PROFESSIONAL CODING AUDITOR
(Req #70882)
El
Camino Hospital, a non-profit organization with hospital campuses in Mountain
View and Los Gatos, California, has been serving communities in the south San
Francisco Bay Area for nearly 50 years. We have maintained our preferred
workplace status by blending cutting-edge technology with high-quality patient
care. We are currently seeking a full-time Professional Coding Auditor to join
our team.
The
Professional Coding Auditor conducts complex audits for clinic-based providers
to ensure selected coded data, Evaluation and Management, and charge
assignments are compliant with Official Coding Guidelines in ICD-10-CM coding
conventions and CPT/HCPCS coding conventions. The role of the auditor is
to educate physicians to ensure that data within the legal medical record is
coded efficiently and accurately for appropriate reimbursement and medical
necessity to meet regulatory accreditation requirements for state and federal reporting.
The successful candidate will act as liaison and work in conjunction with
Patient Financial and Revenue Cycle teams to ensure coded data meets the
national standards through collaborative discussion and with direct physician
education; provide physician specific education based on the quality monitoring
of claim denials and trends; reconcile hospital-based admissions for surgical
charge-entry with appropriate CPT and modifier assignments in conjunction of
global days in mitigating claim denials and unbundle reporting; participate in clinic-based onsite training and meetings
at various clinic locations; and provide general coding coverage and other
duties when necessary.
Qualifications:
·
Certified Professional Coder (CPC)
·
AHIMA Certified Coding Specialist (CCS) credential
preferred
·
College-level coursework in ICD-10-CM and CPT
coding, anatomy and physiology, and medical terminology
·
Minimum of 3 years of experience in auditing and
claim denial reviews in an acute clinic and hospital setting
·
Strong training background in outpatient clinic
setting with direct 1:1 physician education preferred
·
Minimum 5 years of experience in coding and
demonstrated knowledge in the principals and practices of ICD-10-CM and CPT
conventions with clinic visits and hospital surgical coding
·
Strong written/verbal communication and
organizational skills
·
Proficiency with Excel, Word and Outlook
·
Demonstrated ability to work productively,
accurately and independently
·
Proven analytical and problem-solving skills in compiling
statistical data and state reporting
·
Comprehensive mastery of APC assignment methodology
with emphasis in NCCI edits
·
Ability to interact well with all levels of
employees and physicians throughout the organization; participate in intra- and
inter-departmental collaboration; and handle multiple tasks concurrently to
meet deadlines
·
Technical aptitude for resolving basic PC hardware
and software application problems and ability to perform basic troubleshooting
We
truly value our employees, and we’ve developed a benefits package that reflects
our gratitude. Some of our employee benefits include:
- Excellent medical,
dental and vision plans
- Flexible spending
accounts and transit benefit
- Employee
assistance plan
- 403(b) retirement
plan with matching contribution (4 percent match)
- Retirement pension
plan (5 percent of salary)
- Substantial
tuition assistance
- Free, convenient
parking
- Comprehensive
employee education department
- Generous paid time
off
If
you're looking for an enriching and professionally supportive environment,
please apply online at http://www.elcaminohospital.org and
refer to requisition #70882.
Equal Opportunity Employer