Job Description / Responsibility
Health Care Consulting - Coding Auditor (
:Napa, CA, Pasadena, CA, Woodland Hills, CA, San Diego, CA, Bellingham, WA, Walnut Creek, CA, El Segundo, CA, San Francisco, CA, Issaquah, WA, Everett, WA, Phoenix, AZ, Tri-Cities, WA, Seattle, WA, Santa Rosa, CA, Albuquerque, NM, Salinas, CA, Overland Park, KS, Salt Lake City, UT (Remote), Spokane, WA, Irvine, CA, Eugene, OR, Plano, TX, Tacoma, WA, Wenatchee, WA, Medford, OR, Yakima, WA, Stockton, CA, Silicon Valley, CA, Sacramento, CA, Portland, OR, Fresno, CA, Houston, TX
Moss Adams brings more West to business. More than a location, it's a way of doing business in which innovation thrives and optimism abounds. At Moss Adams, we're excited by the greatness of possibility and the extraordinary potential for companies and individuals to prosper. We provide the world's most innovative companies with specialized accounting, consulting, and wealth management services to help them embrace emerging opportunity.
Introduction to the Team
We are currently seeking a Health Care Consulting Group Staff Consultant. Our Health Care Consulting Group offers a variety of regulatory compliance, revenue integrity, internal audit, financial and operational services to support all type of entities including hospitals, hospital systems, behavioral health, long-term care, SNF, and specialty medical groups. We are seeking an experienced coding and revenue integrity professional to provide our clients inpatient, outpatient and professional coding validation services. This may include guidance related to regulations, investigations, monitoring, auditing, and technical support to ensure compliance with federal and state guidelines.
Individuals who thrive at Moss Adams exhibit the following success skills - Collaboration, Critical Thinking, Emotional Intelligence, Executive Presence, Growth Mindset, Intellectual Curiosity, and Results Focus.
Responsibilities Provide assistance on projects related to planning and completion of detailed coding and compliance audits or investigations in accordance with federal and state guidelines. Act as a specialist related to inpatient, outpatient, and professional coding, including auditing techniques, revenue cycle and coding methodologies. Demonstrate and share knowledge of medical terminology, International Classification of Diseases (ICD) and Current Procedural Terminology (CPT). Perform on- and off-site coding validation reviews for coding quality, accuracy, and compliance with established guidelines. Research and finds answers to billing and coding issues with referenced regulatory guidance. Provide or assist with coding methodologies, guidance and technical leadership for internal use. Ability to use analytic skills to assist in the identification of outliers, risks or gaps in controls and data. Demonstrate the ability to interview in order to solicit project workflow, policy and procedure understanding and controls Must display a high degree of professionalism and leadership as well as possess proficient, organizational, analytical, critical thinking and project management skills. Strong ability to meet client deadlines, provide excellent client service and maintain strong client relationships. Ability to demonstrate written communications such as client correspondence, memoranda, reports on audit findings, presentation of recommendations, quality of project deliverables, and working papers that document procedures performed, and conclusions drawn. Ability to establish or interpret project objectives and scope, development and compliance with project budgets and timelines, coordinating with engagement team members and facilitating effective communication and coordination with client management. Demonstrate adherence to internal group and professional standards and willingness to provide input into the enhancement of audit/monitoring methodologies, work flows and tools. Ability to work in a remote team environment. Ability to work on multiple IT platforms, including billing systems, encoders, electronic health systems. Strong ability to manage multiple clients and keep projects moving forward, and manage various deadlines.
Qualifications High School Diploma/GED, required Bachelor's degree, preferred RHIA or RHIT certification, preferred Additional certification of CCS, CPC, CCS-P and/or CCS-H preferred, or ability to obtain within one year Minimum of two years of experience - experienced coding knowledge including areas such as MS-DRG, APC, etc. Knowledge of rules and regulations related to clinical service coding and billing including Medicare, Medicaid, and commercial payers Thorough knowledge of ICD-10-CM and CPT/HCPCS coding classification systems Willingness to enhance skills and expertise specific to the health care industry Health care coding validation consulting/auditing skills Strong interpersonal and presentation skills required for educational programs and client interaction Intermediate knowledge and experience with MS Office Suite (Excel, Word, Power Point) Strong analytical and writing skills required for report development Willingness and ability to travel up to 30%
Moss Adams is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity or any other characteristic protected by law.
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