Senior Coding Compliance Auditor - Audit & Data Analytics

Veterans in Healthcare; Los Angeles (CA); On-site; USD 68,640 - 112,360; Full time

Job summary

Keck Medicine of USC is seeking a Coding Compliance Auditor to perform 2nd level reviews of coded accounts, ensuring CPT, ICD-10-CM, and HCPCS accuracy in a busy hospital setting in Los Angeles, CA. The role emphasizes compliance with Official Coding Guidelines and CPT Assistant, with responsibilities for detailed audit reports and education planning.

The position requires extensive coding knowledge, strong attention to detail, and the ability to educate coding staff and providers.

Qualifications

• In accordance with federal coding compliance regulations and guidelines.
• 2nd-level review of coded accounts for CPT, ICD-10-CM, and HCPCS accuracy.
• Prepare reports, audits, and data analytics to support coding accuracy and compliance.
• Recommend education topics based on audit findings and assist in education of staff.

Responsibilities

• Perform monthly internal coding audits and monitor accuracy rates.
• Develop education plans for staff not meeting accuracy targets.
• Act as a coding resource for staff and providers on coding issues.
• Maintain timely and accurate documentation and reporting for audits.
• Respond to inquiries regarding coding from coders, providers and staff.

Skills

Coding audits

ICD-10-CM

CPT/HCPCS

Data analytics

Reporting

Communication

Cross-functional collaboration

Education

Certified/Coding credentials (CPC or CCS-P)

High school diploma or equivalent

Medical terminology, anatomy & physiology training

Tools

Cerner/MediTech/Epic/Athena IDX

Job description

Keck Medicine of USC is seeking a Coding Compliance Auditor to perform 2nd level reviews of coded accounts, ensuring CPT, ICD-10-CM, and HCPCS accuracy in a busy hospital setting in Los Angeles, CA. The role emphasizes compliance with Official Coding Guidelines and CPT Assistant, with responsibilities for detailed audit reports and education planning.

The position requires extensive coding knowledge, strong attention to detail, and the ability to educate coding staff and providers.