Job Detail

Palomar Health Medical Group is looking for talented, compassionate, and qualified individuals to join us in our mission to provide quality medical care and promote health and wellness in the communities we serve! We are a multi-specialty, not-for-profit medical group, formed in 2019 by the affiliation of two of North San Diego County's largest multi-specialty groups, Graybill Medical Group and Arch Health Medical Group. Through a combined 170 physicians and advanced practitioners and 22 locations in North San Diego and South Riverside Counties, we are able to provide comprehensive medical care to meet every family members needs, including Urgent, Primary, and Specialty Care. We are affiliated with the Palomar Healthcare District.

We currently have a great opportunity for a Coding Auditor!

The Coding Auditor audits daily encounter reports in EMR and EPM. Reviews CPT and ICD 9 codes for appropriateness. Identifies information necessary to complete the billing process. Determines if the encounter will be held for the Physician to follow-up. Inputs all necessary demographics, chooses the appropriate insurances. Follows medical group rules, policies, procedures, applicable laws and standards addressed in the Compliance Program. Responsible for carrying out the vision and quality commitment of the company.

Essential Functions Include:

• Audits daily encounter reports in EMR and EPM with a minimum of 96% accuracy.
• Input charges and adjustments, with a minimum of 96% accuracy, verifying to the data report.
• Match appropriate procedure with diagnosis code. Minimum of 96% accuracy.
• Input demographics and choose appropriate insurance when needed. Minimum of 96% accuracy.
• Complete various other tasks as required.
• Performs other related duties as assigned or requested.

Requirements:

• High School diploma or equivalent certification
• CPC certification required through the AAPC
• Minimum 1 year coding/auditing experience
• Prior use of an Electronic Health Records software system preferred. NextGen and Allscripts experience a plus.
• Working knowledge of Excel and Word

Palomar Health Medical Group offers a comprehensive benefits program that includes:

• Medical, Dental and Vision insurance
• Company -paid Basic Term Life and Long-term Disability insurance
• Medical Flexible Spending Account
• Dependent Care Assistance
• 401(k) with company match up to 4%
• PTO (Paid Time Off)
• Paid holidays
• Pet insurance
• Gym discounts
• Plus much more!

Palomar Health Medical Group maintains a drug-free workplace and smoke free working environment. Employees are required to successfully pass a pre-employment drug screen. Palomar Health Medical Group is an Equal Opportunity Employer and values diversity in the workplace.