Coding Compliance Specialist

Impact Lives, Impact Community

Family Health Centers of San Diego (FHCSD) is passionate about providing exceptional health care to all, especially underserved communities with limited health care options. Founded by a Latina grandmother/community advocate over 50 years ago in Barrio Logan, FHCSD has grown into one of the largest community health systems in the country. With over 62 sites, over 227,000 patients, and over 417,000 visits last year, we provide a wide variety of health care and outreach services to a very diverse patient population. We are proud of our mission, our lasting community impact, and the cultural and individual diversity of our staff.

Performs audits of coding and billing, ensuring compliance with department, state, and federal rules and requirements. Reviews and analyzes medical records and abstracted data to determine the accuracy of payment and code assignment. May spend a portion of time coding and abstracting clinic medical records, for the purpose of reimbursement, research, and compliance with federal regulations according to diagnosis and procedure(s) using ICD, CPT-4, and HCPCS classification systems. Assists providers and clinic staff with questions and issues regarding coding.

Responsibilities:

• Accurately and thoroughly documents audit results in a timely manner. Updates coding books and procedure manuals for coding staff.

• Accurately codes records using ICD, HCPCS/CPT coding rules and guidelines, within the timeframe established by department.

• Performs audits of coding and billing, and provider documentation, ensuring compliance with department, state, and federal rules and requirements. Reviews and analyzes medical records and abstracted data to determine the accuracy of payment and code assignment.

• Performs other duties as assigned.

• Provides regular and prompt feedback to staff, including providers and supervisors on compliance issues. Communicates effectively with providers and clinic staff concerning coding questions and researches issues for resolution.

Requirements:

• Associate's degree in Medical Record Technology, Health Information Management, Healthcare Administration, or closely related field required.

• At least 2 years of medical coding experience required.

• CPC Certification required.

• CPCO Certification (Certified Professional Compliance Officer) or CPMA (Certified Professional Medical Auditor) required.

• Or equivalent combination of education and experience that provides the skills, knowledge and ability to perform the essential job duties, and which meets any required state or federal certification requirements.

• RHIA, RHIT, or CCS certifications strongly preferred.

• Third party billing and reimbursement experience, specifically with Medi-Cal required.

Rewards:

• Job type: Regular Full-time

• Competitive Salary with Excellent Benefits

• Retirement Plan with Employer Match

• Paid Time Off, Extended Sick Leave and Paid Holidays

• Medical/Dental/Vision/FSA/Life Insurance

• Employee Discounts and Wellness Programs

The successful candidate will have a demonstrated commitment to community medicine and providing culturally competent care to the medically underserved.

In the spirit of pay transparency, we are excited to share the base range for this position, exclusive of fringe benefits or potential bonuses.

23.40 - 33.38

If you are hired at Family Health Centers of San Diego, your final base salary compensation will be determined based on factors such as geographic location, jurisdictional requirements, skills, education, and/or experience. In addition to these factors - we believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is what we reasonably expect to pay for the role. Hiring at the maximum of the range would not be typical in order to allow for future and continued salary growth. We also offer a generous compensation and benefits package (more information on our benefits offerings is available here: FHCSD Wellness - Employee Hub (gobenefits.net)