Riverside County, CA
Healthcare Coding Compliance Auditor - RUHS MC
Riverside County, CA, Riverside, California, United States, 92504
Healthcare Coding Compliance Auditor – RUHS Medical Center
Riverside University Health System (RUHS) is seeking a skilled Coding Compliance Auditor (Administrative Services Manager I) to support the Compliance Department. Salary: $101,536.34 – $139,533.58 annually. Location: Riverside, CA.
Key Responsibilities
Conduct thorough reviews of medical records for compliance with coding regulations
Provide feedback and education to coders and physicians to improve coding accuracy and documentation
Perform annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested
Communicate effectively with all RAC stakeholders, ensuring timely and accurate responses to inquiries
Support ongoing program development through training initiatives and process improvements
Deliver coding presentations to diverse audiences, including physicians
May supervise departmental staff as needed
Qualifications
Minimum of five (5) years’ experience coding inpatient and/or outpatient hospital records using ICD-10, CPT, HCPCS, and other third‑party payor codes
At least two (2) years of lead or supervisory experience
Certified Professional Medical Auditor (CPMA) certification preferred
Strong organizational and communication skills, comfortable interacting with physicians and stakeholders
Minimum Qualifications
Education:
Bachelor’s degree in accounting, business, public administration, information services, finance, or a closely related field. Additional experience may substitute as allowed.
Experience:
Three years in an administrative or staff capacity, including at least two years supervising professional and technical staff in program evaluation, budgeting, or operational studies.
Certifications (required):
Certified Coding Specialist (CCS)
Certified Professional Coder (CPC)
Registered Health Information Technician/Administrator (RHIT/RHIA)
Certified Document Integrity Practitioner (CDIP)
Certified Professional Medical Auditor (CPMA)
Work Schedule & Location
Schedule: 9/80 work schedule
Location: 7898 Mission Grove Parkway, Riverside, CA
Why RUHS Medical Center? RUHS Medical Center is nationally recognized for innovative, progressive care and is a top employer in the region. The 439‑bed medical center is a designated Stroke Center, Level I Trauma Center, and hosts the only pediatric ICU in the area.
Contact & Application Information For more information, visit the RUHS website. For questions about this recruitment, please contact Angela Levinson at 951‑955‑5562.
Equal Opportunity Employer The County of Riverside is an Equal Opportunity Employer. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, ancestry, or any other non‑job‑related factor.
Veteran’s Preference Applicants who are Veterans may submit required documentation to receive preference. For details, see the County’s Veterans Preference Policy.
Reasonable Accommodations The County of Riverside commits to providing reasonable accommodation as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Contact the recruiter for assistance.
Work Authorization Requirement Applicants must be legally authorized to work in the United States. The County does not sponsor employment‑based visas.
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Key Responsibilities
Conduct thorough reviews of medical records for compliance with coding regulations
Provide feedback and education to coders and physicians to improve coding accuracy and documentation
Perform annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested
Communicate effectively with all RAC stakeholders, ensuring timely and accurate responses to inquiries
Support ongoing program development through training initiatives and process improvements
Deliver coding presentations to diverse audiences, including physicians
May supervise departmental staff as needed
Qualifications
Minimum of five (5) years’ experience coding inpatient and/or outpatient hospital records using ICD-10, CPT, HCPCS, and other third‑party payor codes
At least two (2) years of lead or supervisory experience
Certified Professional Medical Auditor (CPMA) certification preferred
Strong organizational and communication skills, comfortable interacting with physicians and stakeholders
Minimum Qualifications
Education:
Bachelor’s degree in accounting, business, public administration, information services, finance, or a closely related field. Additional experience may substitute as allowed.
Experience:
Three years in an administrative or staff capacity, including at least two years supervising professional and technical staff in program evaluation, budgeting, or operational studies.
Certifications (required):
Certified Coding Specialist (CCS)
Certified Professional Coder (CPC)
Registered Health Information Technician/Administrator (RHIT/RHIA)
Certified Document Integrity Practitioner (CDIP)
Certified Professional Medical Auditor (CPMA)
Work Schedule & Location
Schedule: 9/80 work schedule
Location: 7898 Mission Grove Parkway, Riverside, CA
Why RUHS Medical Center? RUHS Medical Center is nationally recognized for innovative, progressive care and is a top employer in the region. The 439‑bed medical center is a designated Stroke Center, Level I Trauma Center, and hosts the only pediatric ICU in the area.
Contact & Application Information For more information, visit the RUHS website. For questions about this recruitment, please contact Angela Levinson at 951‑955‑5562.
Equal Opportunity Employer The County of Riverside is an Equal Opportunity Employer. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, ancestry, or any other non‑job‑related factor.
Veteran’s Preference Applicants who are Veterans may submit required documentation to receive preference. For details, see the County’s Veterans Preference Policy.
Reasonable Accommodations The County of Riverside commits to providing reasonable accommodation as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Contact the recruiter for assistance.
Work Authorization Requirement Applicants must be legally authorized to work in the United States. The County does not sponsor employment‑based visas.
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