Providence Health & Services

Providence Health & Services in Anaheim is seeking a Provider Network Performance Coding Auditor to review patient care documentation for CPT and ICD coding compliance across services, ensuring adherence to payer policies. Hybrid work option with day shifts. The role requires an Associate's Degree in Coding or AHIMA/AAPC certificates, 3 years of coded experience including primary care and specialty areas, and proficiency in Microsoft Office. Competitive benefits and base pay range shown. #J-18808-Ljbffr

Compliance Auditor - RemoteThe Revenue Cycle Compliance Hospital Auditor conducts audits to evaluate compliance with a wide variety of Federal and State laws, regulatory rules & regulations, PSJH policies and procedures.Areas of audit focus for this position may involve clinical and non-clinical services, including but not limited to revenue cycle:Rev Cycle departments, Rev Cycle Billing Offices, External Vendor; HIM Coding, Revenue Integrity RI, Chargemaster CDM, EPIC, and Clinical Documentation CDT.This position works collaboratively with Case Management, Utilization Review, Revenue Integrity, our PB Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs and Finance under the supervision of the Rev Cycle Compliance Senior Manager.The Revenue Cycle Compliance Hospital auditor navigates and analyzes data across both the Clinical EMR and Epic Billing systems.This includes reviewing line-item charges, Revenue Codes, CPT descriptions, status, orders,...