2 jobs found in Newport Beach

A leading healthcare provider in Newport Beach, California is seeking a Coding Auditor and Educator to perform coding audits and ensure compliance with federal and state regulations. The ideal candidate should have a bachelor's degree, CCS credential, and 8-10 years of experience in coding and auditing. This role involves preparing audit reports and educating hospital staff on findings. Competitive salary and full-time position offered. #J-18808-Ljbffr

Coding Auditor and Educator - Medical Coding Department: Business Services Status: Full Time Shift: 1st Location: US Under the Direction of the Coding Manager, performs/facilitates departmental, interdepartmental and external coding audits to ensure quality completeness and accuracy of coding; compliance with Federal and State Regulations; and appropriate reporting. Provides education based on audit findings. Has thorough knowledge of Acute Care Facility Federal and State reporting guidelines, modifiers, sequencing rules, and the NCCI (National Correct Coding Initiative) edits, Official Guidelines for Coding and Reporting for ICD-10-CM, ICD-10-PCS, CPT-4 coding conventions, DRG and APC payment classifications and Medicare Conditions of Participation. Essential Functions Serves as subject matter expert on hospital performance improvement committees Response to coding questions from outside departments and provides coding references and guidelines Performs retrospective and...