HCC Auditor

Job Title: HCC Auditor

Job Summary:

The Regal Medical Group is seeking a skilled HCC Auditor to join our team. As an HCC Auditor, you will be responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position requires strong technical expertise in ICD-9-CM or ICD-10-CM and knowledge in HCC Coding documentation guidelines.

Key Responsibilities:

• Code review super bills and patient medical records for proper use of diagnosis and procedure codes.
• Interface effectively with physicians and office staff on coding issues.
• Research coding questions as needed.
• Perform both provider office audits and on-line audits via reviewing patient medical records.
• Provide education to provider and staff on office audit findings.
• Consistently meet productivity and quality standards as outlined by supervisor.

Requirements:

• Requires knowledge in HCC Coding documentation guidelines.
• Requires technical expertise in ICD-9-CM or ICD-10-CM.
• Strong skills in medical record audit and review.
• Regulatory requirements for coded data.
• Medical record documentation requirements.
• Understanding of healthcare data systems.
• Proficiency in MS Outlook and Word.
• Strong proficiency with Excel.

Benefits:

The Regal Medical Group offers a comprehensive benefits package, including employer-paid comprehensive medical, pharmacy, and dental for employees, vision insurance, zero co-payments for employed physician office visits, flexible spending account, employer-paid life insurance, employee assistance program, behavioral health services, 401k retirement savings plan, income protection insurance, vacation time, company celebrations, employee assistance program, employee referral bonus, tuition reimbursement, license renewal CEU cost reimbursement program, business-casual working environment, sick days, paid holidays, and mileage.

How to Apply:

Please submit your application to Regal Medical Group. We are an equal opportunity employer and welcome qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.