Coding Auditor

Job Description

About the Role

Title: Coding Auditor

Location: Los Angeles, CA, USA

Job Description:

(Remote, CA residents only)

WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission.

At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance.

Essential Job Duties:

Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants

Conduct pre-visit chart preparations and post-visit chart reviews

Oversee audits and participate in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines

Work closely with Coding Supervisor in identifying opportunities for HCC coding education

Job Requirements:

Associates Degree preferred; three (3) years of relevant experience may be substituted in lieu of a degree

Minimum of four (4) years of related experience or a combination of healthcare-related education and experience in coding and auditing

Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment

Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential

Strong knowledge of ICD-10 coding standards

Experience in the correct application of M.E.A.T. concepts

Comfortable in Microsoft Office (Outlook, Word, Excel, and PowerPoint)

Benefits of Working at WelbeHealth Apply your coding expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.

Medical insurance coverage (Medical, Dental, Vision)

Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and sick time

401 K savings + match

Advancement opportunities – we’ve got a track record of hiring and promoting from within, meaning you can create your own path!

Salary/Wage base range for this role is $67,829.78 – $81,395.73 annually + Bonus + Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications.

Compensation

$67,829.78 – $81,395.73 USD