• Audit behavioral health documentation and coding (ICD-10-CM and CPT) for accuracy, compliance, and completeness • Deliver actionable feedback to providers through 1:1 remediation meetings, educating on coding and documentation guidelines (i.e., coding based on medical decision making (MDM) for outpatient Evaluation and Management services) • Serve as a subject matter expert by answering coding-related questions to support internal teams and create processes • Contribute to provider education efforts, including drafting content, identifying documentation gaps, and advising on clinical documentation standards • Provide insights on coding trends, identify risk areas, and recommend improvements to tooling, product, and training • Collaborate with cross-functional partners on initiatives and enhancements regarding billing code guardrails • Stay current with evolving coding guidelines, payer rules, and industry standards through continuing education and independent learning

Role Description Under general direction of the RCSC Audit Manager, provides oversight for management of coding policy and procedures throughout Cedars-Sinai Medical Center. This position may serve as an additional liaison for Enterprise Information Systems (EIS) as it relates to: - Data collection - Data management - Reporting requirements - Integration of data collected at the Medical Center Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas Benefits - Healthcare - 403(b) - Paid vacation Company Description Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company’s Workplace of the Year, recognizing hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.

• Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes • Adheres to all coding and compliance guidelines • Maintains knowledge of coding/billing updates and payer specific coding guidelines • Communicates billing related issues to assigned supervisor/manager • Participates in coding educational opportunities • Provides feedback to providers to clarify and resolve coding concerns • Resolves assigned pre-billing edits • Assists in identifying areas that require additional training • Mentors and assists in training other coders and new team members

• Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. • Adheres to all coding and compliance guidelines. • Maintains knowledge of coding/billing updates and payer specific coding guidelines. • Serves as a subject matter expert for assigned specialty. • Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. • Utilizes appropriate coding software and coding resources in order to determine correct codes. • Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. • Follows departmental policies for charge corrections. • Participates in coding educational opportunities (webinars, in house training, etc.). • Provides feedback to providers in order to clarify and resolve coding concerns. • Resolves assigned pre-billing edits. • Assists in identifying areas that require additional training. • Mentors and assists in training other coders and new team members.