Coding Auditor Educator - Hospital Coding - REMOTE

University Health; Cedar Rapids (IA); Remote; USD 85.000 - 110.000; Vollzeit

Zusammenfassung

University Health is hiring a Coding Educator & Auditor for Revenue Integrity. The role focuses on training coding staff, performing education and audits across hospital services, and ensuring proper ICD-10-CM and CPT coding with compliance to CMS and other bodies.

Ideal candidates have an Associate’s degree in health information management, a coding program completion, and AHIMA/AAPC credentials. Five years of coding experience preferred for external candidates, with four years for internal

Qualifikationen

• Associate’s degree in health information management preferred.
• Completion of a coding program is required.
• Credentialing (AHIMA/AAPC) preferred; other bodies considered case-by-case.
• At least five years coding experience for external applicants; four years for internal applicants.

Aufgaben

• Lead coding education and audits for professional and facility services.
• Train Coding Specialists, Technicians and associates in ICD-10-CM and CPT coding.
• Produce coding education programs, including metrics and dashboards.
• Prepare departmental coding and denial progress reports.
• Ensure compliance with CMS, AHRQ, NCQA, URAC, and TJC standards.

Kenntnisse

Coding education delivery

Auditing & compliance

Training new staff

Regulatory knowledge

Microsoft Office

Ausbildung

Associate’s degree in Health Information Management

Coding program completion

AHIMA/AAPC credential preferred

Tools

3M Encoding and Grouping

Epic EMR

Jobbeschreibung

Now Hiring – Coding Educator & Auditor Revenue Integrity University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community through high quality compassionate patient care, innovation, education and discovery. We are currently looking for a talented health professional to join our team as a Coding Educator & Auditor for our Revenue Integrity department. Works under the direct supervision of the Coding Education & Audit Manager. Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding classification systems and ensures proper assignment and completion of Diagnosis and Procedure Coding on all cases. Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System’s guest relations’ policy. Complies with all Federal, State, local and accrediting bodies’ regulations and protocols. Accrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC). Communicates and interacts positively and professionally throughout all levels of the organization, and with external customers. Provides onsite and remote quality assurance reviews/audits with appropriate compliance with governmental and payer regulations. Provides and monitors instructions/education provided to Providers, Coding, Risk, CDI, and Quality team members involved with the coding processes. Implements Coding Education programs for professional and facility Service lines, including ongoing assessment, metrics and dashboards. Prepares departmental coding and denial progress reports. Associate’s degree in Health Information Management and/or Bachelor’s degree is preferred. Completion of a coding program is required. [Note: Completion of a coding program from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPCS) will be accepted. Completion of a coding program from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding.] At least five (5) years of coding experience in professional services, hospital services, or a combination of both is required for external applicants. At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software is required. Preference will be given to applicants with experience and knowledge of regulatory requirements, Microsoft Office products, and Epic EMR. The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies mentioned above (AHIMA and AAPC). [Note: Valid credential(s) from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPC) will be accepted. Credential(s) from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding]

Continuing Education