Resolve all NCCI edits within two business days to ensure timely claim submission. * Print paper ... Strong knowledge of medical terminology, human anatomy, and coding methodologies. * Moderate ...
Resolve all NCCI edits within two business days to ensure timely claim submission. * Print paper ... Strong knowledge of medical terminology, human anatomy, and coding methodologies. * Moderate ...
Coding Instructor
Elk Grove, CA · On-site
$16/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or sharp enough to quickly pick up the basic concepts
Coding Instructor
Elk Grove, CA · On-site
$16/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or sharp enough to quickly pick up the basic concepts
Coding Instructor
Los Angeles, CA · On-site
$18 - $20/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding Instructor
Los Angeles, CA · On-site
$18 - $20/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding Instructor
Northridge, CA · On-site
$15 - $18/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding Instructor
Northridge, CA · On-site
$15 - $18/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding Instructor
Santa Clarita, CA · On-site
$16.50/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding Instructor
Santa Clarita, CA · On-site
$16.50/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding Instructor
Fountain Valley, CA · On-site
$12.75 - $16.75/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding Instructor
Fountain Valley, CA · On-site
$12.75 - $16.75/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding Instructor
Fremont, CA · On-site
$18 - $20/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding Instructor
Fremont, CA · On-site
$18 - $20/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding Instructor
Northridge, CA · On-site
$15 - $18/hr
Coding Instructor Code Ninjas is the nation's fastest-growing kids coding franchise. In our center ... This individual oversees the day-to-day coaching and student engagement. Are you experienced in ...
Coding Instructor
Northridge, CA · On-site
$15 - $18/hr
Coding Instructor Code Ninjas is the nation's fastest-growing kids coding franchise. In our center ... This individual oversees the day-to-day coaching and student engagement. Are you experienced in ...
Coding Instructor
Palos Verdes Estates, CA · On-site
$16 - $20/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding Instructor
Palos Verdes Estates, CA · On-site
$16 - $20/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding Instructor
Fountain Valley, CA · On-site
$12.50 - $16.50/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding Instructor
Fountain Valley, CA · On-site
$12.50 - $16.50/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
QCDI Coding Specialist
Rancho Cordova, CA · Remote
$32.38 - $48.17/hr
... specificity, patient medical needs are met at the highest level. Every day you will perform ... Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) * Analytical and problem ...
QCDI Coding Specialist
Rancho Cordova, CA · Remote
$32.38 - $48.17/hr
... specificity, patient medical needs are met at the highest level. Every day you will perform ... Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) * Analytical and problem ...
Coding / STEM Instructor
La Canada Flintridge, CA · On-site
$17 - $20/hr
Coding / Stem Instructor Code Ninjas is the nation's fastest-growing kids coding franchise. In our ... This individual oversees the day-to-day coaching and student engagement. Are you experienced in ...
Coding / STEM Instructor
La Canada Flintridge, CA · On-site
$17 - $20/hr
Coding / Stem Instructor Code Ninjas is the nation's fastest-growing kids coding franchise. In our ... This individual oversees the day-to-day coaching and student engagement. Are you experienced in ...
QCDI Coding Specialist
Rancho Cordova, CA · On-site
$32.38 - $48.17/hr
... specificity, patient medical needs are met at the highest level. Every day you will perform ... Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) * Analytical and problem ...
QCDI Coding Specialist
Rancho Cordova, CA · On-site
$32.38 - $48.17/hr
... specificity, patient medical needs are met at the highest level. Every day you will perform ... Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) * Analytical and problem ...
QCDI Coding Specialist
Rancho Cordova, CA · Remote
$32.38 - $48.17/hr
... specificity, patient medical needs are met at the highest level. Every day you will perform ... Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) * Analytical and problem ...
QCDI Coding Specialist
Rancho Cordova, CA · Remote
$32.38 - $48.17/hr
... specificity, patient medical needs are met at the highest level. Every day you will perform ... Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) * Analytical and problem ...
Medical Coder - Surgery/Anesthesia - Remote/Nationwide
Los Angeles, CA · On-site
$20.25 - $27/hr
Tell us about your experience with Medical Coding . * Are you a team player and a self-motivator ... We trust you to do important work and bring the best version of yourself to work every day, so we ...
Medical Coder - Surgery/Anesthesia - Remote/Nationwide
Los Angeles, CA · On-site
$20.25 - $27/hr
Tell us about your experience with Medical Coding . * Are you a team player and a self-motivator ... We trust you to do important work and bring the best version of yourself to work every day, so we ...
Coding / STEM Instructor
CA · On-site
$17 - $20/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
Coding / STEM Instructor
CA · On-site
$17 - $20/hr
This individual oversees the day-to-day coaching and student engagement. Are you experienced in ... Knowledgeable about coding and technology; or able to quickly pick up basic concepts * Must be fun ...
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Medical Billing and Coding Specialist
San Bernardino, CA · On-site
$27 - $29/hr
Schedule: 5 days per week, 8 hours per day, Monday - Friday (with a rotating Saturday as needed ... Medical Coding & Documentation Review * Accurately assign ICD-10, CPT, and HCPCS codes to medical ...
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Medical Billing and Coding Specialist
San Bernardino, CA · On-site
$27 - $29/hr
Schedule: 5 days per week, 8 hours per day, Monday - Friday (with a rotating Saturday as needed ... Medical Coding & Documentation Review * Accurately assign ICD-10, CPT, and HCPCS codes to medical ...
New
Coding Technician III - FT Days
Torrance, CA · On-site
$44.86 - $72.63/hr
Medical Coding Specialist INPATIENT & AMBULATORY SURGERY MEDICAL RECORDING CODING; Abstracts, codes, and electronically records all diagnoses, surgical procedures, and other significant invasive and ...
Coding Technician III - FT Days
Torrance, CA · On-site
$44.86 - $72.63/hr
Medical Coding Specialist INPATIENT & AMBULATORY SURGERY MEDICAL RECORDING CODING; Abstracts, codes, and electronically records all diagnoses, surgical procedures, and other significant invasive and ...
Specialty Physician Coder, OBGYN
Fountain Valley, CA · Remote
$33.79/hr
Document Improvement Status: Full Time Shift: Day Pay Range*: $33.79/hr - $49.00/hr MemorialCare is ... medical coding for inpatient and outpatient services, diagnostic tests, and other medical services ...
New
Specialty Physician Coder, OBGYN
Fountain Valley, CA · Remote
$33.79/hr
Document Improvement Status: Full Time Shift: Day Pay Range*: $33.79/hr - $49.00/hr MemorialCare is ... medical coding for inpatient and outpatient services, diagnostic tests, and other medical services ...
New
Revenue Integrity & Coding Supervisor
$70K - $88K/yr
Job Overview The Revenue Integrity & Coding Supervisor (Epic & FQHC) leads the day-to-day operations of the healthcare revenue cycle and medical coding teams to eliminate revenue leakage and maintain ...
Revenue Integrity & Coding Supervisor
$70K - $88K/yr
Job Overview The Revenue Integrity & Coding Supervisor (Epic & FQHC) leads the day-to-day operations of the healthcare revenue cycle and medical coding teams to eliminate revenue leakage and maintain ...
Day Shift Humana Medical Coding information
What is the difference between Day Shift Humana Medical Coding vs Night Shift Humana Medical Coding?
| Aspect | Day Shift Humana Medical Coding | Night Shift Humana Medical Coding |
|---|---|---|
| Work Hours | Typically 8 AM - 4 PM | Typically 8 PM - 4 AM |
| Work Environment | Office or remote during daytime hours | Office or remote during nighttime hours |
| Certifications Needed | Medical Coding Certification (e.g., CPC) | Medical Coding Certification (e.g., CPC) |
| Employer & Industry | Humana, healthcare insurance industry | Humana, healthcare insurance industry |
Both day and night shift Humana Medical Coders require similar certifications and work within the same industry. The primary difference lies in their work hours and shift timing, which can impact work-life balance and personal preferences. Choosing between day and night shifts depends on individual schedules and lifestyle preferences.
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Job description
This role is responsible for accurately determining codes for physicians' diagnoses and procedures, ensuring compliance with the latest medical reimbursement policies and CMS guidelines. The specialist reviews medical records to identify all appropriate coding, generates invoices for insurance and patient billing, and manages insurance claims and collections. Collaboration with clinical teams and patients is essential to ensure precise and complete charge preparation for patient visits.
Key Responsibilities
- Maintain a safe and clean work environment, adhering to unit safety and infection control standards.
- Coding Duties:
- Utilize Electronic Health Records (EHR) to support claim coding.
- Assign ICD-10-CM, CPT-4, and HCPCS codes for surgeries based on current guidelines.
- Review physician notes for accuracy and completeness.
- Communicate with physicians to clarify or correct documentation as needed.
- Ensure all medical records are complete, including proper timing, dating, and signatures.
- Apply modifiers according to payer guidelines.
- Understand documentation and compliance requirements for coding.
- Maintain strict confidentiality and comply with HIPAA regulations protecting Protected Health Information (PHI).
- Insurance and Patient Billing:
- Process and submit electronic claims efficiently.
- Address and correct electronic claim rejections promptly.
- Resolve all NCCI edits within two business days to ensure timely claim submission.
- Print paper claims when necessary.
- Provide cash quotes for self-pay surgeries and collect payments for non-covered procedures and injections.
- Auditing:
- Follow up on claim acceptance or rejection.
- Investigate reasons for claim denials and take corrective action.
- Perform additional duties as assigned.
- At least one year of healthcare experience.
- Strong knowledge of medical terminology, human anatomy, and coding methodologies.
- Moderate understanding of Level 1 and 2 modifiers.
- Ability to review documents for accuracy and completeness.
- Detail-oriented with strong problem-solving skills.
- Knowledgeable in NCCI, CCI edits, and LCDs, with the ability to apply regulations accurately.
- Effective communication skills and ability to collaborate with coworkers.
- High ethical standards and professional integrity.
- Strong analytical and persuasive communication skills at all organizational levels.
- High school diploma or GED required.
- Certificate or diploma from an accredited medical coding program.
- Current CPC, CPC-A, CCS, or RHIT certification required.
Employment is contingent upon passing a physical evaluation, drug screening, and background checks prior to starting work.
This position is located in a regional healthcare setting within the Pacific Northwest, serving diverse coastal communities with a commitment to compassionate and quality patient care.
About McCall and Lee
Sourced by ZipRecruiter
McCall and Lee is a well-known and reputable company, headquartered in Austin, Texas, United States. Operating in the healthcare industry, their primary services center around professional recruiting and executive search. They cater to the needs of various levels of medical practitioners and executive positions for healthcare establishments. McCall and Lee is founded on the premise of filling healthcare vacancies with the most suitable and competent professionals to ensure top-quality medical service delivery. Their core value revolves around integrity, excellence, commitment, and customer satisfaction.
Industry
Recruiting and staffing services and human resources consulting services
Company size
11 - 50 Employees
Headquarters location
Austin, TX, US