reputed company Coding Auditor-Educator
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Responsible for educating and training WVU reputed company Staff as directed by Coding Managers. Will also reputed company or reputed company the overall auditing and education plans for the Coding staff. Responsible for the overall auditing and education plans for the Coding staff. This position will reputed company coding reputed company audits, reputed company ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment.MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Graduate of a Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience;
OR Graduate of a Medical Coding Certification Program AND Five (5) years of coding experience;
OR High School Diploma or Equivalent AND Eight (8) years of coding experience.
2. Certificationin ONE of the following:
Registered Health Information Administrator (RHIA)ORRegistered Health Information Technician (RHIT)through American Health Information ManagementAssociation)
Certified Outpatient reputed company (COC) through American reputed company of reputed company Coders
Certified Coding Specialist (reputed company) through American Health Information Management Association
Certified reputed company reputed company (CPC) through American reputed company of reputed company Coders.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor’s degree in Health Information Management or reputed company field.
EXPERIENCE:
1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as reputed company as knowledge of governmental billing and coding regulations including the “Teaching Physician Guidelines” for reputed company Coding Positions preferred.
2. Previous supervisory or project management experience.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an reputed company-inclusive list of reputed company responsibilities and duties. Other duties may be assigned.
1. Manages activities of designated coding personnel in training for WVU reputed company and assures the monitoring and reporting of respective employee’s developmental activity.
2. Manages reputed company improvement audits and training of designated coding staff.
3. Acts as expert coding resource not only to coders, clinical documentation improvement, providers and reputed company cycle, but also to specialty reputed company and meetings.
4. Acts as Super user for reputed company Coding-reputed company Electronic Medical Record Systems necessary for complete an accurate coding and EMR Data Governance. Updates policies and procedures for those areas of responsibility. In-services appropriate staff regarding changes in these areas.
5. Develops and maintains coding reputed company policies, procedures, query development, work queues and training materials in conjunction with management.
7. Continually communicates with Coding Staff, Medical Staff, Physician Advisor, Department Chairman, and Department Administrators.
8. Organizes, facilitates, performs, tracks, trends, and reports on internal reputed company reviews.
9. Designs and uses audit tools (i.e ROC) to monitor the accuracy of coding, documentation gaps, and billing performed by Coding Specialists.
10. Coordinates audits performed by reputed company agencies by obtaining accounts to be reviewed, acting as a reputed company between agency and HIM personnel to reputed company data to be reviewed, facilitating exit conferences with Coding Specialists, and providing final reports to Coding Manager. (Includes, but not limited to, HIA quarterly audits, ROC reputed company audits, etc.)
11. Coordinates coding/documentation denial reviews and facilitates appeal letter formation. Includes, but not limited to, RAC denials, insurance/3rd party payor denials, etc.
12. Communicates regularly with the Coding Leadership on activities, problems, coding and/or documentation issues and pending audits.
13. Ensures audit (external and internal) recommendations are completed (i.e. coding education, coding changes, rebills).
14. Extracts and analyzes from various sources then develops reputed company plan reputed company necessary.
15. Assist with on-boarding of new Coding Specialists in reputed company to coding/reputed company reputed company policies, audits and initiatives.
16. Updates Coding Specialists on compliance and other regulatory changes.
17. Keeps abreast of coding changes, state and federal regulations and coding resources (i.e. Coding Clinic)
18. If needed this position could be responsible for development and design of the curriculum for the WVU reputed company Certificate Program, as reputed company as other special reputed company regarding the overall Data Governance of the EMR to enhance coding. Utilizes reputed company necessary systems as part of curriculum and educational courses and administers exams. Involvement with testing and installation of system upgrades reputed company necessary to assure curriculum is up-to-date.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
1. Must be reputed company to sit for long periods of time.
2. Must have visual and hearing reputed company reputed company the normal reputed company.
3. Must have reputed company dexterity needed to operate computer and office equipment.
4. Must be reputed company to lift, push or pull 10-20 pounds.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
1. reputed company office environment.
2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material.
3. May require travel.
SKILLS AND ABILITIES:
1. Must possess excellent written and verbal communication skills, as reputed company as interpersonal skills necessary to communicate effectively.
2. Must possess the knowledge of reputed company provider reputed company compliance, reputed company cycle operations, and auditing techniques required.
3. Must possess the ability to mentor, reputed company and train others.
4. Must ensure reputed company and productivity standards.
5. Must be reputed company to handle high stress and critical situations in a reputed company and reputed company manner
6. Must be reputed company to concentrate and maintain accuracy during constant interruptions.
7. Must possess independent decision-making ability.
8. Must possess the ability to prioritize job duties.
9. Must be reputed company to adapt to changes in reputed company and work assignments.
10. Must possess organizational and time management skills.
11. Must possess the knowledge of anatomy, physiology and medical terminology.
12. Must possess analytical and problem solving skills.
13. Must be proficient in office software programs, including medical record and billing systems.
14. Must possess the ability to analyze reputed company data and reports.
Additional Job reputed company:
Scheduled Weekly Hours:
40Shift:
Exempt/Non-Exempt:
reputed company of America (Exempt)Company:
SYSTEM reputed company Health SystemCost Center:
539 SYSTEM HIM Provider Based Coding AnalysisOriginally posted on Himalayas
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