5+ years of experience
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Employment Type:
Full time
Job Category:
Health Care Provider
Health Care & Medicine
SMART Auditor
(This job is no longer available)
UCLA Health | Los Angeles, CA
Grad Date

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Job Description

Job Duties
Under the direction of the Director of Medical Coding, the Coding Auditor performs departmental and interdepartmental coding audits to ensure compliance with Federal and State regulations. The Coding Auditor has thorough knowledge of Acute Care facility Federal and State reporting guidelines, CPT/HCPCS coding, UB-04 Revenue coding, modifiers, sequencing rules and the National Correct Coding Initiative (NCCI) edits, AHA Coding Clinic, Official Guidelines for Coding and Reporting for ICD-9-CM, ICD-10-CM, ICD-10-PCS coding conventions, DRG and APC payment classifications and Medicare Conditions of Participation. The Coding Auditor will identify cases coded incorrectly and provide feedback and education to the Coder. Responsible for the timely and accurate transfer of corrected data from quality reviews to hospital computer systems. Responsible for adhering to the Medical Coding Department's coding compliance program. Maintains professional standards following the AHIMA professional code of ethics. Enforces Medical Coding Department policies and procedures

Job Qualifications
Knowledge of State and Federal regulatory requirements governing Coding and Billing. Minimum 5 years in acute care hospital facility inpt/outpt coding, auditing or related work required. Experience working with SMART software product, knowledge of 3M encoder and EPIC software strongly preferred. CCS or equivalent required. RHIT/RHIA preferred. Associate degree or equivalent preferred. Demonstrated ability to work with all internal and external customers in a professional manner. Ability to orient and train new / trainee coders

About UCLA Health

For more than half a century, UCLA Health  has provided the best in healthcare and the latest in medical technology to thepeople of Los Angeles and throughout the world. Today we are one of the most comprehensive and advanced healthcare systems in existence. We are comprised of Ronald Reagan UCLA Medical Center, UCLA Medical Center, Santa Monica, Resnick Neuropsychiatric Hospital at UCLA, Mattel Children’s Hospital UCLA, and the UCLA Medical Group, with offices throughout the region.

Ronald Reagan UCLA Medical Center is consistently ranked by U.S.News & World Report as one of the top five hospitals in the nation and the best medical center in the western United States. The doctors, scientists and caregivers of UCLA are leaders in their fields. Every day, they perform pioneering work across an astounding range of disciplines, from organ transplantation and cardiac surgery to neurosurgery and cancer treatment. Year after year, our people have achieved medical breakthroughs and earned the highest industry honors. And we’re just getting started.

The dedicated professionals of UCLA Health are committed to healing humankind, one patient at a time, by improving health, alleviating suffering, and delivering acts of kindness on a daily basis.