Remote Senior Outpatient Coding & Audit Reviewer

UC San Diego Health; San Diego (CA); Remote; USD 82,000 - 148,000; Full time

Benefits offered by this job

Remote work options

Job summary

UC San Diego Health is seeking an experienced auditor to lead review, audit, and remediation of coding deviations. You will train staff, oversee query generation, and ensure data integrity for external reporting to HEDIS, CMS, and Vizient.

The role emphasizes collaboration with CDI and interdisciplinary teams to maintain high standards of accuracy and compliance in a fast-paced healthcare environment.

Qualifications

• Seven years of auditing experience in a large academic hospital system or a Bachelor's plus three years of auditing experience.
• Knowledge of internal controls, auditing standards, and data integrity.
• Ability to present to senior management and external agencies.

Responsibilities

• Review, audit, and remediate deviations from compliant coding and educate staff.
• Oversee generation and approvals of queries to ensure timely responses.
• Represent coding leadership at optimization, CDI, and interdisciplinary meetings.
• Ensure data integrity and high-quality external data for HEDIS, CMS, and Vizient.

Skills

Audit expertise

Interpersonal communication

Data analysis

Education

Bachelor's degree in related area

RHIT or RHIA or CCS credentials

Job description

UC San Diego Health is seeking an experienced auditor to lead review, audit, and remediation of coding deviations. You will train staff, oversee query generation, and ensure data integrity for external reporting to HEDIS, CMS, and Vizient.

The role emphasizes collaboration with CDI and interdisciplinary teams to maintain high standards of accuracy and compliance in a fast-paced healthcare environment.