Documentation and Reimbursement SpecialistApply Office of Culture, Ethics and Compliance - Office of Compliance Los Angeles, California
USC’s Office of Compliance promotes the university’s mission and strategic plan by helping USC faculty and staff employees understand and comply with applicable laws, rules, and regulations.
The Office of Compliance at USC is a resource for navigating university rules, regulations and ethical expectations. The Hospital Compliance department is seeking a Documentation and Coding Specialist to be a part of a growing team. The Documentation and Coding Specialist will be responsible for investigating and responding to matters regarding complex coding, documentation, compliance and/or reimbursement; developing, planning and conducting comprehensive coding and/or documentation training for physicians and other staff; assisting with development and implementation of new related policies and procedures; functioning as quality assurance coordinator; conducting quality control studies of coded data and documentation to ensure compliance; participating in claims review process; overseeing design and revision of divisional billing forms; overseeing billing dictionary updates related to ICD-10 and CPT-4 codes; and conducting inpatient and outpatient chart reviews. This individual will work closely with medical group administrators, faculty and/or hospital administrators, as appropriate.
We pride ourselves on being a GREAT PLACE TO WORK, and that begins with our employees! We offer a wide variety of benefits and programs that support our staff and their families, including:
· Benefits: Health, dental, and vision plans, tuition assistance for our employees and their families, paid time off, flexible spending accounts, 2:1 retirement plan contributions, child care centers, and up to $50,000 housing subsidy. And because we are a qualifying public service organization, you may qualify for Public Service Loan Forgiveness (PSLF) for educational loans. Please visit usc.edu for additional information.
· Perks: Discounts to USC sportingevents, USC Bookstores, wireless plans, travel, accommodations, and local entertainment.
· Career Growth: We are the largest private employer in Los Angeles, offering tremendous development opportunities in multiple fields and industries.
Minimum Education: Associate's degree, Combined experience/education as substitute for minimum education Minimum Experience: 3 years Minimum Field of Expertise: Associate degree in Health Information Technology or related healthcare degree or Associate degree in Nursing or an accredited Registered Nurse Program as evidenced by licensure or certification in any of the following: RHT, RHIA, CCS, CPC-H, CPC, or CCS-P. Knowledge of medical terminology or equivalent recent training or education. Knowledge of auditing concepts and principles. Basic knowledge of biology/anatomy/disease processes, laboratory test and uses, prescription medications and their respective guidelines. Experience working in a health setting reading and understanding clinical and hospital health records. Candidates should satisfy at least one set of the following: 1. Certification in any one of the following: RHIT, RHIA, CCS, CPC-H, CPC, CCS-P. IntermediateComprehensive knowledge of ICD-10-CM, CPT and HCPCS coding. IntermediateComprehensive and coding both facility and professional services, utilizing ICD-10-CM,CPT and HCPCS. 2. Clinical experience as a RN or LVN in a case management or case coordinator rolewith experience on patient status determinations, Interqual and documentation. 3. Clinical background as a RN or LVN with experience in medical auditing in an acutecare setting. 4. Clinical experience as a RN or LVN with expertise of case delivery documentationand related medical record documentation in an acute setting. Preferred Field of Expertise:Three years of coding quality, documentation, and provider or hospital compliance experience.