Providence Health & Services Coding Compliance Educator - St John's Foundation in Santa Monica, California
Providence is calling a Coding Compliance Educator to work with our Providence Westside Foundation clinics located in Santa Monica, CA.
In this position you will:
Be responsible for maintaining completeness ofmedical record documentation and coding accuracy by conducting informal concurrentas well the formal Quarterly Provider Documentation and Coding audits;documenting, preparation and presentation of audit results; includingdevelopment, research and presentation of formal and informal education.
In addition, the Coding Compliance auditorwill provide compliance, documentation and coding guidance support tooperational departments.
Required qualifications for this position include:
Minimum of 5 years coding experience and 2 years experience of performing chart audits and feedback/education in a physician practice environment.
Professional coding certification through AHIMA or AAPC.
Advance working knowledge of CPT, ICD-9, ICD-10 and HCPCS coding.
Hands-on audit experience in documentation and coding of physician services.
Advance knowledge of government, legal and regulatory provisions related to documentation and coding audit.
Advance knowledge of Federal Programs and commercial payor documentation and coding requirements.
Advance analytical skills in documentation and coding audit results for root cause analysis, corrective plan of action, forecast and developing future audit process and strategies.
Ability to prioritize, manage time efficiently and make independent decisions based on regulatory citation in conducting audits, disclosing audit findings, providing advisory information that impacts operational processes in documentation, coding, charge capture and billing.
Creative problem-solving skills.
Proficiency in MS Office and EMR.
Effective communication skills at all levels within the organization.
Preferred qualifications for this position include:
Reimbursement/billing experience preferred.
4-year degree preferred.
About the hospital you will serve:
Providence Saint John’s Health Center in Santa Monica, California, is part of Providence Health & Services, an integrated, not-for-profit network of hospitals, care centers, medical clinics, home health services, affiliated services and educational facilities in the western United States. Founded in 1942, Providence Saint John’s Health Center enjoys a reputation for clinical excellence across many disciplines.
We offer a full comprehensive range of benefits - see our website for details
As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.
Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 82,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 600 physician clinics, senior services, supportive housing and other health and educational services. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Clinics/Medical Group
Location: California-Santa Monica
Req ID: 155848