Professional Coding Auditor – Educator
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Job Description
Professional Coding Auditor-Educator responsible for training coding staff and ensuring quality audits for WVU Healthcare. Overseeing coding classification accuracy and education plans for the coding staff.
Responsibilities:
- Educating and training WVU Healthcare Coding Staff as directed by Coding Managers.
- Overseeing or performing the overall auditing and education plans for the Coding staff.
- Performing coding quality audits, providing ongoing feedback and education.
- Utilizing 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.
- Managing activities of designated coding personnel in training for WVU Healthcare and assuring the monitoring and reporting of respective employee’s developmental activity.
- Managing quality improvement audits and training of designated coding staff.
- Acting as expert coding resource to coders, clinical documentation improvement, providers and revenue cycle, specialty groups and meetings.
- Updating policies and procedures and in-services appropriate staff regarding changes in these areas.
- Developing and maintaining coding related policies, procedures, query development, work queues and training materials.
Requirements:
- 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.
- Certification in ONE of the following: Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT) through American Health Information Management Association ) Certified Outpatient Coder (COC) through American Academy of Professional Coders Certified Coding Specialist (CCS) through American Health Information Management Association Certified Professional Coder (CPC) through American Academy of Professional Coders
- Bachelor’s degree in Health Information Management or related field (preferred).
- 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 well as knowledge of governmental billing and coding regulations including the “Teaching Physician Guidelines” for Professional Coding Positions preferred.
- Previous supervisory or project management experience.
Benefits:
- Standard office environment
- Health insurance
- Paid time off
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