Coding Auditor Educator - Hospital Coding - REMOTE

Job Description

Description

PeaceHealth is seeking a Coding Auditor Educator - Hospital Coding for a Full Time, 1.00 FTE, Day position.  Hourly compensation starts at $31.18, more depending on experience.

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.

**** Ideal Candidate Would have Inpatient Coding Experience *** 

Recent coding experience since 2015 - with I-10

JOB SUMMARY

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.

ESSENTIAL FUNCTIONS

• 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.
• Performs other duties as assigned.

QUALIFICATIONS

EDUCATION:

• 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.
• Completion of a college-based or AHIMA approved coding education program is strongly preferred.

EXPERIENCE/TRAINING: 

• 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

LICENSE/CERTIFICATION:

• AHIMA/AAPC recognized credential is required: RHIA, RHIT, CCS, CPC, or CPC-H.

OTHER SKILLS:

• Excellent verbal and written communication skills including sensitivity to other cultures and ethnicities. 
• Strong analytical skills. 
• Must possess excellent ability for conceptual thinking, good listening, problem resolution and planning skills. 
• Must possess excellent organizational skills.
• Must demonstrate computer skills in Microsoft Office.
• Ability to work well independently and in a remote environment.

PHYSICAL COGNITIVE REQUIREMENTS:

• Work requires fairly light physical exertion from up to 65% of the time.
• Ability to lift objects weighing 30 lbs. or less.
• Work is performed under normal working conditions with adequate lighting and ventilation.
• Job duties frequently require intense concentration and attention to detail (up to 65% of work time).

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.