Professional Medical Coding Educator Auditor HCS

Facility: Administrative Regional Training Cntr

Shift: Shift 1

Status: Full Time FTE: 1.066667

Bargaining Unit: Catholic Health Emmaus

Exempt from Overtime: Exempt: Yes

Work Schedule: Days

Hours: 8a-4:30p

Summary:

The Auditor/Educator will work cooperatively with CH coding associates, Clinicians, Outpatient Coding Managers, CDEI Education Manager and Documentation Specialists, Corporate Compliance, Ancillary departments and private clients to ensure coding is consistent, accurate, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for reporting. The Auditor/Educator will monitor accuracy and perform audits using Intelicode or other appropriate software of coded data based on documentation in the medical record and through these audits will ensure that medical records are coded and billed in accordance with coding conventions, billing rules and Federal and State regulations. The Auditor/Educator will also provide timely education and feedback for Clinicians, Coding and CDEI associates with regards to quarterly coding updates. The Auditor/Educator will provide mentoring for new coding staff. The Auditor/Educator will also assist with the coding standardization of workflow redesign for Epic and other EHR systems. The Auditor/Educator may be assigned coding assignments as required to meet departmental needs.

Responsibilities:

EDUCATION

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

• CPMA required

EXPERIENCE

• Minimum of three (3) years of multi- specialty coding experience utilizing electronic encoders following the official CPT coding guidelines using AHA Coding Clinic, CPT Assistant, CMS Documentation Guidelines, Official Guidelines for Coding and Reporting and other authoritative resources

KNOWLEDGE, SKILL AND ABILITY

• Evidence of coding competency

• Thorough knowledge of ICD-10-CM, CPT-4, Evaluation and Management (E/M), anatomy and physiology, medical terminology, APC’s, and Outpatient referred coding requirements

• Partner with and across Interdisciplinary Teams. Demonstrated ability to work closely with CH associates, medical staff, Clinical Documentation Improvement (CDI) leadership and staff, department managers and private clients

• Excellent written and interpersonal communication skills, entering or accessing essential information from proprietary databases, often utilizing Microsoft Excel for multiple Medical Specialties

• Proven track record to develop/maintain policies and procedures

• Professional skills related to leading by example, organization, prioritization, organizational integration, and coordination. Individual 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

• Excellent analytical and problem-solving skills. Ensures difficult, vital issues, and challenges are addressed in a timely fashion

• Flexibility to respond to diverse scheduling and the availability/needs of associates and Physicians

• The Auditor/Educator will lead designated projects and serve as a mentor to the Coding Team

• 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

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

• Ability to travel to multiple sites

WORKING CONDITIONS:

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

• NYS driver’s license or 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