Coding Specialist 2

DaVita Medical Group - Commerce, CA

Full-time
OVERVIEW:
Responsible for facilitating individualized coding education sessions and audit debriefings for clinicians. Participates in the implementation of the organization’s Coding Proficiency program. Performs medical chart audits. Interfaces and disseminates audit results to clinicians and management.

ESSENTIAL FUNCTIONS:
Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners’ (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
Performs medical chart audits meeting minimum productivity standards and ensures proper chart documentation.
Proactively disseminates coding updates to the clinicians.
Performs pre-audit and documentation with clinician follow up.
Works with clinician departments to review and explain medical chart audit results.
Submits and follows up on query forms to clinicians based on “inferred” chart audit data.
Abstracts and codes all ambulatory surgery center charges.
Maintains an electronic database of all medical chart audit results performed.
Provides updates and status reports to management on a weekly basis.
Submits weekly audit totals to management.
Stays abreast of industry coding and compliance issues.
Participates in coding / auditing discussions to ensure best practice efforts and processes are implemented ensuring maximum reimbursement through appropriate coding.
Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Performs additional duties as assigned.

EDUCATION:
One or two years of post-high school education or a degree from a two-year college.
Coding certification through AAPC or AHIMA required.

EXPERIENCE:
Minimum:
Over 5 years and up to and including 7 years of experience of ICD10, CPT and HCPCS coding experience.
1 year Coding Training experience.

Preferred:
5 years Medical Billing experience.
IDX BAR experience.
Allscripts / Enterprise experience.
Clinical experience.

KNOWLEDGE, SKILLS, ABILITIES:
Computer literate with medical billing software.
Proficient in Word, Excel, PowerPoint, Multi-media projector.
Knowledge of CMS coding guidelines.
Excellent verbal and written communication skills in the English language.
Must be able to work independently to carry out work efforts.
Bilingual / Spanish preferred.
What's the first thing that happens when one of the leading independent medical groups in the country comes together with a global leader in health care? Opportunity. With DaVita Medical Group, HealthCare Partners, The Everett Clinic, Northwest Physicians Network, MountainView Medical Group and Magan Medical Clinic joining OptumCare and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. We're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting opportunity to do your life's best work.(SM)

Careers with OptumCare. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. OptumCare, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Here you’ll find incredible ideas in one incredible company and a singular opportunity to do your life's best work.(SM)

Diversity creates a healthier atmosphere: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.