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Medical Quality Coder/Auditor Job in Vista, California

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Job Title: Medical Quality Coder/Auditor

Employer:Vista Community Clinic
Type:Full-Time
Location:Vista, CA
Date Posted:2/28/2019

Vista Community Clinic is a private, non-profit, multi-specialty outpatient clinic providing care in a comprehensive, high quality setting. Located in San Diego, Orange and Riverside counties, we work to advance community health and hope by providing access to premier health services. We are looking for dedicated, motivated, enthusiastic team players who want to make a difference in the community. Competitive compensation and benefits program includes health, dental, vision, company-paid life, flexible spending accounts and a 403(B) plan, for eligible employees. VCC is an equal opportunity employer.

Overview:
  • Responsible for system wide requirements for accuracy in documentation to include ICD-10 and CPT codes, ensuring Quality Measures and Preventive services are completed for patients required by Managed Care, CMS, and Medicare Advantage guidelines
  • Collaborate with IT and other departments as needed to ensure appropriate ICD-10 and CPT codes are updated annually in Electronic Medical Records (EMR) system
  • Identify opportunities for improvement and apply appropriate process improvement methodologies
  • Review patient medical records for HEDIS measures determined by the organization
  • Accurately audit and review diagnoses codes to ensure highest level of specificity
  • Accurately audit and review CPT procedures for appropriate services
  • Review and update encounter documents on a continuous basis, ensuring completeness and accuracy with identification of problem trends affecting HCC, communicate correct coding to Clinicians
  • Assist in the development of training materials with Clinical Quality Manager and staff
  • Assist Clinical Quality Manager and staff in writing/establishing operating procedures to meet coding regulations/compliance and follow-up enhancement

Minimum

  • High school graduate or equivalent
  • Coding certification, preferably HCC Coder (Certification from AHIMA and/or AAPC)
  • Minimum three years' medical coding experience ; Minimum two years' medical auditing experience
  • Coding compliance program implementation experience
  • Knowledge of Quality metrics and HEDIS
  • Proficient ion Microsoft suite of products:  Excel, Outlook, Word, PowerPoint

Preferred

  • Two years' experience in an FQHC environment
  • Experience with NextGen
  • Coding compliance program implementation experience

Required Skills/Knowledge/Abilities

  • Knowledge of  Medicare, Medi-Cal/Presumptive Eligibility, FPACT, Every Woman Counts, Tricare and Managed Care Payors
  • Knowledge of payor coding policies and guidelines for FQHC’s
  • Familiar with medical terminology and strong data entry skills

Applying

To apply visit: www.vcc.org

And click on “Find a Job” link in the upper left hand corner.


Looking for Exhibiting Opportunities or Group Discounts?

Contact us at 844-825-1679.