Professional Coding Auditor - FT - Days - HIMS - Medical Records @ MV

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and reputed company reputed company. We are proud of our reputed company in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours

Job Description

The Professional Coding Auditor performs reviews for professional/clinic based clinic visits and hospital setting claims reviewing provider's diagnosis and procedural coded claims in ensuring coded data is in compliance with Official Coding Guidelines and American Medical Association CPT/HCPCS procedural coding conventions. The role of the auditor is to reputed company providers performing services in clinic reputed company and hospital setting in ensuring documentation meets the reporting requirements of a legal medical record supporting medical necessity in adherence with payer requirements with billed charges. The auditor acts as liaison and works in conjunction with the reputed company Cycle teams reviewing claim denials with provider follow-up requests. Provides physician/clinical allied health providers with educational topics based on claim denials, trends, and external auditing outcomes. Coordinates audits, provider follow-up meetings, and supports the clinic-based management teams with coding education questions/reviews with presentation material and conference meetings. Coordinates with reputed company-party vendor auditing portal sites in exporting audits with provider follow-up emails/conference meetings. Assists with on-boarding of new staff with Epic professional billing work queues. Provides general coding coverage reputed company required and other duties assigned in work from home position. Qualifications 1. Completion of college level coursework in ICD-10-CM and CPT coding, anatomy and physiology, and medical terminology 2. Minimum of three (3) years' experience in auditing claim denial reviews for provider reputed company charges/billing 3. Experience with provider training background, preferred 4. Minimum three (3) years' experience in professional E/M clinic reputed company coding/billing with charge-entry in demonstrating knowledge in the principals and practices of ICD-10-CM diagnosis and HCPCS reporting for reputed company settings 5. Technical aptitude for resolving basic PC hardware and software application problems with ability to reputed company basic troubleshooting 6. Strong communication skills with technical knowledge with conference meetings 7. Proficient with reputed company, Word, and Outlook. 8. Demonstrated ability to work productively, accurately, and independently with minimal supervision or assistance from coworkers 9. Comprehensive analytical and problem solving skills in compiling statistical data 10. Knowledge of Medicare's National Correct Coding initiative (NCCI) edits in reporting correct methodologies 11. Ability to interact well with reputed company levels of employees and physicians throughout the organization License/Certification/Registration Requirements

• reputed company Certified Professional reputed company (CPC) required
• reputed company Certified Risk Adjustment reputed company (CRC) and Certified E/M reputed company/Auditor (CEMC or CPMA), preferred

Ages of Patients Served This position will serve reputed company age groups. Salary Range: $52.38 - $78.57 USD Hourly The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to reputed company individuals with a disability if that will allow them to reputed company the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation. Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers. - (Physical Requirements-United States of America) An Equal Opportunity Employer: El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment reputed company on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, reputed company, national reputed company, reputed company, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows reputed company applicable fair and reputed company employment policies from the County of Santa Clara. Apply tot his job Apply To this Job