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Outpatient Coding Auditor

University of California - Los Angeles Health
United States, California, Los Angeles
Nov 24, 2024
Description

As the Outpatient Coding Auditor, you will be instrumental in
maintaining coding accuracy and compliance within our outpatient services.
Reporting to the Director of Medical Coding, your primary responsibilities
include conducting rigorous departmental and interdepartmental coding audits to
ensure adherence to Federal and State regulations and identify coding
discrepancies in Acute Care outpatient services.

Additional responsibilities include:


  • Conducting
    quality and CPT/APC payment reviews for outpatient services
  • Auditing
    for documentation discrepancies, coding errors, and billing issues
  • Providing
    feedback and educational support to outpatient coding staff and external
    departments
  • Keeping
    up-to-date with outpatient coding guidelines and regulatory requirements
  • Assisting
    in the development and enforcement of outpatient coding policies
  • Engaging
    in ongoing education to stay current with coding and billing regulations
  • Collaborating
    with cross-departmental teams to address outpatient coding inquiries

Salary Range: $56.95 - $70.81 per hour.

Qualifications

We're seeking a dedicated professional with:


  • CCS
    certification (required); RHIA/RHIT preferred
  • Minimum
    of 3-5 years of outpatient coding/auditing experience in an acute care
    hospital
  • In-depth
    knowledge of CPT, HCPCS, ICD-10-CM, and outpatient regulatory requirements
  • Familiarity
    with EPIC and 3M 360 Encompass software
  • Strong
    analytical skills to assess and resolve outpatient coding system errors
  • Ability
    to conduct coding education and training sessions effectively
  • Excellent
    communication skills for interdepartmental collaboration
  • Commitment
    to maintaining high ethical and professional standards

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