-
IT Internal Auditor
1 week ago
Viasat, Inc. Carlsbad, United StatesAbout us: · One team. Global challenges. Infinite opportunities. At Viasat, we're on a mission to deliver connections with the capacity to change the world. For more than 35 years, Viasat has helped shape how consumers, businesses, governments and militaries around the globe comm ...
-
Accounts Receivable Associate
1 week ago
Cumming Group Murrieta, United StatesOverview: · At Cumming Group, you will work on some of the world's most exciting projects in a dynamic environment where your success is measured by the impact you make. We are one of the fastest-growing project and cost management consultancies in the United States, as reflected ...
-
Internal Auditor
1 week ago
Viasat, Inc. Carlsbad, United StatesAbout us: · One team. Global challenges. Infinite opportunities. At Viasat, we're on a mission to deliver connections with the capacity to change the world. For more than 35 years, Viasat has helped shape how consumers, businesses, governments and militaries around the globe comm ...
-
Overnight Front Desk Supervisor
4 days ago
La Jolla Beach & Tennis Club San Diego, United States**The La Jolla Beach & Tennis Club is currently seeking a highly skilled Banquet Supervisor join our team at our beautiful oceanfront property** · Be a part of the diverse team at La Jolla Beach & Tennis Club, Inc. Our landmark hotels and restaurants have become La Jolla institut ...
-
INTERNAL ONLY
1 week ago
Rincon del Diablo Municipal Water District Escondido, United StatesUnder general supervision, performs a variety of specialized, para-professional accounting work in connection with the preparation, review, and maintenance of financial and statistical records including accounts payable, accounts receivable, and utility billing; verifies, posts, ...
-
Night Auditor
1 week ago
Lakehouse Hotel and Golf Resort San Marcos, United States· The Lakehouse Hotel & Resort/The Links at Lakehouse is looking for eager and motivated professionals to join our team As an employee, you are eligible to receive a wide range of benefits & perks, including: · **Medical and Dental Insurance** · **Company provided Vision and Lif ...
-
Staff Accountant
1 week ago
Sumitomo Electric Interconnect Products Inc San Marcos, United States· Position at Sumitomo Electric Interconnect Products, Inc. · Sumitomo Electric Interconnect Products, Inc., a Sumitomo Electric Group company, is looking for a Staff Accountant in San Marcos (North San Diego Area). This person will provide a multitude of services such as perfo ...
-
Staff Accountant
2 weeks ago
Sumitomo Electric Interconnect Products, Inc. San Marcos, United StatesJob Description · Job DescriptionSumitomo Electric Interconnect Products, Inc., a Sumitomo Electric Group company, is looking for a Staff Accountant in San Marcos (North San Diego Area). This person will provide a multitude of services such as performing a variety of complex book ...
-
Accounts Payable
1 week ago
Marquee Staffing - CB San Marcos, United StatesJob Description · Job DescriptionLocal manufacturer in San Marcos is seeking an Accounts Payable person to assist temporarily. · Compensation: $30-40/hr · Position: Contract/ Temporary · Location: San Marcos, 100% onsite · You will be responsible for providing financial, adminis ...
-
Revenue Integrity Manager
1 week ago
Advanced Diabetes Supply Rancho La Costa, United States: About Our Company · Advanced Diabetes Supply was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advanced Diabetes Supply to ...
-
Pricing/Cost Estimator IV
1 day ago
General Atomics Poway, United StatesJob Summary · General Atomics Aeronautical Systems, Inc. (GA-ASI), an affiliate of General Atomics, is a world leader in proven, reliable remotely piloted aircraft and tactical reconnaissance radars, as well as advanced high-resolution surveillance systems. · DUTIES AND RESPONSIB ...
-
Lead Coder Specialist
1 week ago
CEDARS-SINAI San Diego, United StatesJob Description · Align yourself with an organization that has a reputation for excellence Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the ...
-
IT Internal Auditor
15 hours ago
ViaSat Carlsbad, United StatesAbout usOne team. Global challenges. Infinite opportunities. At Viasat, we're on a mission to deliver connections with the capacity to change the world. For more than 35 years, Viasat has helped shape how consumers, businesses, governments and militaries around the globe communic ...
-
IT Internal Auditor
20 hours ago
ViaSat Carlsbad, United StatesAbout us: · One team. Global challenges. Infinite opportunities. At Viasat, were on a mission to deliver connections with the capacity to change the world. For more than 35 years, Viasat has helped shape how consumers, businesses, governments and militaries around the globe comm ...
-
Senior Accountant
1 week ago
Arrow Search Partners San Diego, United StatesAbout The Company · Our client is a growing fertility company with fertility centers across the US. The Senior Accountant will be responsible for preparing and analyzing monthly financial results for multiple IVF entities reporting internally to management and physicians, and ex ...
-
Cost Accountant
1 week ago
Nextivity San Diego, United StatesSummary · As a Cost Accountant at Nextivity Inc., you will be an integral part of the Company's growth and ensuring appropriate accounting. You will be responsible for a variety of ad hoc projects and recurring monthly tasks for the Cost Accounting team. The ideal candidate will ...
-
Internal Auditor
20 hours ago
ViaSat Carlsbad, United StatesAbout usOne team. Global challenges. Infinite opportunities. At Viasat, we're on a mission to deliver connections with the capacity to change the world. For more than 35 years, Viasat has helped shape how consumers, businesses, governments and militaries around the globe communic ...
-
Director Revenue Accounting
1 week ago
ClickUp Project Management San Diego, United StatesClickup is looking for a Revenue Accounting Director to help us build and scale our revenue and billing functions. Reporting to the Controller, this newly created role will have responsibilities that span across our global revenue function. Clickup is looking for an accounting le ...
-
investigative auditor iv
1 week ago
State of California San Diego County, United StatesJob Posting: Investigative Auditor IV Specialist · Department of Justice · JC Investigative Auditor IV Specialist · INVESTIGATIVE AUDITOR IV (SPECIALIST), DEPARTMENT OF JUSTICE $6, $8,617.00 per Month · Final Filing Date: 5/21/2024 · Job Description and Duties · Are you in ...
-
Revenue Integrity Manager
1 week ago
Advanced Diabetes Supply Carlsbad, United StatesJob Description · Job DescriptionDescription:About Our Company · Advanced Diabetes Supply was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, ...
Compliance Billing Auditor - Escondido, United States - Borrego Health
Description
As aCompliance Billing Auditor
you will work remotely to determine the accuracy of outpatient claims post submission.
You will perform comprehensive billing audits which cover all the areas of the medical billing life cycle starting from insurance verification processes, ICD and CPT Coding, claim submission process, payment posting process, follow up processes and denial management processes.
Using a thorough knowledge of coding and billing policies and procedures as well as medical terminology and technology, you will be responsible for providing documentation feedback to physicians.
The key challenge of this role centers on your ability to work quickly, accurately and independently. You'll be challenged with daily production goals while working in conjunction with the broader compliance audit team.In this role you will also be a key billing resource and provide subject matter expertise and guidance to broader compliance audit team, billing department and physicians.
This is a hybrid, position that requires candidates to be highly organized, self-starters, well-versed in technical applications. Previous success in a remote environment is preferred. This position is full-time (40 hours/week)Monday - Friday. Employees are required to work our normal business hours of 8:00 AM - 5:00 PM. It may be necessary, given the business need, to work occasional overtime and weekends . Occasional travel within Southern California required.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Conduct compliance coding reviews of medical records and supporting documentation against submitted claims, to determine coding and billing accuracy for medical, dental, mental health services, including telehealth and telemedicine services.
Research and interpret FQHC and Medi-Cal specific coding and billing guidelines and internal policies and procedures to verify claims billing accuracy.
Observe and report opportunities for documentation improvement.Identify documentation trends and topics for education/feedback.
Other duties as assigned.
COMPENSATION:
SALARY:
$44, $63,859.08
QUALIFICATIONS:
MinimumQualifications:
One (1) to three (3) years of experience in medical billing and/or coding in an outpatient and ambulatory care settings.
Demonstrated knowledge of CPT, ICD-10and applicable billing terminology.
Background in medical billing, coding or auditing of insurance claims and medical records
Demonstrated understanding of payer rules and regulations, including Medicare and Medicaid.
Demonstrated knowledge of clinical compliance, best practices, medical record review, legal aspects of documentation, etc.
Previous FQHC experience with 340B, Grants and Clinical operations and Federal and State regulations preferred.
Special Conditions of Employment:
Ability to acquire a Medical Coding Certification from AHIMA and/or AAPC (CCS, RHIA, RHIT, CIC, ROCC, CPC, COC, CPC-P, CRC, CPMA, CPDS) to be maintained annually.
Knowledge, Skills and Abilities:
Excellent oral and written communication skills.
Effective interpersonal skills.
Computer proficiency, including programs such as MS Office, Word, Excel, email, and internet research, required.
Must possess ability to navigate clinical information systems for accessing health information in an electronic environment
MustpossesstheabilitytoeducateandtrainComplianceandClinicalstandardstostaffmembers
Must be able to travel as needed.
Ability to effectively elicit/provide information to and from appropriate individuals(including, but not limited to, supervisors, co-workers, patients)via strong communication skills.
Physical and Mental Requirements:
Able to lift/move up to 40 pounds, move from place to place, and stand for long periods of time
Ability to do math, organize and prioritize workload, work effectively and efficiently under stress
Ability to supervise, multi task, understand and follow instructions
Ability to proficiently read, write, speak and understand English
CUSTOMERSERVICE:
Actively supports, promotes, and works to fulfill the Mission, Vision and Core Values of Borrego Health.
Provides excellent internal and external customer service.
Demonstrates Borrego Health's Standards of
Customer Service Behavior:
Compassion, Attitude, Communication, Appearance, Sense of Ownership, and Teamwork.
Participates in on-going customer service trainings.
In every action, seeks to promote Borrego Health as a top service organization.
SAFETY:
Ensures compliance with policies and procedures related to safe work practices.
Uses all appropriate equipment and/or tools to ensure work place safety.
Immediately reports unsafe working conditions.
PRIVACY/COMPLIANCE:
Maintains privacy and security of all patient, employee, and volunteer information and access to such information. Such information is accessed on a need to know basis for business purposes only.
Complies with all regulations regarding corporate integrity and security obligations. Reports unethical, fraudulent or unlawful behavior or activity.
Upholds strict ethical standards
Promotes standards of professional and ethical conduct.
Flexibility:
Available for all shifts and, when required, able to work evenings and weekends.
#J-18808-Ljbffr
