Providence Health & Services Coding and Compliance Educator - Santa Monica in Torrance, California
Providence is calling a Coding and Compliance Educator ( Full Time / Day Shift ) at our Providence Medical Institute Coding Department located in Santa Monica.
In this position you will:
Be responsible for maintaining completeness of medical record documentation and coding accuracy by conducting informal concurrent as well the formal Quarterly Provider Documentation and Coding audits; documenting, preparation and presentation of audit results; including development, research and presentation of formal and informal education.
In addition, the Coding Compliance auditor will provide compliance, documentation and coding guidance support to operational departments.
Required qualifications for this position include:
Minimum of 5 years coding experience and 2 years experience of performing chart audits and feedback/education in a physician practice environment.
Professional coding certification through AHIMA or AAPC.
Advance working knowledge of CPT, ICD-9, ICD-10 and HCPCS coding.
Hands-on audit experience in documentation and coding of physician services.
Advance knowledge of government, legal and regulatory provisions related to documentation and coding audit.
Advance knowledge of Federal Programs and commercial payor documentation and coding requirements.
Advance analytical skills in documentation and coding audit results for root cause analysis, corrective plan of action, forecast and developing future audit process and strategies.
Ability to prioritize, manage time efficiently and make independent decisions based on regulatory citation in conducting audits, disclosing audit findings, providing advisory information that impacts operational processes in documentation, coding, charge capture and billing.
Creative problem-solving skills.
Proficiency in MS Office and EMR.
Effective communication skills at all levels within the organization.
Preferred qualifications for this position include:
Reimbursement/billing experience preferred.
4-year degree preferred.
Willing to travel in South Bay and Valley areas.
About the location you will serve:
Providence Health & Services Southern California is further developing its physician integration strategy. Historically, the largest asset has been Providence Medical Institute, a medical foundation that provides administrative and other support services to affiliated medical groups. Providence Medical Institute is expected to grow significantly in the next several years, bringing with it facilities, staff and physician growth to support that objective.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Clinics/Medical Group
Req ID: 195336