Healthcare Coding Compliance Analyst

2 weeks ago

San Diego, California, United States Family Health Centers of San Diego Full time

Make a Difference in Healthcare

Family Health Centers of San Diego (FHCSD) is dedicated to delivering outstanding healthcare services to all individuals, particularly those in underserved communities with limited access to medical care. Established over 50 years ago by a community advocate, FHCSD has evolved into one of the largest community health organizations in the nation. With a network of over 62 locations and serving more than 227,000 patients, we offer a comprehensive range of healthcare and outreach services tailored to a diverse population. We take pride in our mission, our significant community contributions, and the rich cultural diversity of our workforce.

We are currently seeking a Healthcare Coding Compliance Analyst to conduct thorough audits of coding and billing practices, ensuring adherence to departmental, state, and federal regulations. This role involves reviewing and analyzing medical records and abstracted data to verify the accuracy of payment and code assignments. The analyst may also engage in coding and abstracting clinic medical records to support reimbursement, research, and compliance with federal standards, utilizing ICD, CPT-4, and HCPCS classification systems. Additionally, this position will provide support to healthcare providers and clinic personnel regarding coding inquiries.

Key Responsibilities:
  • Meticulously document audit findings in a timely manner and update coding manuals and procedure guidelines for the coding team.
  • Accurately assign codes to records in accordance with ICD, HCPCS/CPT coding standards and within the deadlines set by the department.
  • Conduct audits of coding and billing processes, as well as provider documentation, to ensure compliance with relevant regulations. Review and analyze medical records and abstracted data to assess the accuracy of payment and code assignments.
  • Perform additional duties as required.
  • Provide timely and constructive feedback to staff, including healthcare providers and supervisors, regarding compliance matters. Effectively communicate with providers and clinic staff on coding issues and conduct research to resolve queries.

Qualifications:

  • Associate's degree in Medical Record Technology, Health Information Management, Healthcare Administration, or a closely related field is required.
  • A minimum of 2 years of experience in medical coding is required.
  • CPC Certification is mandatory.
  • CPCO Certification (Certified Professional Compliance Officer) or CPMA (Certified Professional Medical Auditor) is required.
  • Alternatively, an equivalent combination of education and experience that equips the candidate with the necessary skills, knowledge, and abilities to fulfill the essential job functions, while meeting any required state or federal certification standards.
  • RHIA, RHIT, or CCS certifications are strongly preferred.
  • Experience with third-party billing and reimbursement, particularly with Medi-Cal, is required.

Benefits:

  • Job Type: Regular Full-time
  • Competitive Salary with Comprehensive Benefits
  • Retirement Plan with Employer Matching
  • Paid Time Off, Extended Sick Leave, and Paid Holidays
  • Medical/Dental/Vision/FSA/Life Insurance
  • Employee Discounts and Wellness Programs

The ideal candidate will demonstrate a strong commitment to community health and the provision of culturally competent care to underserved populations.

We emphasize the importance of pay transparency and would like to share the base salary range for this position, excluding fringe benefits or potential bonuses. Your final base salary will be determined based on various factors, including geographic location, skills, education, and experience. We also prioritize pay equity and consider the internal equity of our current team members in the final offer process. Please note that the mentioned range reflects our reasonable expectations for this role, and hiring at the maximum of the range is not typical to allow for future salary growth. We offer a generous compensation and benefits package.

  • Building Inspector

    6 days ago

    San Diego, California, United States NV5 Full time

    Job SummaryNV5, a leading provider of engineering and consulting services, is seeking a qualified Building Inspector to join our team. As a Building Inspector, you will play a critical role in ensuring that construction projects meet the highest standards of quality and safety.Key ResponsibilitiesInspect construction sites to verify compliance with approved...

  • Lead Compliance Analyst

    1 week ago

    San Francisco, California, United States Atlantic Group Full time

    Position Overview - Senior Analyst (Legal and Compliance):We are looking for a Senior Compliance Analyst to oversee and enhance the compliance framework for a dynamic investment advisory organization. This hybrid position emphasizes regulatory adherence, managing submissions, and ensuring compliance with industry regulations for a varied clientele, including...

  • Senior Compliance Analyst

    2 weeks ago

    San Francisco, California, United States Atlantic Group Full time

    Position Overview - Senior Analyst (Legal and Compliance):We are looking for a Senior Compliance Analyst to oversee and enhance the compliance framework for a dynamic investment advisory firm. This hybrid position emphasizes regulatory adherence, managing filings, and ensuring compliance with industry regulations for a varied clientele, including private...

  • Lead Compliance Analyst

    2 weeks ago

    San Francisco, California, United States Atlantic Group Full time

    Position Overview - Senior Analyst (Legal and Compliance):We are looking for a Senior Analyst to oversee and improve the compliance framework for a dynamic investment advisory organization. This hybrid position emphasizes regulatory adherence, managing submissions, and ensuring compliance with industry regulations for a varied clientele, including private...

  • Senior Compliance Analyst

    1 week ago

    San Francisco, California, United States Atlantic Group Full time

    Position Overview - Senior Analyst (Legal and Compliance):We are in search of a Senior Compliance Analyst to oversee and enhance the compliance framework for a dynamic investment advisory firm. This hybrid position emphasizes regulatory adherence, managing filings, and ensuring compliance with industry regulations for a varied client base, including private...

  • Senior Compliance Analyst

    2 weeks ago

    San Francisco, California, United States Atlantic Group Full time

    Position Overview - Senior Analyst (Legal and Compliance):We are looking for a Senior Compliance Analyst to oversee and refine the compliance framework for a dynamic investment advisory organization. This hybrid position emphasizes regulatory adherence, managing submissions, and ensuring compliance with industry benchmarks for a varied clientele, including...

  • Senior Compliance Analyst

    2 weeks ago

    San Francisco, California, United States Atlantic Group Full time

    Position Overview - Senior Analyst (Legal and Compliance):We are looking for a Senior Compliance Analyst to oversee and enhance the compliance framework for a dynamic investment advisory firm. This hybrid position emphasizes regulatory adherence, managing submissions, and ensuring compliance with industry regulations for a varied clientele, including private...

  • Grants Compliance Analyst

    1 week ago

    San Diego, California, United States SDSU Research Foundation Full time

    Job Title: Sponsored Research Contracting and Compliance Analyst Become a vital member of the SDSU Research Foundation (SDSURF) team, where you will engage in a vibrant atmosphere dedicated to research and sponsored initiatives. As the Sponsored Research Contracting and Compliance Analyst, your contributions will be essential in maintaining compliance and...

  • Trade Compliance Analyst

    1 week ago

    San Diego, California, United States Gateway Recruiting, INC. Full time

    Join Our TeamWe are seeking a skilled and knowledgeable individual to become a part of our organization. If you thrive in **dynamic environments** and are committed to **effective teamwork**, this opportunity could be ideal for you.Position: Trade Compliance AnalystCompany: Gateway Recruiting, INC.Job OverviewOversee and ensure adherence to trade regulations...

  • Grants Compliance Analyst

    2 weeks ago

    San Diego, California, United States San Diego State University Research Foundation Full time

    Position Overview:This role is available until filled.The hourly compensation for this position is $24.72, contingent upon qualifications and internal standards, and is non-negotiable.This position operates on a hybrid schedule, requiring the incumbent to reside in California and be within a reasonable commuting distance from the office at the time of...

  • Labor Compliance Analyst

    1 week ago

    San Diego, California, United States Department of Industrial Relations Full time

    Job Overview and Responsibilities Are you eager to embark on a career with a progressive State Agency? Do you excel in a dynamic and fast-paced environment? Are you passionate about learning and adapting to new challenges? If so, this opportunity may be for you. The Department of Industrial Relations is comprised of outstanding individuals who play a...

  • Chief Compliance Officer

    3 days ago

    San Diego, California, United States Imperial Beach Community Clinic Full time

    Job Title: Chief Compliance Officer**Job Summary:**We are seeking a highly skilled Chief Compliance Officer to join our team at the Imperial Beach Community Clinic. The successful candidate will be responsible for administering and providing oversight of our Compliance Program, addressing risk related to business ethics and compliance requirements, and...

  • Tax Compliance Programmer II

    1 week ago

    San Diego, California, United States Russell Tobin & Associates Full time

    Exciting Opportunity for Tax Compliance Programmer IIJob Title: Tax Compliance Analyst/ProgrammerLocation: RemoteSalary: $44.00 per hour DOEDuration: 6 Months (Possibility of extension)Job Overview:We are seeking a dedicated professional to join our team as a Tax Compliance Programmer II. This role involves significant collaboration and technical expertise...

  • Grant Compliance Analyst, Finance

    2 weeks ago

    San Diego, California, United States Jewish Family Service Full time

    Position Title : Grant Compliance AnalystOrganization : Jewish Family Service of San DiegoDepartment: FinancePosition Type: Full-Time (40 hours/week), ExemptWork Setting: OnsiteReports To: Senior Director, ControllerPay Rate: $70,000 - $75,000/yearTotal Compensation :In addition to standard pay, compensation for this position includes:Comprehensive, low-cost...

  • Grant Compliance Analyst, Financial Oversight

    2 weeks ago

    San Diego, California, United States Jewish Family Service Full time

    Position Title: Grant Compliance Analyst Organization: Jewish Family Service of San Diego Department: Finance Position Type: Full-Time, Exempt Work Setting: Onsite Reports To: Senior Director, Controller Pay Rate: $70,000 - $75,000/year Total Compensation: In addition to standard pay, this role offers: Comprehensive, low-cost healthcare coverage for...

  • Senior Research Compliance Analyst

    2 weeks ago

    San Diego, California, United States SDSU Research Foundation Full time

    Job Title: Sponsored Research Contracting and Compliance Analyst Become an integral part of the SDSU Research Foundation (SDSURF) team, where we foster a vibrant atmosphere dedicated to research and sponsored initiatives. As the Sponsored Research Contracting and Compliance Analyst, your expertise will be essential in ensuring adherence to regulations and...

  • Tax Compliance Analyst

    2 weeks ago

    San Diego, California, United States Russell Tobin & Associates Full time

    Position Overview:We are seeking a qualified individual for the role of Tax Analyst II at Russell Tobin & Associates.Contract Duration: 6 months with potential for extension.Location: San Diego, CA.Compensation: $35-$40 per hour on W2.Key Responsibilities:Ensure compliance with tax regulations for various business entities including Corporations, S...

  • Claims Coding Compliance Supervisor

    2 weeks ago

    San Jose, California, United States UnitedHealth Group Full time

    About UnitedHealth Group:UnitedHealth Group is a leading global organization dedicated to enhancing healthcare through innovative technology and services that empower individuals to lead healthier lives.Role Overview:As a Claims Coding Compliance Supervisor, you will play a crucial role in overseeing the daily operations of the claims review team. Your...

  • Staff Services Compliance Analyst

    2 weeks ago

    San Diego, California, United States Department of Industrial Relations Full time

    Job Overview and Responsibilities Are you ready to embark on a fulfilling career with a progressive State Agency? Do you possess the ability to thrive in a dynamic and fast-paced setting? If you value adaptability and continuous learning, this opportunity may be for you. The Department of Industrial Relations is comprised of outstanding professionals who,...

  • Code Compliance Officer II

    2 weeks ago

    San Mateo, California, United States CSG Consultants Inc. Full time

    Job OverviewPOSITION SUMMARYThe Code Compliance Officer II serves as a pivotal role within the Code Compliance Officer series, allowing the individual to enhance their professional knowledge and skills in code enforcement. Under general oversight, the officer engages in a variety of field and administrative tasks associated with the inspection of both new...