurate medical coding and optimizing revenue cycle management. Candidates must hold valid certifications (CPC, CCS, or equivalent), with multiple certifications required for Level III.
If you are interested in exploring this opportunity or have any questions feel free to reach out directly on phone 310-765-1501  or email  leslie @welltechpartners.com.

Responsibilities:

General Responsibilities:

• Analyze and interpret patient medical records to assign accurate diagnostic and procedure codes following government and third-party payer guidelines (Medicare, Medi-Cal, VA, Tricare).
• Perform data entry and validate imported data from the 3M encoder system.
• Monitor billing processes to ensure compliance, optimize reimbursement, and identify unbilled charges due to incomplete documentation.
• Stay updated on coding regulations and reimbursement changes to enhance revenue cycle performance.
• Maintain quality standards, achieving a minimum of 95.5% accuracy in coding principal diagnoses and procedures.
• Collaborate with physicians and clinical staff to ensure coding accuracy and address documentation gaps.
• Prepare reports on coding trends, billing performance, and risk surveillance outcomes.
• Contribute to risk management by identifying sentinel events and adverse outcomes through coding analysis.

Level-Specific Responsibilities:

Level I:

• Code and abstract Inpatient and Outpatient records for statistical and billing purposes.
• Perform risk surveillance and assign Present on Admission (POA) indicators.
• Entry-level role suitable for candidates with CCA or CPC-A certifications.

Level II:

• Conduct complex coding for acute care facilities, applying ICD-10-CM and CPT/DRG assignment principles.
• Provide insights into the prospective payment system's impact on reimbursement.
• Advanced role requiring at least two years of coding experience and certifications such as CCS, CPC, or CCS-P.

Level III:

• Perform advanced coding tasks for diverse patient populations, including acute care and skilled nursing facilities.
• Manage high-complexity cases requiring in-depth expertise and multiple certifications (CCS, CPC, CCS-P, or equivalent).
• Minimum of five years of coding experience with comprehensive knowledge of medical terminology, anatomy, and physiology.

Qualifications:

Education and Certification:

• Level I: High school diploma or equivalent. CCA or CPC-A certification required.
• Level II: High school diploma or equivalent. CCS, CPC, or CCS-P certification required, with at least two years of coding experience.
• Level III: High school diploma or equivalent. Two or more certifications (CCS, CPC, CCS-P, or equivalent) required, with at least five years of coding experience.

Skills and Abilities:

• Proficient in ICD-10-CM, CPT, and DRG coding principles.
• Knowledge of medical terminology, anatomy, and prospective payment systems.
• Strong analytical skills with attention to detail.
• Effective time management in fast-paced environments.
• Proficiency in Microsoft Office Suite and medical coding software.
• Strong communication skills to collaborate with physicians and staff.

Benefits:

• Competitive pay rates based on experience and certification level.
• Remote work flexibility for California residents.
• Opportunities for career advancement within a supportive and collaborative team.

Application Process:

If you meet the qualifications and are enthusiastic about joining our team, please submit your application, including your resume and certification details.

Join us in delivering excellence in health information management and patient care! 
WellTech Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

WellTech Partners has over 30 years experience in healthcare recruitment and staffing and over 10 years in international recruitment.

Company Description

WellTech Partners has over 30 years experience in healthcare recruitment and staffing and over 10 years in international recruitment.

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