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Professional Services Auditor/Educator Job in Los Angeles, California

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Job Title: Professional Services Auditor/Educator

Employer:Children’s Hospital Los Angeles Medical Group
Job Location:Remote
Skills:Professional services documentation and coding audits
Required Certifications:CPC or CCS,CPMA a plus
Preferred Certifications:CPMA
Required Experience:5 to 7 years
Location:3701 Wilshire Boulevard, 600 Los Angeles 90010, CA, US
* Note: This listing is for a remote position
Date Posted:3/3/2021

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

Primary Functions

Perform compliance audits for designated pediatric divisions using established audit protocols.

Create 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.

Research compliance and coding questions as necessary to support professional services billing.

Maintain up-to-date knowledge of regulatory changes that affect documentation and coding compliance.


High School diploma required; Associate degree or higher preferred.

CPC or CCS coding certification required; additional CPMA certification a plus but not required.

Job Relevant Experience

Five years’ progressive healthcare coding and auditing experience including provider education and presentation skills. Surgical coding and auditing experience preferred.

Job-Related Skills/Competencies

Basic computer skills and competency in Word, Excel and PowerPoint

Ability to learn and use audit software

Strong time management skills

Education and presentation skills


Email resume to: Meg Grimaldi - mgrimaldi@chla.usc.edu

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