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For your reference, we have included the original job posting below.
Medical Documentation Auditor
Job Number:
39848604
Company Name:
The Coding Source
Job Location:
Oakland, CA US
Job Category:
Healthcare & Medical
Medical Documentation Auditor
Medical Documentation Auditor Location: CA-Oakland Req #: 725 # of openings: 5
Description
Altegra Health leads the U.S. healthcare industry with business & technology solutions that improve health plan performance by aligning member health status, benefits & accurate reimbursement in the following areas:
Risk Adjustment Reimbursement & Advisory Services
Eligibility & Enrollment Quality Performance
In an age where attention to detail counts--providers, health plans & healthcare facilities trust our 1,100+ employees for comprehensive solutions that add value to their bottom line.
Medical Documentation Auditor (MDA)
Education: BS (Business Administration, Health Care, Public Health, Finance, Business Medical Records Technology) or equivalent experience. Certification: Certification in one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H). Other DutiesThree or more years CPT, ICD9 and E&M Coding Experience. Proficient in the use of CPT, ICD9 and HCPCS coding principles. Comprehensive knowledge of medical diagnostic and procedural terminology is required. Demonstrated experience conducting Medical Record audits and ability to interpret and apply Federal and State regulations, coding and billing requirements. Demonstrated ability to constructively and sensitively provide feedback to providers and medical center leadership regarding federal and state coding, medical documentation and compliance guideline, audit results and risk areas. Ability to work with and maintain confidentiality of physician, patient, patient account and personnel data. Strong interpersonal and excellent written, verbal and presentation skills. Demonstrated ability to work independently with minimal supervision. Ability to prioritize workload and meet deadlines. Ability to read and interpret medical data. Demonstrated ability to work within a team environment, willingness to be flexible depending upon department and/or physician schedule needs. Demonstrated ability to review analytical data and audit findings to identify coding trends and other risk areas. Demonstrated ability to develop data requirements and work with analytical groups to extract, organize and analyze coded data. Must be able to work in a Labor/Management Partnership environment. Occasional travel to other client Northern California Facilities may be required based upon operational needs. Preferred Qualifications/Experience:preferred but not required based on standard job description): Experience using PC applications such as MS Word, Excel, Access, and PowerPoint. Experience using Epic electronic health records systems preferred. Experience using Web based applications preferred. Medical center operations or clinical experience. Skills Testing:ICD9, CPT and E&M Coding skills assessment will be given to all applicants.
