Health Care Consulting - Coding Auditor
Company: Moss Adams LLP
Location: Santa Rosa
Posted on: June 25, 2022
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Job Description:
**Health Care Consulting - Coding Auditor****Description**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.****Primary Location**
Dallas, TX**Other Locations** 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**Employee Status:** Regular**Schedule:** Full Time**Req ID:**
22713
Keywords: Moss Adams LLP, Santa Rosa , Health Care Consulting - Coding Auditor, Healthcare , Santa Rosa, California
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