Coding Compliance Auditor Coding Services Full Time 8 Hour Days (Non-Exempt) (Non-Union)

In accordance with current federal coding compliance regulations and guidelines the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT ICD-10-CM and HCPCS assignments and accuracy and completeness of all ICD-10-CM CPT and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations Official Coding Guidelines AHA Coding Clinic and CPT Assistant. The Coding Compliance Auditor will also provide detailed reports Excel spreadsheets coding audit summary analysis and data analytics Re : coding accuracy rates compliance rates denial analytics etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding / billing computer systems such as Cerner MediTech Epic and Athena IDX in a manner to assure clean claims release for billing in a timely manner. Participate in response to inquiries regarding coding and documentation from coders providers and all other hospital staff. Perform other coding department related duties as assigned by Coding management.

• CODING AUDITING 1. Performs monthly internal coding audits to evaluate accuracy of coding staff to ensure a required coding accuracy rate. 2. Develops monitoring / education plans for coding staff who do not meet the required accuracy rate. 3. Recognizes education needs of staff based on monthly reviews and conducts related in-services as needed. 4. Ability to act as a resource to coding staff USC Care staff and providers on coding issues and questions. 5. Ability to achieve a 95% accuracy rate as determined by an annual external review of coding.
• UNDER GENERAL SUPERVISION RESPONSIBLE FOR 1. Professional coding of all diagnostic and procedural information from the medical records using ICD-10-CM and CPT / HCPCS and Modifier classification systems and abstracting patient information as established and required by official coding laws regulations rules guidelines and conventions. 2. Works cooperatively with Coding Support and / or CBO in obtaining documentation to complete medical records and ensure optimal and accurate assignment of diagnosis & procedure codes. 3. Attendance punctuality and professionalism in all Coding and work-related activities. 4. Consistently assumes responsibility and displays reliability for completion of tasks duties communications and actions. Completes tasks accurately legibly and in a timely fashion. 5. Performs other duties as requested / assigned by Director Manager Supervisor or designee.
• TIMELINESS OF AUDITING / CODING & PRODUCTIVITY 1. Maintains at minimum expected productivity standards and strives to maintain a steady level of productivity and provides consistent effort. 2. Works coding queues / task lists to ensure charges are released within defined timelines. 3. Assist other coders in performance of duties including answering questions and providing guidance as necessary. 4. Assists Billing department USC Care coding department and other departments in addressing coding issues / questions and / or providing information so that an charges can be generated. Assists physicians APPs physician office staff and hospital ancillary department staff with diagnostic or procedural coding issues / questions as needed. 5. Assists in the monitoring unbilled accounts to ensure that the oldest records are coded and / or given priority.
• POLICY & PROCEDURES; PERFORMANCE IMPROVEMENT 1. Consistently adhere to coding policies and procedures as directed by Coding management. 2. Demonstrates an understanding of policies and procedures and priorities seeking clarification as needed. 3. Participates in continuously assessing and improving departmental performance. 4. Ability to communicate changes to improve processes to the director as needed. 5. Assists in department and section quality improvement activities and processes (i.e. Performance Improvement).
• COMMUNICATION 1. Works and communicates in a positive manner with management and supervisory staff medical staff co-workers and other healthcare personnel. 2. Ability to communicate effectively intra-departmentally and inter-departmentally. 3. Ability to communicate effectively with external customers. 4. Provides timely follow-up with both written and verbal requests for information including voice mail and email.
• Performs other duties as assigned.

Required Qualifications :

Required Licenses / Certifications :

The hourly rate range for this position is $33.00 - $54.02. When extending an offer of employment the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position the candidates work experience education / training key skills internal peer equity federal state and local laws contractual stipulations grant funding as well as external market and organizational considerations.

USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin protected veteran status disability or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.

We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at or by email at . Inquiries will be treated as confidential to the extent permitted by law.

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Key Skills

Apache,Control System,Data Structures,Hotel Front Office,Clinical

Employment Type : Full-Time

Experience : years

Vacancy : 1

Monthly Salary Salary : 33 - 54