Providence Health & Services Coding Compliance Educator I in Mission Hills, California
Providence is calling a Coding Compliance Educator I (Full Time/ Day Shift to Providence Facey Medical Foundation in Mission Hills, CA.
In this position you will:
Perform education and training of ICD9 and CPT4 coding principles to physicians and non-physician providers in a large group medical practice. Services from medicine, surgery, and diagnostic studies
Completion of medical documentation audits and analysis of coding and billing patterns to determine the quality of current coding practice. The goal is to ensure compliance with federal, state, and private third-party payor coding and reimbursement policies. Success is dependent upon the ability to accurately code, audit, and teach so that expected results are achieved
Required qualifications for this position include:
Certification as CCS-P or CPC
At least 3 years experience in coding multi-specialty physician services in a group or academic setting
At least 3 years experience in education of providers in ICD9 and CPT4 coding principles
At least 3 years experience in auditing medical documentation to determine coding and billing adequacy
At least 3 years experience in third-party medical insurance billing
At least 3 years experience working with GE/IDX practice management/billing software (or equivalent)
Understanding of medical coding and billing compliance concepts
Understanding of MPFS, NCCI, LCD, NCD, RVU, modifiers, and global periods
Proficiency in Microsoft Excel, Word and PowerPoint. (Proficiency in Access is a plus)
Strong analytical, problem solving skills
Self-starter capable of working with minimal supervision
Understanding of Medical Group operations
Being Customer service oriented
Preferred qualifications for this position include:
- Bachelor's Degree in Health Administration, Business or related field
About the organization you will serve:
Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties. Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita and Simi Valleys. The group began as a single medical practice over 90 years ago.
Facey is part of Providence Health & Services, an integrated, not-for-profit 5-state network of hospitals, care centers, medical clinics, affiliated services and educational facilities spanning from California to Alaska.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Coding
Location: California-Mission Hills
Req ID: 241179