Veterans in Healthcare · 2 months ago
Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days
Los Angeles, CA
Full-time
Onsite
Senior Level
$33/hr - $54.02/hr
5+ years expVeterans in Healthcare is seeking a Coding Compliance Auditor to perform 2nd level reviews of coded accounts to ensure compliance with federal coding regulations. The role involves conducting audits, providing education to coding staff, and ensuring accurate coding for billing purposes.
Health CareMilitary
Responsibilities
Performs monthly internal coding audits to evaluate accuracy of coding staff to ensure a required coding accuracy rate
Develops monitoring/education plans for coding staff who do not meet the required accuracy rate
Recognizes education needs of staff based on monthly reviews and conducts related in-services, as needed
Ability to act as a resource to coding staff, USC Care staff, and providers on coding issues and questions
Ability to achieve a 95% accuracy rate as determined by an annual external review of coding
Professional coding of all diagnostic and procedural information from the medical records using ICD-10-CM, and CPT/HCPCS, and Modifier classification systems and abstracting patient information as established and required by official coding laws, regulations, rules, guidelines, and conventions
Works cooperatively with Coding Support and/or CBO, in obtaining documentation to complete medical records and ensure optimal and accurate assignment of diagnosis & procedure codes
Attendance, punctuality, and professionalism in all Coding and work-related activities
Consistently assumes responsibility and displays reliability for completion of tasks, duties, communications, and actions. Completes tasks accurately, legibly, and in a timely fashion
Performs other duties as requested/assigned by Director, Manager, Supervisor, or designee
Maintains at minimum, expected productivity standards, and strives to maintain a steady level of productivity and provides consistent effort
Works coding queues/task lists to ensure charges are released within defined timelines
Assist other coders in performance of duties including answering questions and providing guidance, as necessary
Assists Billing department, USC Care coding department, and other departments in addressing coding issues/questions and/or providing information so that an charges can be generated
Assists physicians, APPs, physician office staff and hospital ancillary department staff with diagnostic or procedural coding issues/questions, as needed
Assists in the monitoring unbilled accounts to ensure that the oldest records are coded and/or given priority
Consistently adhere to coding policies and procedures as directed by Coding management
Demonstrates an understanding of policies and procedures and priorities, seeking clarification as needed
Participates in continuously assessing and improving departmental performance
Ability to communicate changes to improve processes to the director, as needed
Assists in department and section quality improvement activities and processes (i.e. Performance Improvement)
Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel
Ability to communicate effectively intra-departmentally and inter-departmentally
Ability to communicate effectively with external customers
Provides timely follow-up with both written and verbal requests for information, including voice mail and email
Performs other duties as assigned
Qualification
Required
High school or equivalent
Successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding course
Combined education/experience can substitute for Completion of Specialized/Technical Training Courses
Five (5) years of experience in ICD-9 & ICD-10 (combined) coding and auditing of Professional charges, E/M, surgical, and multispecialty medical records in the clinic and hospital setting and experience in researching CMS regulations and guidance for documentation and coding
Certified Professional Coder - CPC (AAPC) AAPC Certified Professional Coder (CPC), OR AHIMA Certified Coding Specialist – Physician (CCS-P)
Successful completion of the professional specific coding test – with a passing score of ≥85%. The coding test may be waived for former USC or agency/contract Coding Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code
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)
Company
Veterans in Healthcare
Veterans in Healthcare is a comprehensive source of career information and opportunities for military personnel transitioning.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase