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Family Health Centers of San Diego · 1 day ago

Coding Compliance Specialist

San Diego, CA

Full-time

Onsite

Entry, Mid Level

$27/hr - $34.59/hr

2+ years exp

Family Health Centers of San Diego (FHCSD) has been providing affordable, high-quality health care for over 55 years, focusing on underserved populations. The Coding Compliance Specialist will be responsible for auditing coding and billing processes, ensuring compliance with regulations, and providing feedback to staff on coding issues.

Health CareHealth DiagnosticsMedical

Responsibilities

Accurately and thoroughly documents audit results in a timely manner. Updates coding books and procedure manuals for coding staff

Accurately codes records using ICD, HCPCS/CPT coding rules and guidelines, within the timeframe established by department

Performs audits of coding and billing, and provider documentation, ensuring compliance with department, state, and federal rules and requirements. Reviews and analyzes medical records and abstracted data to determine the accuracy of payment and code assignment

Performs other duties as assigned

Provides regular and prompt feedback to staff, including providers and supervisors on compliance issues. Communicates effectively with providers and clinic staff concerning coding questions and researches issues for resolution

Qualification

Medical coding experienceCPC CertificationCPCO CertificationThird party billingRHIA certificationRHIT certificationCCS certificationHealthcare AdministrationHealth Information ManagementCommunication skills

Required

Associate's degree in Medical Record Technology, Health Information Management, Healthcare Administration, or closely related field required

At least 2 years of medical coding experience required

CPC Certification required

CPCO Certification (Certified Professional Compliance Officer) or CPMA (Certified Professional Medical Auditor) required

Or equivalent combination of education and experience that provides the skills, knowledge and ability to perform the essential job duties, and which meets any required state or federal certification requirements

Third party billing and reimbursement experience, specifically with Medi-Cal required

Traveling between sites and other locations is occasionally required. Must have a valid California driver's license, an automobile, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended. An acceptable driving record is also required. California law requires all drivers to obtain a valid California driver's license within ten days of establishing residency