Sutter Health Coding Analyst II/Auditor-Coding and Education- Sunnyvale in Sunnyvale, California


Job Summary

Under minimal supervision, the Coding & Documentation Auditor will audit medical charts and records for coding and documentation compliance with all applicable federal, state and local regulations and guidelines. This includes performing an in-depth review of medical records to ensure that the assigned billing codes (e.g. ICD, CPT, HCPCS, etc.) are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity at the minimum 90% accuracy rate. Employee will be responsible to create a report of audit findings and will work with the Manager on report of audit findings finalization, and communicate his/her audit results with the coding and documentation training staff, the appropriate coding analysts and coding managers.

Perform other duties as assigned.


REQUIRED: high school diploma or equivalent; must have at least (1) one year of medical billing experience; must have above average knowledge of Word, Excel and PowerPoint; CPC-A or CPC certificate

PREFERRED: AA degree in Business or Healthcare, or equivalent years of related experience; At least one year of prior coding experience.

Primary Location: California, Peninsula/South Bay and Santa Cruz, Sunnyvale

Organization: Palo Alto Medical Foundation

Employee Status: Regular

Benefits: Yes

Position Status: Non-Exempt

Union: No

Job Shift: Day

Shift Hours: 8 Hour Shift

Days of the Week Scheduled: Monday-Friday

Weekend Requirements: None

Schedule: Full Time

Hrs Per 2wk Pay Period: 80

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.