Talent.com
Cedars-Sinai
Claims Edit CoderCedars-Sinai • Los Angeles, CA, United States
Claims Edit Coder

Claims Edit Coder

Cedars-Sinai • Los Angeles, CA, United States
30+ days ago
Job type
  • Full-time
Job description

Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company’s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We provide an outstanding benefit package that includes health care, paid time off and a 403(B). Join us! Discover why . News & World Report has named us one of America’s Best Hospitals.

What you will be doing in this role:

The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team. In this role, the Coder II reviews ICD-10-CM diagnosis coding and Current Procedural Terminology (CPT) procedure code for claim edit fall outs. The position entails conducting modifier review and assignment, handling complex coding edits that necessitate research and resolution, and validating key data elements like the billing physician and date of service.

You are expected to abstract coded data accurately and promptly into the applicable system using relevant applications such as EPIC (CS-Link), EPIC HB and PB modules, Solventum 360Encompass, Solventum Standalone Encoder, and Select Coder. This role demands proficiency in these systems to ensure the integrity and efficiency of coding operations. Duties include:

  • Review medical documentation and health information within various electronic medical or health systems.
  • Assign applicable codes such as clinical modification (ICD-10-CM), current procedural terminology (CPT), evaluation and management (E&M), and healthcare common procedure coding system (HCPCS) while adhering to productivity and quality standards for the area(s) of assignment or specialty (Facility or Professional).
  • Focus on specialties including, but not limited to: Professional Multispecialty E&M, Facility Emergency Room (non-Single Path), and Outpatient Visits (Facility or Professional).
  • Resolve complex edits and alerts with consistent accuracy using current guidelines for the area(s) of assignment or specialty.
  • Handle edits such as: Simple Visit, Local and National Coverage Determination, and other Related Edits.
  • Communicates with physicians, providers, and external departments regarding documentation clarity, specificity, ensure the completeness of documentation required for code assignment within area(s) of assignment or specialty.
  • Expanding skills in procedural coding such as CPT or PCS.

Requirements:

  • Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required upon hire.
  • High school diploma or GED required.
  • Minimum of 2 years of experience working doing code assignment in a healthcare setting.
  • Ability to produce quality work product within the established standards per hour.
Create a job alert for this search

Claims Edit Coder • Los Angeles, CA, United States

Similar jobs

Facility Outpatient Surgical and Claims Edit Auditor

Cedars-SinaiLos Angeles, CA, United States
Full-time

Coding AuditorAlign yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for prov... Show more

 • Promoted

Privacy Manager

AbbottSylmar, CA, United States
Full-time

Privacy Manager- Medical Devices.At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life.Career development with an internatio... Show more

 • Promoted

Senior Manager, Claims Adjustments

LOS Angeles Care Health PlanLos Angeles, CA, United States
Full-time

Senior Manager, Claims Adjustments.Job Category: Management/Executive Department: Core Admin Ops - Payment Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $117... Show more

 • Promoted

Wealth Relationship Manager SAFE ACT - La Canada

CitigroupLa Canada Flintridge, CA, United States
Full-time

Wealth Relationship Manager Safe Act - La Canada.Analyst Safe Act is a seasoned professional role.Applies in-depth disciplinary knowledge, contributing to the development of new techniques and the ... Show more

 • Promoted

Risk Adjustment Coder - Remote (P)

Default GeBBS Healthcare SolutionsCulver City, CA, United States
Remote
Full-time

Job DescriptionJob DescriptionDescription :This is a flexible CMS HCC / Risk Validation Audit role for a seasonal project.Other opportunities for continued work may be available at the conclusion o... Show more

 • Promoted

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.West Carson, California, US
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

 • Promoted

Bill Collector

TradeJobsWorkforce90047 Los Angeles, CA, US
Full-time

Responsible for performing various collection duties on consumer or mortgage accounts in various stages of risk or performance to effectively reduce delinquency, losses and increase recoveries.Area... Show more

 • Promoted

Facility Outpatient Surgical and Claims Edit Auditor (Remote)

Cedars SinaiLos Angeles, CA, United States
Remote
Full-time

Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the high... Show more

 • Promoted

Director, Consumer Product Licensing (North America)

Sega of America, Inc.Burbank, CA, United States
Full-time

Director, Consumer Product Licensing (North America).Burbank Office - Burbank, CA 91505.Salary/year Position Type Full Time.SEGA of America is seeking an experienced, innovative, and strategic Dire... Show more

 • Promoted

Independent Claims Adjuster - Southern California

Schifrin, Gagnon, & Dickey, Inc.Los Angeles, CA, United States
Full-time

Southern California - Applicants must reside in and be able to travel locally within the Los Angeles and Orange County areas.We are seeking a skilled and motivated Property Claims Adjuster to join ... Show more

 • Promoted

Work-From-Home Product Quality Assurance - $45 per hour

Great LionBurbank, California
$45.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

We Are Hiring Across Multiple Roles - RDI Trials

RDIVan Nuys, CA, United States
Full-time

At RDI Trials, we're building a different kind of CRO.We are an IVD-focused contract research organization.Since 2008 we've run 300+ diagnostic trials for the largest test makers in the world.This ... Show more

 • Promoted

Claims Edit Coder

Cedars SinaiLos Angeles, CA, United States
Full-time

Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the high... Show more

 • Promoted

Sr Medicare Medicaid Biller Collector

Prime HealthcareInglewood, CA, United States
Full-time

Senior Medicare-Medicaid Biller/Collector.Prime Healthcare is actively seeking new members to join our corporate team!.The Senior Medicare-Medicaid Biller/Collector is responsible for both billing ... Show more

 • Promoted

Claims Adjuster-Los Angeles, CA

StaffingLos Angeles, CA, United States
Full-time

The main function of a Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's liability to determine how much compensation is needed/required.Analyze first repo... Show more

 • Promoted

Multi-Line Claims Adjuster - California / Los Angeles Area

Provencher & Company, LLCLos Angeles, CA, United States
Full-time

A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters in your area.Our company was built by insurance company claims... Show more

 • Promoted

Claims Team Lead - Workers Compensation | CA Claims Exp. Required

SedgwickLong Beach, CA, United States
Full-time

Claims Team Lead - Workers Compensation.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the... Show more

 • Promoted

Claims Adjuster Senior

Arthur J Gallagher & CoTorrance, CA, United States
Full-time

At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they're free to grow, lead, and innovate.You'll be backed by our digital ecosystem: a ... Show more

 • Promoted

Senior Manager, Claims Adjustments

Mitchell MartinLos Angeles, CA, United States
Full-time

Senior Manager, Claims Adjustments.Join our team in Los Angeles, CA, as a full-time Senior Manager overseeing claims adjustments.This role involves managing complex workflows, ensuring compliance, ... Show more

 • Promoted

Client Intake Sales Operations Manager (On-site)

Abramson Labor GroupBurbank, CA, United States
Full-time

Client Intake Sales Operations Manager (On-site).Compensation: USD 120,000 - USD 180,000 - yearly.At Abramson Labor Group, we're not just committed to defending employee rightswe're passionate abou... Show more