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General Information

Work Location: Los Angeles, USA
Onsite or Remote
Fully Remote
Work Schedule
Monday-Friday 6:00 AM-3:00 PM PST
Posted Date
10/31/2024
Salary Range: $56.95 - 70.81 Hourly
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
20256

Primary Duties and Responsibilities

As the Outpatient Coding Auditor, you will be instrumental in maintaining coding accuracy and compliance within our outpatient services. Reporting to the Director of Medical Coding, your primary responsibilities include conducting rigorous departmental and interdepartmental coding audits to ensure adherence to Federal and State regulations and identify coding discrepancies in Acute Care outpatient services.

Additional responsibilities include:

  • Conducting quality and CPT/APC payment reviews for outpatient services
  • Auditing for documentation discrepancies, coding errors, and billing issues
  • Providing feedback and educational support to outpatient coding staff and external departments
  • Keeping up-to-date with outpatient coding guidelines and regulatory requirements
  • Assisting in the development and enforcement of outpatient coding policies
  • Engaging in ongoing education to stay current with coding and billing regulations
  • Collaborating with cross-departmental teams to address outpatient coding inquiries

Salary Range: $56.95 - $70.81 per hour.

Job Qualifications

We’re seeking a dedicated professional with:

  • CCS certification (required); RHIA/RHIT preferred
  • Minimum of 3-5 years of outpatient coding/auditing experience in an acute care hospital
  • In-depth knowledge of CPT, HCPCS, ICD-10-CM, and outpatient regulatory requirements
  • Familiarity with EPIC and 3M 360 Encompass software
  • Strong analytical skills to assess and resolve outpatient coding system errors
  • Ability to conduct coding education and training sessions effectively
  • Excellent communication skills for interdepartmental collaboration
  • Commitment to maintaining high ethical and professional standards

As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.