Medical Coder Auditor

Job Details

Hollywood Health Center - Los Angeles, CA

Full Time

Associate Degree

$73840.00 - $92509.00 Salary

Local Travel Site to Site

Day

Description

SUMMARY:

The Business Service Medical Coder/Auditor works under the direction of the Director of Business Services. Job duties include review of services provided to determine accuracy; responsible for performing quality reviews of outpatient medical records to validate the integrity of ICD-9/ICD-10 diagnoses and procedure as well as CPT/CPT II coded procedures; audits medical record documentation to identify under coded and up coded services; prepares reports of findings and meets with Operations Management to provide education and accurate coding practices and compliance issues; regarding appropriate coding compliance documentation, and regulatory provisions requirements. Ensure that billing is maximized and errors are minimized by identifying opportunities through audit and observation. Keep abreast of regulatory and procedure changes which may affect coding compliance and /or reimbursement.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION/EXPERIENCE:

AA degree or equivalent with three years Certified Professional Coder (CPC) with billing office experience required.

Must demonstrate a clear understanding of medical terminology, Current Procedural Terminology (CPT) and International Classification of Disease (ICD) coding.

Medi-Cal, Medicare, and outpatient coding experience or equivalent .

Working knowledge of billing for a multi-discipline practice and general computer systems required.

OTHER SKILLS AND ABILITIES

Must be comfortable educating providers

Ability to organize and prioritize work with minimum supervision.

Ability to perform most essential job duties independently and exercise good judgment.

Must be flexible and detail oriented.