Hoag Memorial Hospital Presbyterian
Newport Beach, CA, USA
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...