Coding Auditor

Details

Client Name
WelbeHealth - Modesto

Job Type
Local

Offering
Non-Clinical

Profession
Professional

Specialty
IT

Job ID
13826730

Job Title
Coding Auditor

Weekly Pay
$1040.0


Shift Details

Shift
Days 5x8

Scheduled Hours
40


Job Order Details

Start Date
11/27/2023

End Date
02/26/2024

Duration
13 Week(s)


Job Description
Duties and Responsibilities:
-Assist with retrospective and concurrent coding for PACE (Programs of All-Inclusive Care for the Elderly) Dual participants.
-Conducts pre-visit chart preparations and post visit chart reviews.
-Conducts audits and participates in provider education programs to ensure compliance with CMS risk adjustment diagnosis coding guideline.
-Works closely with direct manager in identifying opportunities for HCC coding education.
-Complete all required documentation in a timely and accurate manner.
-Protect privacy and maintain confidentiality of all company procedures and information about team members, participants, and families.

Required Skills & Experience:
-Minimum of four years' experience or a combination of healthcare related education and experience in coding and auditing.
-Minimum of two years' of Risk Adjustment (HCC) coding experience in a managed care environment.
-Strong knowledge of ICD-10 coding standards.
-Experience in correct application of M.E.A.T. concepts.
-Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint).

Required Education:
-Completed High School (Diploma or GED).


Preferred Education:
-Associates Degree preferred; three years' of relevant experience may be substituted in leu of a degree.


Required Certifications & Licensure:
-Active CCS, CCS-P, CPC, CPC-H CPMA or CRC credential.


Client Details

Address
1224 Scenic Dr

City
Modesto

State
CA

Zip Code
95350