Coding Audit Training Specialist

Intermountain Health; Broomfield (CO); On-site; Full time

Job summary

A leading healthcare organization is seeking a Coding Audit Training Specialist to provide advanced training and audit comprehensive coding for compliance and accuracy. This role requires in-depth knowledge of ICD-10 and CPT coding, alongside auditing and analytical skills. The ideal candidate will possess relevant certification and training experience to enhance the performance of coding staff.

Benefits

Generous benefits package

Qualifications

• AHIMA CCS coding certification required.
• Bachelor’s degree preferred.
• 3 years experience in an HIM Coding role preferred.

Responsibilities

• Provide advanced training to coding staff and clinical staff.
• Audit clinical documentation for coding accuracy.
• Analyze coding patterns and trends.

Skills

ICD-10 CM/PCS

CPT

Electronic health record

Auditing

Analysis

Education

AHIMA CCS coding certification

Bachelor’s degree in health information management

Tools

Coding software

Job description

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Job Description

The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for the system. They audit and monitor all areas of hospital coding. The coordinator works with providers and clinical staff to make critical coding decisions based on incomplete, and ambiguous record documentation. They assist the coders in converting patient diagnoses and procedures documented by the providers in the EHR (Electronic Health Record) to ICD10/PCS and CPT codes at an advanced level of complexity.

Job Description

The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for the system. They audit and monitor all areas of hospital coding. The coordinator works with providers and clinical staff to make critical coding decisions based on incomplete, and ambiguous record documentation. They assist the coders in converting patient diagnoses and procedures documented by the providers in the EHR (Electronic Health Record) to ICD10/PCS and CPT codes at an advanced level of complexity.

Essential Functions

• Provides advanced training to acute coders at all levels, providers, clinical staff, compliance and the CDI team.
• Audits and creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding review, audit findings, and appeal strategies.
• Develops and implements training plans for all internal stakeholders including coders at all levels, providers, clinical staff, compliance and the CDI team.
• Audits clinical documentation and coding for complex internal and external coding questions
• Ensures that coded data accurately reflects the severity of illness, risk of mortality, and quality of care
• Performs audits including DRG (Diagnosis Related Groups), ICD-10 CM/PCS (Procedure Classification System), CPT, and PSI (Patient Safety Indicators)
• Analyzes data and collaborates with applicable stakeholders to identify aberrant coding patterns and trends.
• Participates in hospital quality improvement initiatives to assure accurate reimbursement
• Participates in integrated testing of Epic, Solventum, and other software
  
  

Skills

• ICD-10 CM/PCS and CPT
• Electronic health record
• Anatomy, physiology & pathophysiology
• Training
• Detail oriented
• Coding software
• Interpersonal skills
• Auditing
• Computer skills
• Analytical skills
  
  

Qualifications

Physical Requirements:

Required

• AHIMA CCS coding certification
• Demonstrates expert level ability to understand and compliantly apply complex coding and billing requirements.
• Demonstrates strong knowledge and understanding of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG, and APR-DRG classification systems.
• Ability to complete and pass internal Lead coding exam.
• Demonstrates proficiency in using coding software, electronic health records, and other health information systems.
• Demonstrates excellent communication, interpersonal, and analytical skills
• Demonstrated acute care facility coding experience which includes both ICD-10-CM/PCS and CPT coding with multidisciplinary service lines
  
  

Preferred

• Bachelor’s degree in health information management (RHIT), health informatics, or related field from an accredited institution. Education will be verified.
• Three (3) years of experience in an HIM Coding role.
• Demonstrated experience creating training programs and knowledge of adult learning styles.
• Demonstrated proficiency with EPIC EHR and 3M 360 CAC (Computer Assisted Coding), using 3M automation tools .
  
  

Physical Requirements

• Ongoing need for caregiver to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with customers that require caregiver to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
• Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
  
  

Location:

Peaks Regional Office

Work City

Broomfield

Work State

Colorado

Scheduled Weekly Hours

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$33.75 - $53.16

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn More About Our Comprehensive Benefits Package Here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing and Finance

• Industries

  Hospitals and Health Care

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