|Employer:||Children’s Hospital Los Angeles Medical Group
|Skills:||Professional services documentation and coding audits
|Required Certifications:||CPC or CCS,CPMA a plus
|Required Experience:||5 to 7 years
|Location:||3701 Wilshire Boulevard, 600 Los Angeles 90010, CA, US* Note: This listing is for a remote position
This position is in the Compliance Department and is
responsible for performing documentation audits in support of Evaluation and
Management Services and surgical procedures and for providing initial and
on-going education to clinicians who bill for professional services, including
physicians, dentists, nurse practitioners, and physician assistants.
Major Duties and Responsibilities
compliance audits for designated pediatric divisions using established audit
presentation materials and conduct periodic education for new providers and
other education as indicated by audit results, changes in CPT®
guidelines, Medicaid program guidance, or other identified risk areas.
and coding questions as necessary to support professional services billing.
up-to-date knowledge of regulatory changes that affect documentation and coding
diploma required; Associate degree or higher preferred.
CPC or CCS
coding certification required; additional CPMA certification a plus but not
Job Relevant Experience
Five years’ progressive healthcare coding and auditing
experience including provider education and presentation skills. Surgical
coding and auditing experience preferred.
computer skills and competency in Word, Excel and PowerPoint
learn and use audit software