Medical Coding Auditor
HealthCare Support is actively seeking a
Medical Coding Auditor to fill an opening with a non-profit health plan that provides Medicare and Medi-Cal healthcare services to over 1.5 million members in
Rancho Cucamonga, California.
Daily Responsibilities for the Medical Coding Auditor:
- Performs reviews of medical records and healthcare claims to substantiate or refute the accuracy and compliance with federal and state regulations and contractual requirements of codes billed to identify coding errors and billing discrepancies in relation to incidents of suspected healthcare fraud, waste, and abuse (FWA) reported to IEHP’s Compliance Special Investigations Unit (SIU).
- You will review provider, home health, hospital, pharmacy cases and anything that has been flagged as potential fraud and / or abuse
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Shift: Monday - Friday, 8:30 a.m. - 5:00 p.m.
- Hybrid schedule
Required Qualifications for the Medical Coding Auditor:
- Must have 2 years of experience performing medical reviews of medical records and claims in a healthcare setting
- Must have a bachelor’s degree in medical Billing/Medical Coding, Nursing, Healthcare Administration, or related field from an accredited institution
- In lieu of the degree, a minimum of 4 years of additional relevant work experience is required for this position.
- Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist (CCS) required
- Microsoft Office programs including, but not limited to, Word, Excel, PowerPoint, Outlook, and Access
- Must have a valid California Driver's License
Preferred Qualifications for the Medical Coding Auditor:
- Master’s degree from an accredited institution preferred
Benefits for the Medical Coding Auditor:
- CalPERS retirement
- 457(b) option with a contribution match
- Generous paid time off- vacation, holidays, sick
- State of the art fitness center on-site
- Medical Insurance with Dental and Vision
- Paid life insurance for employees with additional options
- Short-term, and long-term disability options
- Pet care insurance
- Flexible Spending Account – Health Care/Childcare
- Wellness programs that promote a healthy work-life balance
- Career advancement opportunities and professional development
- Competitive salary with annual merit increase
- Team bonus opportunities
Pay Details:
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$71,572.80 – $93,038.40 per year
- Annual HEDIS Incentive: Up to 10%
- They offer annual merit increases up to 5% based upon their individual performance
Interested in being considered?
If you are interested in applying to this position, please click Apply Now
For immediate consideration or if you’d like to stand out, email a copy of your resume to
[email protected]
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
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