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Professional Coding Auditor

2 months ago

Mountain View, California, United States El Camino Hospital Full time
Job Summary

We are seeking a skilled Professional Coding Auditor to join our team at El Camino Health. As a key member of our Revenue Cycle team, you will play a critical role in ensuring the accuracy and compliance of our coding practices.

Key Responsibilities
  • Conduct thorough reviews of professional and clinic-based claims to ensure compliance with Official Coding Guidelines and American Medical Association CPT/HCPCS procedural coding conventions.
  • Collaborate with providers to educate them on coding best practices and ensure documentation meets reporting requirements.
  • Work closely with Revenue Cycle teams to review claim denials and provide follow-up support to providers.
  • Develop and deliver educational topics to physicians and clinical allied health providers on claim denials, trends, and external auditing outcomes.
  • Coordinate audits, provider follow-up meetings, and support coding education questions and reviews.
Requirements
  • Completion of college-level coursework in ICD-10-CM and CPT coding, anatomy, and physiology.
  • Minimum of three years' experience in auditing claim denial reviews for provider-based charges and billing.
  • Experience with provider training and background, preferred.
  • Technical aptitude for resolving basic PC hardware and software application problems.
  • Strong communication skills and technical knowledge.
  • Proficient in Excel, Word, and Outlook.
  • Demonstrated ability to work productively, accurately, and independently.
  • Comprehensive analytical and problem-solving skills.
  • AAPC Certified Professional Coder (CPC) required.
What We Offer

El Camino Health is committed to providing a supportive and inclusive work environment. We offer competitive compensation and benefits, as well as opportunities for professional growth and development.

Salary Range: $75.54 USD Hourly

El Camino Health is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is free from discrimination and harassment.