Facility Outpatient Surgical Auditor, Claims Edit

🕒 February 25

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Cedars-Sinai

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10,000+ employees

Since its beginning in 1902, Cedars-Sinai has evolved to meet the healthcare needs of one of the most diverse regions in the nation, continually setting new standards for quality and innovation in patient care, research, teaching and community service.

📋 Description

• Reviewing encounters in either a prebill or retrospective workflow to validate a coding profile. • Performing quality coding reviews or audits within established departmental productivity and accuracy standards. • Providing written summary reports of findings. • Coordinating and leading feedback sessions based on recommendations. • Maintaining appropriate open communication with internal and external partners and peer departments. • Assisting peer departments with production coding of cases. • Helping improve data quality for reporting and research.

🎯 Requirements

• High school diploma or GED required. Degree in Health Information Management preferred. • A minimum of 3 years of Coding Audit experience with auditing skills covering coding/billing accuracy of coding staff required. • CCS, CPC, RHIA or RHIT required upon hire. • Facility outpatient surgical claims experience highly preferred.

🏖️ Benefits

• health and dental insurance • paid vacation • 403(b) retirement plan