DaVita Coder/Auditor II in ST. PETERSBURG, Florida

Coder/Auditor II

Description

DaVita Medical Groupmanages and operates medical groups and affiliated physician networks inCalifornia, Nevada, New Mexico, Florida, Colorado and Washington in its pursuitto deliver excellent-quality health care in a dignified and compassionatemanner. As of June 30, 2016 DaVita Medical Group (formerly HealthCare Partners)provided integrated care management for approximately 760,000 patients. DaVitaMedical Group’s leadership development initiatives and social responsibilityefforts have been recognized by Fortune, Modern Healthcare, Newsweek andWorldBlu.

We are committed tobringing the benefits of coordinated care to our patients and to taking aleading role in the transformation of the national healthcare delivery systemto assure quality, access, and affordable care for all.

If you're looking tomake a difference with a large, financially stable, well-recognized medicalgroup, DaVita Medical Group may be the employer for you.

We are seeking a Coder-Auditor II to join our talentedteam!

Overview:

Demonstrates proficiency in allaspects of outpatient coding. Complies with all aspects of Coding and CorporateCompliance standards. Abides by all ethical standards and adheres to officialcoding guidelines. Performs other duties as assigned.

Essential Functions:

  • Conducts physician chart audits toidentify incorrect coding, prepares reports of findings and any complianceissues.

  • Interacts with physicians and centeradministrators regarding billing and documentation policies, procedures, andconflicting/ambiguous or non-specific documentation.

  • Provides second-level review ofbilling performances to ensure compliance with legal and procedural policies toensure adherence to regulations prohibiting unbundling and other questionablepractices. Report coding patterns identified within the audit process to theSupervisor, and identify corrective measures to compliance problems.

  • Responsible for maintaining currentknowledge of coding guidelines and relevant federal regulations through the useof current CPT-4, HCPCS II, and ICD-9 materials, the Federal Register, andother pertinent materials.

  • Enhances professional growth anddevelopment through in-service meetings, educational programs, conferences,etc. Maintains strictest confidentiality.

  • Assists in the preparation oftraining materials.

  • Performs related work and projectsas required.

Qualifications

Education:

  • CPC CCS-P, or CPMA certificationrequired.

  • High School diploma orequivalent Experience:

  • Must have2-3 years of coding experience in a Primary Care environment.

Knowledge, Skills, and Abilities:

  • Excellent understanding of medicalterminology, disease process and anatomy and physiology.

  • Strong understanding ofICD-9-CM coding classification.

  • Excellent understanding of CPTcoding within a Primary Care environment.

  • Knowledge of Risk Adjustment andHierarchical Condition Categories (HCC) and Medicare Advantage reimbursement aplus.

  • Strong Computer skills (i.e. MSOffice).

  • Good organizational skills andability to meet designated deadlines and productivity standards

  • Ability to work well with all levelsof staff in a courteous, professional manner.

  • Strong interpersonal andcommunication skills.

  • Valid driver’s license

  • Ability to travel to variousclinics within Florida.

  • Bilingual aplus (English/Spanish)

Primary Location FL-ST. PETERSBURG - 33702

Req ID: 300012