Certified Coding Specialist

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<div class="isg-job-description“>Title: Certified Coding Specialist
Location: Orange, CA 92868
Mode: Onsite
Duration: Contract (6 months)
Pay Range: $ $27.98 – $43.31/hr. on w2 without benefits
Shift : Monday to Friday (8:00 a.m. to 5:00 p.m.)
Role & Responsibilities:
95% – Program Support

• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Supports the manager in ensuring current coding methodology and modifier rules are applied to appropriate reimbursement and ensures the organization is following Medicare and Medi-Cal protocol for payment of claims.
• Assists other departments regarding evaluation of medical records, procedures or diagnosis code questions; identifies ambiguous or non-specific medical documentation regarding coding protocols related to provider disputes, appeals and coding audits on submitted claims.
• Stays current on official health care regulations, including reimbursement and documentation requirements related to professional claims billing. Ensures compliance with the standards of ethical coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.

5% – Other

• Completes other projects and duties as assigned.

Minimum Qualifications:

• Bachelor’s degree in public health, health services or related field PLUS 3 years of coding experience with an emphasis on Medicare and Medi-Cal requirements in a managed care environment required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
• 1 year of experience working with ICD-10 CM or PCS, CPT and HCPCS coding, medical terminology, human anatomy/physiology and regulatory requirements required.

Preferred Qualifications:

• Experience working with MS-DRG, APR-DRG and Medi-Cal coding assignments as well as Medi-Cal chart auditing.

Required Licensure / Certifications:

• Current Certified Coding Specialist (CCS), Certified Coding Specialist Physician-based (CCS-P) or Certified Professional Coder (CPC) Certification by AHIMA or American Academy of Professional Coders (AAPC) required.

About our Company: –
22nd Century Technologies, Inc., is one of the fastest growing IT Service Integrator and Workforce Solution companies in the United States. Founded in 1997, 22nd Century Technologies is a Certified National Minority Business Enterprise with 6,000+ people including 600+ Cyber SMEs nationwide supporting our customers in all 50 states, Canada, and Mexico. With HQs in Somerset, NJ and Mclean, VA, 22nd Century has 14 offices throughout the United States. As part of our unrelenting focus on quality and compliance, 22nd Century Technologies’ delivery is based on Certified Matured Processes including CMMI L3 Dev & SVC, ISO 20000, ISO 27001, and ISO 9001 quality processes. With a strong focus on the public sector, 22nd Century currently holds government contracts with 14 out of 15 Federal Executive agencies including DoD, 37 other Federal agencies, 50 States, 115+ Local agencies, and 37 School Districts. In the last three years, we have expanded our services to Fortune 500 and other commercial clients and currently support 80+ commercial clients.
Recognized among “Best Company to Work For” by Forbes, 22nd Century Technologies, Inc., consistently exceeds our clients’ expectations by focusing on their absolute satisfaction with jobs while keeping our employees motivated.
“22nd Century Technologies is an Equal Opportunity Employer” and “US Citizens & all other parties authorized to work in the US are encouraged to apply.”
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.