This site uses cookies. To find out more, see our Cookies Policy

COMPLIANCE AUDITOR in San Diego, CA at Scripps Corporate Offices

Date Posted: 2/2/2019

Job Snapshot

Job Description

At Scripps Health, you will experience the pride, support, respect that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.
You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.
Fortune Magazine named Scripps Health among the top employers in the nation on their 21st annual list of the 100 Best Companies to Work For.  Scripps ranked at No. 41 and for the third consecutive year, was the only San Diego-based company to make the list.
Join our Audit, Compliance & Information Security Department as a Compliance Auditor where you will perform compliance audits of medical record documentation to identify/confirm diagnosis, treatment of illness and procedures performed to in order test the accuracy of ICD-10, DRG assignment, outpatient hospital CPT coding, and professional CPT code assignment including evaluation and management E/M coding. In this role you will also conduct diagnostic reviews, risk assessments, and monitoring reviews that include assessment of adherence to established Scripps policies, and correctness of claims according to payer requirements, with an emphasis on Medicare billing compliance, which may require you to research laws and regulations.
You will assemble and analyze the results of the reviews conducted that will be included in compliance reports that will be viewed by senior management and the Audit & Compliance Committee of the Board of Trustees. The Compliance Auditor uses independent judgment in completing activities and manages sensitive and confidential information and materials in support of the various daily activities  and plays an integral role on the Compliance Team at Scripps.
This position is full-time (80 hour per pay period), benefitted position located at La Jolla.

Job Requirements

Required Education/Experience/Specialized Skills:
  • Good critical thinking and analytical skills.
  • Excellent written and verbal communication skills.
  • Four years previous working experience in Coding.
Required Certification/Registration:
  • Certified  Coding Specialist (CCS) from American Health Information Management Association (AHIMA), or Certified Professional Coder (CPC,) or Certified Outpatient Coder (COC) from American Academy of Professional Coders. 
Preferred Education/Experience/Specialized Skills/Certification:
  • AA Degree; OR minimum 5 years coding/auditing experience and a Health Care Professional License (for example RN or RT  );  OR minimum 7 years of coding/auditing experience and completion of Professional Billing coding certification course (CCS or CPC).
  • Experience with Epic EHR is preferred.
Scripps Health is repeatedly named on the Fortune Magazine’s 100 Best Companies to work for, the only San Diego-based company and Becker’s Healthcare Top Hospitals. Scripps Health offers a robust Total Rewards Program designed to compensate and motivate you throughout your career. Scripps Health Total Rewards Program includes a broad range of plans and programs including market competitive pay and performance incentives, health and wellness benefits, financial wellness benefits, work-life resources, learning and development opportunities, and rewards and recognition. Unlock your potential with Scripps Health today.

Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.