Coding Compliance Specialist

Family Health Centers of San Diego•San Diego, CA

5d•$27 - $35•Onsite

About The Position

For more than 55 years, Family Health Centers of San Diego’s (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons. FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy. Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women’s care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management. The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region.

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.
Third party billing and reimbursement experience, specifically with Medi-Cal required.
Traveling between sites and other locations is occasionally required.
Must have a valid California driver’s license, an automobile, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended.
An acceptable driving record is also required.
California law requires all drivers to obtain a valid California driver’s license within ten days of establishing residency.
Reasonable accommodation may be provided on a case-by-case basis.
Mileage and other reimbursement governed by policy.

Nice To Haves

RHIA, RHIT, or CCS certifications strongly preferred.

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.