Hoag Medical facility.

  • Costa Mesa, CA


  • Irreversible.

  • Full-time.

By continuing to utilize and browse this site, you are accepting making use of cookies.

Accept Close

Browse by Keyword

Browse by Area

×

Send me signals every days

×

Send me informs every days

Share this Task

Apply now

Start

Please wait …

Coding Auditor and Teacher – Medical Coding

Department: Organization Solutions

Status: Full-time

Shift: 1st

Under the Instructions of the Coding Supervisor, performs/facilitates department, interdepartmental and external coding audits to guarantee quality efficiency and precision of coding; compliance with Federal and State Laws; and suitable reporting. Supplies education based upon audit findings. Has extensive understanding of Severe Care Center Federal and State reporting standards, modifiers, sequencing guidelines, and the NCCI (National Correct Coding Effort) modifies, Authorities Standards for Coding and Reporting for ICD-10- CM, ICD-10- PCS, CPT-4 coding conventions, DRG and APC payment categories and Medicare Conditions of Involvement.

Necessary Functions:

  • Functions as topic professional on health center efficiency enhancement committees
  • Action to coding concerns from outdoors departments and offers coding recommendations and standards
  • Carries out retrospective and concurrent audits to make sure coding precision and correct reporting
  • Carries out everyday focused coding pre-bill evaluations utilizing coding compliance software application
  • Daily evaluations are finished in a prompt way and fulfill department efficiency standards
  • Recognizes documents inconsistencies in assistance of services billed consisting of ICD10/ CPT/HCPCS and other 3rd party payer codes, DRG task, APC code task, medical need of services and compensation overpayments and underpayments.
  • Shows the capability to evaluate coded information to determine locations of threat and offer ideas for correction action
  • Functions carefully with HIM Director/Coding Supervisor to establish internal and external audit strategies
  • Assists in quarterly external audits
  • Prepares and provides reports for pre-bill, and retrospective coding audits
  • Works as intermediary in between Coding and CDI groups associated to suitable coding inquiries and documents principles
  • Develops/delivers education sessions to Health center Departments, Coders, CDI and doctors associated with examine findings
  • Reports any compliance and/or danger concerns to the compliance department. Supplies recommendations on procedure enhancement.
  • Carries out other tasks as designated.

Education, Training, and Experience:

Needed:

  • Bachelor’s degree or comparable education/experience
  • 8– 10 Years of hands-on Inpatient/DRG and Outpatient coding, auditing, and associated work.
  • CCS credential.

Preferred:

  • Scientific Paperwork Enhancement experience, credential.

Abilities or Other Credentials:

Needed:

  • Should have strong understanding of CMS Issues of Involvement, Medicare and Medi-Cal healthcare facility paperwork requirements and Authorities Coding Standards, ICD-10/ CPT/HCPCS/DRG coding guidelines, intense care health center charge capture and compensation methods, consisting of DRG, APC, CPT, ICD, HCPCSand HCPCS.
  • Advanced abilities and experience in the following locations: DRG/MS-DRG, APC, ICD/HCPCS/CPT, APR DRGs, Medical Documents Enhancement and medical need decisions.
  • Needs strong oral and written interaction abilities, attention to information, expert behavior, and look.

Position Reports to Director, HIM Solutions

Closest Significant Market: Orange County

Nearby Secondary Market: Los Angeles.

Hoag Health center.

  • View & Apply.