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Physician Coding Compliance Auditor

Job not on LinkedIn

🔥 15 hours ago

🏄 California – Remote

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đź’µ $37 - $58 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

đź‘» Ghost score 1%

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Logo of Cedars-Sinai

Cedars-Sinai

10,000+ employees

🏥 Healthcare

đź’Š Pharmaceuticals

Healthcare • Pharmaceuticals

Cedars-Sinai is a leading healthcare organization that has been addressing the medical needs of a diverse community since its inception in 1902. Renowned for its excellence in patient care, clinical research, and medical education, Cedars-Sinai is recognized nationally for its innovative approaches in healthcare. It is especially noted for its advancements in the treatment of heart disease, cancer, and brain disorders, as well as its comprehensive education programs for healthcare professionals. The institution demonstrates a strong commitment to community service by enhancing the health of vulnerable populations in Los Angeles.

đź“‹ Description

• Perform physician compliance audits and group audits by analyzing medical record documentation and coding services • Identify areas of risk and non-compliance and provide recommendations for action • Conduct education and training sessions with providers on audit findings and regulatory requirements • Summarize audit results and present them to providers, operations leaders, and leadership • Communicate feedback directly to providers • Prepare reports and communicate audit results to management and clinicians • Prepare training and education materials as a subject matter expert • Track, record, and maintain audit/review activity in software or Excel spreadsheets • Provide regular and ad hoc reporting • Assist with audit and compliance special projects • Maintain competency in medical record documentation, coding, and compliance through workshops and seminars • Monitor Medicare and regulatory agency rules for updates and changes • Act as a professional liaison for physician compliance activities in a professional and confidential manner

🎯 Requirements

• High school diploma or GED required • Certified Professional Coder certification required upon hire • Minimum of 2 years of professional fee coding/auditing required • Experience in an academic medical setting preferred • Bachelor's degree preferred • Expert knowledge of coding and documentation guidelines • Knowledge of Medicare and regulatory agency rules • Ability to use software or Excel spreadsheets for tracking audit/review activity • Ability to conduct provider education and training • Ability to communicate audit findings to providers, operations leaders, management, clinicians, and leadership

🏖️ Benefits

• Paid vacation • Wellness initiatives • 403(b) • Dynamic, inclusive environment • Professional development through appropriate workshops and seminars

Apply Now

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