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Providence Health & Services Senior Coding Compliance Auditor Educator - Santa Monica in Santa Monica, California


Providence is calling a Sr. Coding Compliance Auditor/Educator (Full Time/Day Shift ) at our Providence Saint John's Medical Foundation location in Santa Monica, CA.

In this position you will:

  • Be responsiblefor auditing and training providers and/or coders on the completeness of medical record documentation and coding accuracy.

  • Document and Code audits include; preparing audits, documentation review, researchingregulations, assigning codes, preparing audit result reports, and training onthe audit results.

  • Work with clinics, other departments and coding vendors to help resolve issues surrounding billing and compliance.

  • Assist in the QA process of auditors.

  • Consideration for working remote.


Required qualifications for this position include:

  • Minimum 7 years coding and billing experience: CPT, ICD, HCPC's, modifiers

  • Minimum 3 years: Audit skills and in depth knowledge and ability to conduct comprehensive review of patient records for appropriate medical records documentation of CPT/ICD coding and application of federal regulations, coding, and billing guidelines.

  • Minimum 2 years: Educating providers in both individual and group settings.

  • Minimum 1 year: Proven track record implementing new programs and functionalities

  • Professional coding certification through AHIMA or AAPC (CPC or CCS-P) required.

Preferred qualifications for this position include:

  • 4 year degree or equivalent experience; preferred

  • RHIA is a plus but not mandatory.

About the location you will serve:

Providence Health & Services is further developing its

physician integration strategy. As part of this growth, Providence Saint John’s

Medical Foundation came into flourishing. Saint John’s Medical Foundation is an

integrated, not-for-profit network of medical clinics and affiliated services,

servicing the greater Santa Monica and Los Angeles area. The Foundation is

expected to continue to grow in the next several years, bringing with it

facilities, staff and physician growth to support that objective.

We offer a full comprehensive range of benefits - see our website for details

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Administrative (Clinical)

Location: California-Santa Monica

Req ID: 220092