Job description

** This role is 100% on site in Northridge**

We are looking for HCC Risk Adjustment Auditors / Coders to join our team!

The HCC Risk Auditor/Coder is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical record and HCC database. The HCC Risk Adjustment/Auditor reports on the accuracy and consistency of the data in accordance with accepted and established standards. Risk Adjustment Auditors collaborate with the Manager in providing expertise in the use and application of coding classifications such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation to ensure compliance in the collection of outpatient diagnoses and services.

Must have these requirements under the umbrella of the HCC industry: Requires knowledge in HCC Coding documentation guidelines.

• Requires technical expertise in ICD-9-CM or ICD-10-CM.
• Strong skills in medical record audit and review.
• Regulatory requirements for coded data.
• Medical record documentation requirements.
• Understanding of healthcare data systems.
• Proficiency in MS Outlook and Word.
• Strong proficiency with Excel--must have ability to prepare spreadsheets.
• Excellent written and verbal communication skills.
• Certification is a plus with HCC.
• AHA coding clinic is a plus.
• Certification required in CPC and/or CCS, and CRC is a plus.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

• Employer-paid comprehensive medical, pharmacy, and dental for employees
• Vision insurance
• Zero co-payments for employed physician office visits
• Flexible Spending Account (FSA)
• Employer-Paid Life Insurance
• Employee Assistance Program (EAP)

Savings and Retirement:

• 401k Retirement Savings Plan
• Income Protection Insurance

Other Benefits:

• Paid Time Off (PTO)
• Company celebrations
• Employee Assistance Program
• Employee Referral Bonus
• Business-casual working environment
• Sick days
• Paid holidays
• Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
Temporarily working from home to due COVID-19

Ability to commute/relocate:

• Northridge, CA 91325: Reliably commute or planning to relocate before starting work (Required)

Experience:

• HCC: 2 years (Preferred)

License/Certification:

• Certified Coding Specialist Certificate (Required)
• Risk Adjustment Coding (Preferred)

Work Location: One location

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