11 compliance coding auditor jobs found in San Diego

Compliance Coding Auditor The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit compliance program to prevent and detect violations of law and other misconduct. This role will help promote ethical practices and a commitment to compliance with applicable federal, California, and local laws, rules, regulations, and internal policies and procedures. The position plays a key role in oversight of Sharp HealthCare's (SHC) compliance audit function and maintaining Sharp HealthCare's view of coding, billing and reimbursement compliance audits. Required Qualifications: 5 Years experience in acute care inpatient/outpatient coding or professional E/M coding in the following coding systems: ICD-10-CM/PCS, DRG, CPT& HCPCs, and/or E/M CPT. Preferred Qualifications: Strong...

Compliance Coding Auditor page is loaded## Compliance Coding Auditorlocations: System Services-Telecommutertime type: Full timeposted on: Posted 30+ Days Agojob requisition id: JR180837**Hours****:****Shift Start Time:**Variable**Shift End Time:**Variable**AWS Hours Requirement:**8/40 - 8 Hour Shift**Additional Shift Information:****Weekend Requirements:**No Weekends**On-Call Required:**No**Hourly Pay Range (Minimum - Midpoint - Maximum):**$49.700 - $64.130 - $71.820The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. \*This is a remote position\***What You Will Do** The Compliance Coding Auditor is responsible for the...

Overview Compliance Coding Auditor role at Sharp HealthCare. Hours: AWS Hours Requirement: 8/40 - 8 Hour Shift. Shift Start Time: Variable. Shift End Time: Variable. Weekend requirements: No weekends. On-call: No. The stated pay scale is $48.140 - $62.110 - $76.080, with actual pay dependent on factors including experience, skills, education, and internal considerations. The role supports Sharp HealthCare's compliance audit program, focusing on coding, billing, and reimbursement audits to prevent and detect violations and promote compliant practices. What You Will Do Administer Sharp HealthCare’s compliance audit program and oversee high-quality coding, billing, and reimbursement audit activities. Provide oversight of the coding, billing, and reimbursement compliance audits and report findings to stakeholders; propose corrective actions as needed. Review electronic health records to identify potential coding and billing compliance issues and prepare written audit reports with...

A healthcare provider in San Diego seeks a Compliance Coding Auditor to oversee compliance audits related to coding and billing practices. The role involves ensuring adherence to regulations, conducting audits, and providing reports to improve compliance within the organization. A Bachelor's degree and relevant experience in coding are required. Certification in clinical documentation improvement is preferred. The position also demands excellent communication skills and the ability to function in a fast-paced environment. #J-18808-Ljbffr

A leading healthcare provider in San Diego is seeking a Compliance Auditor to ensure accurate coding and documentation practices. Candidates should have a strong understanding of CPT and ICD-10 codes and experience in medical record auditing. The role involves conducting audits, providing training, and supporting clinical staff for compliance with CMS standards. Competitive hourly pay is offered, aligning with industry standards. #J-18808-Ljbffr

A healthcare provider in San Diego is seeking a Coding Auditor to conduct audits and ensure compliance with coding standards. The role requires strong knowledge of CPT and ICD-10 codes, exceptional communication skills, and the ability to train clinical staff. The ideal candidate has 3 years of experience in a healthcare setting and holds a CPC or CCS-P certification. Competitive hourly rate offered. #J-18808-Ljbffr

Compliance Auditor - SRS Join to apply for the Compliance Auditor - SRS role at Sharp HealthCare . Shift Information Flex hours: 6:00‑9:00 am to 2:30‑5:30 pm Weekend requirements: As needed On‑call required: No AWS Hours Requirement: 8/40 – 8 Hour Shift Variable shift start and end times Hourly Pay Range: $34.17 - $44.09 - $49.37 What You Will Do Identify and report coding and documentation practices, making recommendations to ensure accurate reporting of services provided by clinical providers and to support implementation of correct coding standards as established by SHC Corporate Compliance in accordance with CMS and local MAC requirements. Required Qualifications 3 years of experience auditing coding and medical record documentation in an ambulatory care setting. Experience developing training materials and presenting to a large group of professionals. Certified Professional Coder (CPC) – AAPC or Certified Coding Specialist – Physician‑based (CCS‑P) (AHIMA) –...

Outpatient Facility-Clinic Medical Coder (Multi-Specialty) Part-Time We are seeking a detail-oriented and analytical Outpatient Facility-Clinic Medical Coder (Multi-Specialty) to join our remote US-based coding team. In this role, you will be responsible for accurately assigning diagnostic and procedural codes for various medical specialties in an outpatient setting. The ideal candidate will have a strong understanding of medical coding principles and healthcare regulations. Schedule & Compensation This is a part-time position (2030 hours per week) with a pay range of $30$40 per hour. Initial training will be conducted during standard business hours (MondayFriday, 8 a.m.5 p.m.) for approximately 2030 hours per week. Following training, work hours can transition to a flexible schedule. Job Description Analyze patient medical records and assign appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient services across multiple specialties Ensure coding accuracy and...

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are currently seeking a detail-oriented and dedicated Medical Biller to join our team. In this role, you will be responsible for managing the billing and collection of outstanding account balances for Medi-Cal and managed care payors . You will analyze and interpret complex payor contract language to calculate expected reimbursements accurately and ensure timely collection of all payments owed to the organization. Responsibilities Process medical billing and follow up on claims with Medi-Cal and managed care payors Audit and evaluate clinical documentation and billing records to ensure they are accurate, timely, clinically appropriate, justify medical necessity for Medi-Cal reimbursement, and comply with all State and County...

Company Description *Candidate should ideally be located in San Diego, CA, Las Vegas, NV or San Francisco, CA* Monro's family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach. Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company's regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color. Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto...

Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Flex hours are 6:00-9:00 am to 14:30-17:30 pm Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $34.170 - $44.090 - $49.370 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do To identify and report coding and documentation practices and make recommendations which assure the accurate reporting and documentation of services provided by entity clinical providers. To support and facilitate...