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

Coding Auditing

• Performs monthly internal coding audits to evaluate accuracy of coding staff to ensure a required coding accuracy rate.
• Develops monitoring/education plans for coding staff who do not meet the required accuracy rate.
• Recognizes education needs of staff based on monthly reviews and conducts related in-services, as needed.
• Ability to act as a resource to coding staff, USC Care staff, and providers on coding issues and questions.
• Ability to achieve a 95% accuracy rate as determined by an annual external review of coding.

Under General Supervision

• 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.
• 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.
• Attendance, punctuality, and professionalism in all Coding and work-related activities.
• Consistently assumes responsibility and displays reliability for completion of tasks, duties, communications, and actions.
• Completes tasks accurately, legibly, and in a timely fashion.

Timeliness of Auditing/Coding & Productivity

• Maintains at minimum, expected productivity standards, and strives to maintain a steady level of productivity and provides consistent effort.
• Works coding queues/task lists to ensure charges are released within defined timelines.
• Assists other coders in performance of duties including answering questions and providing guidance, as necessary.
• Assists Billing department, USC Care coding department, and other departments in addressing coding issues/questions and/or providing information so that charges can be generated.
• Assists physicians, APPs, physician office staff and hospital ancillary department staff with diagnostic or procedural coding issues/questions, as needed.
• Affords assistance in the monitoring unbilled accounts to ensure that the oldest records are coded and/or given priority.

Policies & Procedures; Performance Improvement

• Consistently adhere to coding policies and procedures as directed by Coding management.
• Demonstrates an understanding of policies and procedures and priorities, seeking clarification as needed.
• Participates in continuously assessing and improving departmental performance.
• Ability to communicate changes to improve processes to the director, as needed.
• Affords assistance in department and section quality improvement activities and processes (i.e. Performance Improvement).

Communication

• Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel.
• Ability to communicate effectively intra-departmentally and inter-departmentally.
• Ability to communicate effectively with external customers.
• Provides timely follow-up with both written and verbal requests for information, including voice mail and email.

Qualifications

• High school or equivalent.
• Successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding course.
• Combined education/experience can substitute for Completion of Specialized/Technical Training Courses.
• Certified Professional Coder - CPC (AAPC) or AHIMA Certified Coding Specialist – Physician (CCS-P).
• Successful completion of the professional specific coding test – with a passing score of ≥85%.
• Fire Life Safety Training (LA City) if no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date.

Pay

The hourly rate range for this position is $33.00 - $54.02.