Codes and abstracts documents such as patient charts and pathology reports utilizing diagnostic codes. Enters data into computer system(s).
Essential Duties:
- Abstracts and assigns accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic).
- Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes.
- Provides completed patient data to billing staff or designated personnel.
- Answer incoming calls from billers, front desk staff and clinical staff as needed assisting in what may be necessary to satisfactory resolution of the issues.
- Review and resolve insurance denials by examining the provider documentation.
- Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate review of ICD10 and/or CPT code assignments with physician.
- Performs other duties as assigned.
Required Qualifications:
- Req High school or equivalent
- Req Specialized/technical training; Combined experience/education as substitute for minimum education Graduation from a formal coder training program or completion of academic class in medical coding
- Combined experience/education as substitute for minimum education
- Req 2 years; Combined education/experience as substitute for minimum experience 2 years' coding experience.
- Req Experience in using a computerized coding & abstracting software and an encoding/code-finder database systems.
- Req Demonstrates excellent verbal and written communication skills.
- Req Organization/time management skills.
- Req Able to function independently and as a member of a team.
- Req Demonstrate excellent customer service behavior.
Required Licenses/Certifications:
- Req Certified Professional Coder - CPC (AAPC) OR AHIMA Certified Coding Specialist-Physician (CCS-P); ◦ *Certified Coding Specialist (CCS) in lieu of (CCS-P) acceptable for employees hired prior to April 30, 2020.
- Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only).
The hourly rate range for this position is $33.00 - $54.02. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.
We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at uschr@usc.edu. Inquiries will be treated as confidential to the extent permitted by law.
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