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Urgent! Coding Compliance Manager (DDQ) Job Opening In Metairie – Now Hiring SHSO-Sutter Health System Office-Valley
Position Overview:
Leads program development, compliance integration, documentation, and data quality, implementation, and guidance for the Sutter Health system.Job Description :
The person hired for this role must live in the Northern California Sutter Health Footprint and come on site for meetings, trainings, etc.
EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.
Bachelor's: Business Administration, Healthcare (RHIT) or related field
CERTIFICATION & LICENSURE:
CCS-Certified Coding Specialist
OR CPC-Certified Professional Coder
OR CRC-Certified Risk Adjustment Coder
OR CCDS-Certified Clinical Documentation Specialist
OR CIC-Certified Inpatient Coder
TYPICAL EXPERIENCE:
10 years recent relevant experience
SKILLS AND KNOWLEDGE:
• The position requires excellent critical thinking skills and knowledge of MS DRGs, APR DRGs, APCs, Official Coding Guidelines, and a broad-based and thorough understanding of ICD-10 CM, PCS coding and CPT/HCPCS systems.
Ability to adapt to changes in the workload and work functions, to work independently and to effectively prioritize work assignments.
• Demonstrated understanding of data interpretation and applicability, risk assessment and control
environments, and of the professional practice standards of coding.
• Current knowledge of coding methodologies such as ICD.9, ICD.10, HCPCs, CPT, discharge data sets
reporting for OSHPD, POA reporting, MS-DRG, NCD/LCD.
• Working knowledge of management of an effective ethics and compliance program, including auditing,
training, monitoring, conducting and documenting investigations, addressing violations and monitoring
corrective actions.
• Familiarity with healthcare compliance requirements is essential, including a working knowledge of federal
and state reimbursement program requirements (e.g., Medicare and Medi-Cal) and federal and state fraud
and abuse, anti-kickback, and physician self-referral laws.
• Well versed in current healthcare compliance issues, OIG enforcement activities, and other applicable
regulations such as HIPAA, licensure requirements, and quality standards.
• Understanding of healthcare operations, revenue cycle, billing, coding, and healthcare it environments.
• Written and verbal communication skills, including ability to present regulatory requirements, directives,
ideas and concepts effectively to a diverse audience.
Job Shift :
DaysSchedule :
Full TimeShift Hours:
8Days of the Week:
Friday, Monday, Thursday, Tuesday, WednesdayWeekend Requirements:
NoneBenefits:
YesUnions:
NoThis position is work from home eligible.
Position Status:
ExemptWeekly Hours:
40Employee Status:
RegularNumber of Openings:
1Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $62.95 to $94.42 / hour The salary range for this role may vary above or below the posted range as determined by location.
This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled.
Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs.
Base pay is just one piece of the total rewards program offered by Sutter Health.
Eligible roles also qualify for a comprehensive benefits package.
Qualified applicants with arrest and conviction records will be considered for employment.
Applicants for specific positions are still required to disclose certain convictions during the application process, and those convictions may also be considered in determining eligibility for employment in accordance with applicable law.
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Unlock Your Coding Compliance Potential: Insight & Career Growth Guide
Real-time Coding Compliance Jobs Trends in Metairie, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Coding Compliance in Metairie, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 12048 jobs in United States and 3 jobs in Metairie. This comprehensive analysis highlights market share and opportunities for professionals in Coding Compliance roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! SHSO-Sutter Health System Office-Valley is currently hiring and seeking a Coding Compliance Manager (DDQ) to join their team. Feel free to download the job details.
Wait no longer! Are you also interested in exploring similar jobs? Search now: Coding Compliance Manager (DDQ) Jobs Metairie.
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