Riverside University Health System (RUHS) seeks a Coding Compliance Auditor (Administrative Services Manager I), to support the health system's Corporate Compliance Department. The Compliance Auditor will be responsible for reviewing inpatient and/or outpatient records for quality and comprehensive coding.
The incumbent reviews records regarding coding regulations and compliance and provides feedback and education to coders and/or physicians. The Compliance Auditor is responsible for performing annual, periodic or other focused medical record audits as requested to oversee the quality and accuracy of physician, inpatient and outpatient coding and documentation. This position requires effective communication with all RAC stakeholders and excellent organizational skills to ensure timeliness and accuracy of response requests, as well as continual program development through training and process improvement. The incumbent should have experience creating and delivering coding presentations to a variety of audiences and be comfortable communicating with physicians. This position may provide supervision to department staff.
The ideal candidate for this position will possess five (5) years of experience coding inpatient and/or outpatient records in a hospital utilizing ICD-10/CPT/HCPCS and other third-party payor codes. This experience must include at least two years of lead or supervisory experience. CPMA certification is preferred.
Work Schedule: 9/80
Work Address: 7898 Mission Grove Parkway, Riverside