JOB DUTIES:

Responsible for review and auditing medical records for compliance purposes and code integrity, including the following:

1. Responsible for reviewing medical records and ensuring their compliance with HEIDIS measures.

2. Establish patients prior to appointments and review charts to identify any screenings that are needed or not being met.

3. Responsible for new patient check-out capitation enrollment and schedule appointments for new patients.

4. Responsible for chart auditing and for auditing a high volume of medical records to ensure correct and appropriate code assignment.

5. Responsible for completing all incentive program requirements for the IPA/Health Plan Incentive Program.

• Submit IPA/Health Incentive program data to Managed Care for review and final submission.
• Understand CPT and DX Coding.

6. Responsible for extracting reports of missing measures from each of CCCHC’s health plans/IPAs to research if any measures are needed for patients.

7. All other duties as assigned.

8. Consistently demonstrate and uphold CCCHC’s principle of providing quality health and human services to the medically underserved and low-income populations in a culturally sensitive manner.

Special Knowledge, Skills, Abilities and Attributes:

• Demonstrated ability to exercise sound judgment.
• Ability to communicate clearly and concisely in both written form and verbally in Spanish and English.
• Ability to plan and be organized.
• Ability to work well under pressure, take initiative and be flexible and cooperative.
• Ability to maintain confidentiality of patient information and Company records.
• Ability to work effectively with both employees and managers with minimal supervision.
• Ability to convey a positive and professional image to patients and employees.
• Must be able to operate computer and office equipment and software.
• Ability to work with people of diverse cultures and diverse socioeconomic situations.
• Current CA Driver License.

Education and Experience Requirements

• Bilingual (Spanish/English).
• High School Diploma or GED Equivalent
• Experience with e-Health or similar billing software desirable.

Working Conditions

Normal medical office environment with:

• Physical requirements for this position include: routinely walking and/or standing, hearing, seeing, speaking, feeling, reaching and repetitive motions.
• Ability to handle multiple tasks while also being tactful, diplomatic, and empathetic.
• Ability to organize, schedule work effectively, and work independently with minimal supervision.
• Ability to effectively present information and respond to questions from managers, clients, customers, and the general public.
• Ability to add, subtract, multiply ad divide in all units of measure.
• Ability to pay close attention to detail.
• Ability to maintain composure under conditions of urgency and/or time constraint.
• Ability to handle and maintain patient confidentiality.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, business correspondence, procedure manuals, and governmental regulation.

Central City Community Health Center offer a dynamic work environment with competitive salaries and benefits. Central City Community Health Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Central City complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.

Job Type: Full-time

Pay: $20.31 - $25.53 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Los Angeles, CA 90001: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Compliance management: 1 year (Preferred)

Work Location: One location

Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.