Auditor/Educator Physician

Job Description

For assigned coders and providers, review Inpatient, Outpatient or Professional Fee medical records for coding accuracy and medical record documentation as it impacts the correctness of the coding. Provide feedback and deliver additional education to correct inaccurate coding and improve documentation.

Essential Job Functions

Review medical records for accuracy of coding and data quality. Elements included in reviews may include:

All diagnosis and procedure assigned ICD-10-CM and ICD-10 PCS codes

Evaluation and Management, CPT, HCPCS

Physician Documentation Gaps

Adherence to Guidelines

Teaching Physician Attestations

Clinician Signature Validation

Use relevant references to perform the Current Procedural Terminology (CPT-4) Official Coding Guidelines, Coding Clinic, CPT Assistant, CMS guidelines, etc.

Communicate effectively with client management, coders, and providers. Provide information regarding work progress, actions, and issues in a timely and effective manner.

Create an action plan that articulates strengths and areas that may require ongoing development to ensure an effective and successful program.

Assist in creating additional learnings that addresses coding problems and documentation gaps.

Solicit feedback from program participants regarding training content or delivery enhancements that would further improve coder/provider effectiveness.

Capitalize on electronic delivery avenues.

Make recommendations to training content, length, delivery, or other aspects of training based on evaluations and feedback from HIM organization/Provider practice.

Keep abreast of training and development research such as learning theory, motivation theory, and new materials, methods, and techniques.

Perform duties in compliance with Company's policies and procedures, including but not limited to those related to HIPAA and compliance.

Key Success Indicators/Attributes

Ability to prioritize and multi-task in a fast-paced, changing environment.

Ability to speak and educate providers face to face.

Demonstrate ability to work in all work types and specialties.

Demonstrate ability to self-motivate, set goals, and meet deadlines.

Demonstrate leadership, mentoring, and interpersonal skills.

Demonstrate excellent presentation, verbal, and written communication skills.

Ability to develop and maintain relationships with key business partners by building personal credibility and trust.

Maintain courteous and professional working relationships with employees at all levels of the organization.

Demonstrate excellent analytical, critical thinking and problem-solving skills.

Skill in operating a personal computer and utilizing a variety of software applications.

Strong presentation skills with an ability to effectively communicate concepts, terminology, and practices.

Capable of delivering training using multiple media, conducting role plays, assessing progress, and measuring training effectiveness.

Demonstrated leadership and problem-solving skills, plus the ability to act/decide accordingly and take initiative.

Ability to collect, create and research complex or diverse information.

Exceptional customer service skills and the ability to plan, organize and exercise sound judgment.

Ability to be positive and flexible in a fast-paced work environment, support management decisions, take responsibility for own actions, lead others to achieve goals, and follow through on commitments.

Strong presentation and written communication skills with an ability to effectively communicate concepts, terminology, and practices.

Capable of developing and delivering training using multiple media, conducting role plays, assessing progress, and measuring training effectiveness.

Strong systems aptitude with a customer orientation and flexibility in work practices.

Ability to work effectively, independently and as part of a team

Supervisory Responsibility

None

Work Environment

This job operates in a remote home office environment. This role routinely uses standard office equipment such as computers and phones.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work.

Travel

Some travel required; up to 80%

Required Education and Experience

Minimum 5 years' experience in Coding and HIM operations with progressive responsibilities and at least 3 years' experience in auditing and delivering feedback. Prior experience delivering training related to this field.

Strong working knowledge of Coding terminology, guidelines, diagnostic and procedural codes, and exposure to delivering training through demonstrated past successes.

Bachelor's Degree in HIM or equivalent or a combination of advanced formal training and relevant experience.

CCS, CCS-P, CPC, CPC-P, CPC-H, RHIA or RHIT certification

Working knowledge of Microsoft products (such as PowerPoint, Word, Excel, Visio, and Publisher) for creating training materials.

Preferred Education and Experience

Experience with e-learning coding software (such as Relias), a plus

Additional Eligibility Qualifications

N/A

Security Access Requirements

In addition to the specific security access required by the employee's client engagement, the employee will have access to the Omega systems set forth in the "Standard Field Employee" profile.

Microsoft Office

ADP

Oracle

Reviewmate

E1- All Field Employees

Standard Employee

Standard

Access is based on client needs. Determined by manager and granted by Audit Implementation Manager

Equal Employment Opportunity:

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at View email address on click.appcast.io.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may perform other duties as assigned.