Coding Compliance Specialist

For more than 55 years, Family Health Centers of San Diego’s (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons. FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy. Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women’s care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management. The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region. Responsibilities: Accurately and thoroughly documents audit results in a timely manner. Updates coding books and procedure manuals for coding staff. Accurately codes records using ICD, HCPCS/CPT coding rules and guidelines, within the timeframe established by department. Performs audits of coding and billing, and provider documentation, ensuring compliance with department, state, and federal rules and requirements. Reviews and analyzes medical records and abstracted data to determine the accuracy of payment and code assignment. Performs other duties as assigned. Provides regular and prompt feedback to staff, including providers and supervisors on compliance issues. Communicates effectively with providers and clinic staff concerning coding questions and researches issues for resolution. Requirements: Associate's degree in Medical Record Technology, Health Information Management, Healthcare Administration, or closely related field required. At least 2 years of medical coding experience required. CPC Certification required. CPCO Certification (Certified Professional Compliance Officer) or CPMA (Certified Professional Medical Auditor) required. Or equivalent combination of education and experience that provides the skills, knowledge and ability to perform the essential job duties, and which meets any required state or federal certification requirements. RHIA, RHIT, or CCS certifications strongly preferred. Third party billing and reimbursement experience, specifically with Medi-Cal required. Traveling between sites and other locations is occasionally required. Must have a valid California driver’s license, an automobile, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended. An acceptable driving record is also required. California law requires all drivers to obtain a valid California driver’s license within ten days of establishing residency. Reasonable accommodation may be provided on a case-by-case basis. Mileage and other reimbursement governed by policy. Rewards: Job type: Regular Full-time. M-F 8am-5pm. Onsite Location: 100 Broadway Chula Vista, CA 91910 Competitive Salary with Excellent Benefits Retirement Plan with Employer Match Paid Time Off, Extended Sick Leave and Paid Holidays Medical/Dental/Vision/FSA/Life Insurance Employee Discounts and Wellness Programs The successful candidate will have a demonstrated commitment to community medicine and providing culturally competent care to the medically underserved. We are excited to share that the salary range for this position is: $27.00 - $34.59 Information on our extensive benefits package can be found here: FHCSD Wellness – Employee Hub (gobenefits.net) FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training. About Us Founded in 1970, Family Health Centers of San Diego is dedicated to providing caring, affordable, high-quality health care and support services to all people, with a special commitment to the uninsured, low-income and medically underserved. We are the largest community clinic provider of health care to the uninsured in Southern California and one of the top 10 largest community clinic organizations in the country. Anti-Discrimination Statement Family Health Centers of San Diego complies with applicable Federal civil rights laws and does not discriminate, exclude people or treat them differently on the basis of race, color, national origin, religion, physical and mental disability, sex, including pregnancy, childbirth and related medical conditions, age, genetic information, language preference/ability, citizenship status, marital status, sexual orientation and gender identity, AIDS/HIV, medical condition, political activities or affiliations, military or veteran status, or status as a victim of domestic violence, assault, or stalking.

Salary : $100,000