In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets, OCE/NCCI, CMS Transmittals, and other federal billing/coding regulations, manuals, rules, and guidelines to analyze, troubleshoot, and resolve all coding related edits generated within the coding, billing, and Clearinghouse systems: PBAR, nThrive (formerly MedAssets), and Aeos.Â Â Analyze, troubleshoot, and resolve all outpatient denial management coding related edits, items, and issues returned from Patient Financial Services (PFS) and assorted claims payers.Â Â Accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses, surgical procedures, and other significant invasive and non-invasive procedures documented by any physician in outpatient medical records (i.e. OP Ancillary/Clinic Visits, and assorted outpatient surgery: GI Lab, Heart Cath Lab, Pain Management surgery, and Invasive Radiology, etc.).Â Performs other coding department related duties as assigned by HIM management staff.
Minimum Education:â¢High school diploma and successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding course.Minimum Experience/Knowledge:â¢One year of experience in ICD-9 & ICD-10 (combined) and CPT/HCPCS coding of ambulatory surgery medical records in hospital or outpatient surgical center, and experience in using a computerized coding & abstracting database software and an encoding/code-finder systems are required. Required License/Certification:Minimum National Certification: â¢AHIMA Certified Coding Specialist (CCS); or AHIMA Certified Coding Specialist - Physician (CCS-P); or AAPC Certified Professional Coder (CPC); or AAPC Certified Outpatient Coding (COC).â¢If there is the absence of a national coding certificate and the coder possesses any one of the following national certifications, the coder will be required to pass any of the national coding examinations Re: the aforementioned coding certificates within six (6) months of employment:â¢AHIMA Registered Health Information Technician (RHIT) AHIMA Registered Health Information Administrator (RHIA)â¢Successful completion of the hospital specific coding test â with a passing score of â¥70%. The coding test may be waived for former USC or agency/contract HIM Coding Dept. coders who historically/previously met the â¥ 90% internal/external audit standards of the previously held USC Job Code.â¢Fire and Safety Certification. If no card upon hire, one must be obtained within 30 days of hire, and maintained by renewal before expiration date. Out-of-state/remote telecommuting coder may be exempt from this requirement.
USC is the leading private research university in Los Angeles—a global center for arts, technology and international business. With more than 47,500 students, we are located primarily in Los Angeles but also in various US and global satellite locations. As the largest private employer in Los Angeles, responsible for $8 billion annually in economic activity in the region, we offer the opportunity to work in a dynamic and diverse environment, in careers that span a broad spectrum of talents and skills across a variety of academic and professional schools and administrative units. As a USC employee and member of the Trojan Family—the faculty, staff, students, and alumni who make USC a great place to work—you will enjoy excellent benefits, including a variety of well-being programs designed to help individuals achieve work-life balance.