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Coding • san francisco ca
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As a member of AMM's Compliance and Ethics team, the Compliance Coding Auditor is an important driver of our mission.They are responsible for supporting the Company's Compliance & Ethics Progra...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Job Summary : In addition to the responsibilities listed below, the position is also responsible for serving as a Risk Adjustment compliance subject matter expert related to coding functions, overs...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Under the direction of CDI leadership, the CDI Coding Quality Liaison oversees accuracy and completeness of the final coded set of diagnoses and procedures.
After CDS chart review and potential and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Coding Teacher (Part Time) .Under the supervision of the Director of Educational Development, plans and facilitates collaborative coding instructional sessions using a variety of coding langua...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Mercor is seeking software engineers to support one of the world’s leading AI labs in building.APIs and service layers that interface with advanced AI models.
Have experience using coding agents.Hav...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Anthropic's mission is to create reliable, interpretable, and steerable AI systems.We want AI to be safe and beneficial for our users and for society as a whole.
Our team is a quickly growing group ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Bay Area Community Resources (BACR) promotes the healthy development of individuals, families and communities through direct services, volunteerism and partnerships in the San Francisco Bay Area.AF...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medical Billing / Coding Specialist – Full-Time Opportunity in Central Nebraska.A short-term acute care hospital near.Medical Billing / Coding Specialist.
Medical Billing / Coding Specialist Pay : .Medical ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
This is an educational program, not a job offer.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
A company is looking for a Denial Coding Analyst (Remote).Key Responsibilities Maintain low denial rates and high reimbursement rates through effective denial management Analyze denial trends an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
As a Clinical Coding Analyst-Experienced, specializing in code governance, you will play a pivotal role in ensuring coding standards, compliance, and best practices across development teams.Your re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Compliance Coding Auditor for the Auditing, Tracking, and Monitoring
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Concorde EducationSan Francisco, San Francisco County, United Statesserp_jobs.job_card.part_time
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Exceptional Software Engineers (Coding Agent Experience)
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Research Operations & Strategy Lead - Coding & Cybersecurity Data
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Coding Instructor
Bay Area Community ResourcesSan Francisco, CA, USserp_jobs.job_card.full_time
Medical Billing / Coding Specialist – Relocation to Columbus, NE
Ironside Human ResourcesSan Francisco, Californiaserp_jobs.job_card.full_time +1
Medical Billing and Coding - Entry Level Training Program
Dreambound Inc.San Francisco, Californiaserp_jobs.job_card.full_time
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Denial Coding Analyst
VirtualVocationsSan Francisco, California, United Statesserp_jobs.job_card.full_time
Clinical Coding Analyst, Experienced
Blue Shield of CaliforniaOakland, CA, United Statesserp_jobs.job_card.full_time
Compliance Coding Auditor for the Auditing, Tracking, and Monitoring
Advanced Medical Management, Inc.San Francisco, CA, USjob_description.job_card.variable_days_ago
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job_description.job_card.job_descriptionPerforms internal compliance department audits based on departmental planning to determine accuracy and adequacy of documentation and coding related to physician billed services based on supporting record documentation and ensures documentation by providers conforms to legal and procedural requirements. Prepares written reports of audit findings, with recommendations, and presents to the Manager for review and presentation to appropriate stakeholders; maintains audit records. Performs focused audits as needed in response to reported compliance and ethics concerns, with direction from the Manager of Auditing, Testing, and Monitoring. Ensures that written evaluative reports of findings are developed for all initiatives undertaken. In collaboration with the appropriate business unit leader, supports corrective action plans to address systemic issues or pervasive practices that could give rise to potential violations of applicable laws, regulations, or AMM's Code of Conduct and / or policies and procedures. Other duties as assigned Required five to ten years of relevant professional experience in healthcare, including coding and / or auditing roles. Experience auditing healthcare claims in a professional services firm and / or in-house at a large healthcare provider organization, health system, and / or payer. An undergraduate degree; preference for Health Business or related field. In lieu of an undergraduate degree, HS Diploma / GED and five (5) additional years of relevant experience will be considered Required coding certification, preferred Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC), from the American Academy of Professional Coders (AAPC) Required top-tier healthcare audit certification, preferred Certified Professional Medical Auditor (CPMA) from the American Academy of Professional Coders (AAPC) along with a fundamental understanding of regulatory framework and coding practices. Fundamental understanding of government healthcare programs (i.e., Medicare and Medicaid). Demonstrated ability to work effectively with key internal and external stakeholders. A demonstrated ability to cultivate working relationships with representatives from government agencies. An ability to operate successfully in a flat culture, with the courage and competence to engage on multiple fronts and tackle challenges head-on. An ability to prioritize effectively, and exercise sound judgment, in a fast-paced, physician-driven environment. A demonstrated ability to accurately apply the necessary methodologies, professional standards, and government agency expectations for conducting healthcare auditing, testing, and monitoring activities. Exemplary integrity with courage and an unwavering ethical compass. Pragmatic, risk-aware professional judgment. Demonstrated tact, trustworthiness, and diplomacy skills needed to manage sensitive and confidential information such as protected health information. An adept listener with a sense of humility. Capable of earning the respect and confidence of colleagues through demonstrated professional excellence and expertise. Prompt and efficient ability to manage shifting priorities, demands and timelines. Ability to effectively prioritize and execute tasks in a fast-paced, dynamic environment. Health Coverage You Can Count On Wellness Made Affordable Smart Spending FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future. Work-Life Balance Career Development Tuition reimbursement to support your education and growth. Team Fun Paid company outings and lunches because we work hard, but we also know how to have fun!
THE ROLE
As a member of AMM's Compliance and Ethics team, the Compliance Coding Auditor is an important driver of our mission. They are responsible for supporting the Company's Compliance & Ethics Program (the Program) auditing, tracking, and monitoring initiatives. Robust auditing, testing, and monitoring capabilities are essential to fulfilling the expectations of AMM's key stakeholders, including patients and their families and government agencies, and AMM is committed to exceeding those expectations. The Program is led by AMM's CCEO, who reports to AMM's Chief Executive Officer and the AMM Board, and who oversees and manages the AMM Compliance Committee, consistent with industry best practices.
The Compliance Coding Auditor for the Auditing, Tracking, and Monitoring team is expected to exemplify the Company's culture and core values. This is a role that requires sound and risk-aware judgment, productive collaboration across the Company, and demonstrated success in performing audits to determine organizational integrity of billing and risk adjustment metrics, including : appropriate documentation, accurate coding and billing, and / or medical necessity of services billed.
ESSENTIAL DUTIES & RESPONSIBILITIES
The following description provides an overview of primary responsibilities for this position; it should not be interpreted as all-encompassing.
General Responsibilities
- Ensures that the Manager is timely informed of all key findings of internal compliance tests and assessments, audits, and monitoring initiatives.
- Undertakes to remain informed of relevant developments and trends in healthcare compliance and ethics by, among other things, attending seminars, reviewing professional journals, and actively participating in professional organizations, and leverages that insight and knowledge to enhance the Program.
Auditing, Testing, and Monitoring-Specific Responsibilities
EDUCATION & EXPERIENCE
PROFESSIONAL PROFILE
Key Professional Skills
Personal Characteristics
AMM BENEFITS
When you join AMM, you're not just getting a job—you're getting a benefits package that puts YOU first :
Full employer-paid
HMO and the option for a flexible PPO plan
Discounted
vision and dental premiums to help keep you healthy from head to toe.
Generous
PTO 40 hours of sick pay , and 13 paid holidays to enjoy life outside of work.