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Coding Auditor

Aya Healthcare

Coding Educator

It's more than a career, it's a calling

MO-REMOTE

Worker Type: Regular

Job Highlights: Coding Educator with at least 3 years of experience and expertise in coding across various specialties, excellent communication and presentation skills.

Remote work: This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance.

Candidates to reside in MO, IL, OK, or WI (additional states may be considered)

Job Summary: Develops and coordinates the delivery of coding educational programs. Promotes consistency and accuracy of coding and documentation practices. Acts as a liaison for coding questions and concerns between providers, coding, corporate responsibilities, and educational departments.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

  • Drives optimal clinical and financial outcomes through thorough assessment of provider documentation and coding competency, identification of improvement opportunities. Develops and delivers training and education of all coding processes. Stays abreast of regulatory changes and works with leadership to ensure compliance and revenue integrity.
  • Act as subject matter expert for providers and coders while providing guidance and clarification on issues which present in their daily account processing.
  • Establishes and coordinates internal quality review processes and corresponding training for providers and coders.
  • Evaluates provider documentation for clarity, completeness and consistency to ensure optimal code selection. Provides education to providers on coding guidelines, practices and documentation techniques.
  • Performs audits of provider documentation to identify opportunities or risks. Develops provider education based on findings and needs.
  • Maintains clear and consistent communication with coding and corporate responsibility around education and directions provided to both providers and coders.
  • Performs other duties as assigned.

EDUCATION

  • Bachelor's degree in business, healthcare or related field, or equivalent years of experience and education

EXPERIENCE

  • Three years' experience

PHYSICAL REQUIREMENTS

  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
  • Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
  • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
  • Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
  • Frequent keyboard use/data entry.
  • Occasional bending, stooping, kneeling, squatting, twisting and gripping.
  • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
  • Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin

  • Certified Coding Associate (CCA) - American Health Information Management Assoc (AHIMA)
  • Or
  • Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Assoc (AHIMA)
  • Or
  • Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC)
  • Or
  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)
  • Or
  • Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA)
  • Or
  • Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA)

Work Shift: Day Shift (United States of America)

Job Type: Employee

Department: 8700070033 PB Coding Quality Scheduled Weekly Hours: 40

Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

  • Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
  • Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay(fees may apply) before payday.
  • Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law.

Vacancy posted 3 days ago
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