Code Auditor Educator - Hospital Coder - REMOTE

Job Description

Description

Full Time, 1.00 FTE, Day position - REMOTE. Hourly compensation is $32.42- $48.63; hiring rate dependent on qualifications and professional experience.

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

This position will be performed fully remote. If telecommuting, PeaceHealth will provide the caregiver with necessary computer equipment. It is the responsibility of the caregiver to provide Internet access.

Must reside in Washington, Oregon, Texas or Alaska.

The coding reviewer acts as an expert resource for auditing and training in support of accuracy and appropriateness of coding using ICD-10 and CPT industry standards and PeaceHealth guidelines.

Details of the position:

• Performs coding audits and pre-billing coding compliance functions as required by system regulatory policies/procedures and established review metrics. Participates in development of action plans to include follow up education on identified issues with subsequent audit and reassessment. Utilizes a vendor-based pre-billing compliance tool to review targeted records for coding accuracy, mortality, PSI and HAC review. Also performs post-billing medical record review focused on DRG validation.
• Develops training materials and curriculum for coding, external vendor, and CDI caregiver’s education.
• Serves as an expert resource for ICD-10/CPT as it affects coding, compliance and reimbursement. Assists with re-training efforts as a result of coding errors found. Delivers training and standards as directed.
• Reviews records for payor, RAC, regulatory denials/appeals, and downgrades by providing in depth coding review, audit findings and appeal strategies to the System Coding Leadership.
• Works in tandem with HIM Coding team to identify aberrant coding patterns and trends.
• May participate in integrated testing of Epic, 3M, or other external vendor software.
• May provide production coding support as required.

What you bring:

• Graduate of formal coding program or combination of education and experience that provides the caregiver with the requisite knowledge, skills and abilities to perform the job required.
• Minimum of three years acute care coding and/or auditing experience required.
  
• Knowledge including ICD-10, MS-DRG/APR-DRG methodology, HCPCS/CPT coding, regulatory policies from CMS and other third-party regulations. Hands-on ICD-10 and/or CPT proficiency required.
• Previous training experience preferred
• AHIMA/AAPC recognized credential is required: RHIA, RHIT, CCS, CPC, or CPC-H.
• Ability to lift objects weighing 30 lbs. or less.

For a full description of the position, or for questions, please email [email protected]

Must be fully vaccinated for COVID-19 including 2 doses of a 2-dose series or 1 dose of a 1-dose series plus 14 days beyond the final dose prior to start date.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.