DaVita Coding Specialist II in El Segundo, California

OVERVIEW OF POSITION:

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:

  • 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.

  • 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.