Health Information Educator Auditor Outpatient KMH

Facility: Kenmore Mercy Hospital

Shift: Shift 1

Status: Full Time FTE: 1.000000

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: Yes

Work Schedule: Days

Hours:

8-4

Summary:

The Catholic Health (CH) Health Information Management (HIM) Educator/Auditor is responsible for providing Provider Coding education, including but not limited to, ICD-10 CM diagnosis selection and sequencing and appropriate E & M level selection, to the Enterprise. This position works cooperatively with physicians and mid-level providers, Physician Enterprise leadership, provider billing leadership and others to ensure that CHS/Trinity-employed providers appropriate code the medical services that are provided. The Educator/Auditor will introduce new providers to the coding program requirements across CHS/Trinity and provide any needed training. Additionally, new providers will be audited at 100% until (s)he attains an 85% accuracy rate. Once that accuracy is achieved, the provider will move to the standard auditing program provided. This position will also partner with provider billing services and Revenue Integrity annually to create, disseminate and provide education on new ICD-10 CM diagnosis codes as well as CPT-4 procedure code updates. This position will also offer support for various coding-related initiatives as needed.

Responsibilities:

EDUCATION

• CPC, CPC-P, RHIT, or CCS is required

• CEMC is preferred

EXPERIENCE

• Three (3) years of coding experience utilizing electronic encoders/references, and compliance software, is required

KNOWLEDGE, SKILL AND ABILITY

• Evidence of coding competency

• Thorough knowledge of ICD-10-CM, CPT-4, Evaluation and Management (E/M), anatomy and physiology and medical terminology.

• Partner within own team as well as across other teams. Demonstrated ability to work closely with CH associates, medical staff, , department managers, and Finance

• Superior written and interpersonal communication skills

• Proven track record to develop/maintain policies and procedures

• Drive Performance. Professional skills related to leading by example, organization, prioritization, organizational integration and coordination. Takes action and is proactive, addressing problems and coding/compliance issues head-on, solution-oriented

• Visual acuity for oversight of computer encoders, groupers, on-line references, Electronic Health Record

• Demonstrated proficiency with computers, software, hardware and technological advances

• Computer and Microsoft Office proficiency to generate reports and collect data

• Problem solving. Excellent analytical skills. Ensure difficult and/or most important issues and challenges are addressed appropriately

• Must be able to respond to diverse scheduling and availability of associates and physicians to adjust schedules to accommodate needs of others

• Coaching and Developing Others. Ability to use praise and positive/helpful feedback to recognize others regarding skills, specific knowledge, understand personal strengths and weaknesses, willingly shares expertise, helps other develop abilities, create realistic career goals and plans, rounding. Ability and willingness to coach staff with negative behaviors and/or knowledge deficits, or reach out to others with ability to coach/assist these staff members in improvement

• Mobilizer. Ability and willingness to set goals and clear expectations for work performance and behaviors. Holds self and staff accountable for all aspects of their assigned job. Ability to meet deadlines consistently and generate reports

• Change Driver. Embraces improvements and creative thinking, generates creative solutions, open to ideas of others, helps others embrace change

• Ability to drive and travel to multiple sites

WORKING CONDITIONS :

• Travels frequently to multiple sites to work with Clinic Manager, Physicians and other Educator/Auditors

• NYS driver’s license and transportation is required

• Occasional change in work schedule to accommodate project implementation, auditing, meetings, or other departmental concerns

Environment

• Normal heat, light space, and safe working environment; typical of most office jobs