Coding Educator-Auditor

Samaritan Health Services; Corvallis (OR); Hybrid; USD 43,160 - 63,383; Full time

Job summary

Samaritan Health Services is seeking a Coding Educator to provide training to healthcare providers in Corvallis, Oregon. This hybrid position involves reviewing medical records and ensuring compliance with coding regulations.

Applicants must possess a high school diploma and two certifications related to coding. Additionally, candidates should have three years of experience in medical coding and auditing. Strong communication skills and proficiency in Microsoft Office are essential for this role.

Qualifications

• High school diploma or equivalent required.
• Two certifications required upon hire.
• Three years experience in coding and auditing required.
• Experience with data analysis and report preparation required.

Responsibilities

• Provide coding and regulatory training to providers.
• Review professional charges and medical records.
• Compile and present audit reports.
• Answer coding questions for clinic staff.

Skills

Healthcare regulations

CPT EM leveling

ICD-10 diagnosis coding

HCC diagnosis coding

Medical claims auditing

Provider education

Data analysis

Report preparation

Problem-solving

Communication skills

Education

High school diploma or equivalent

Certifications (CPC, CRC, CPMA, CPCO, RHIT)

Tools

Microsoft Office

Job description

Salary Range Salary Range: $31.33 - $46.01

This is a hybrid position that will work from home and within the clinics providing training to providers.

JOB SUMMARY/PURPOSE

Provides formal and informal coding and regulatory education/training to Providers and Professional Coders. The education will include coding and documentation requirements as directed by Federal and State requirements as well as the AMA. Serves as a liaison between providers and coders. Responsible for reviewing (auditing) professional charges, medical records, and claims to ensure accuracy and compliance with the CMS guidelines as well as CPT, HCPCS, ICD-10 coding guidelines. Identifies errors, inconsistencies, and areas for improvement in coding and documentation with current guidelines and regulations. Compiles and presents reports of audit results, highlighting areas for improvement, educating, and reauditing. Answers coding questions for clinic managers, providers, and other staff.

DEPARTMENT DESCRIPTION

The Regional Business Office Physician Coding Team is responsible for the accurate and timely coding of the Samaritan Health Services clinic providers according to all applicable guidelines with applicable federal/state rules and regulations.

EXPERIENCE/EDUCATION/QUALIFICATIONS

High school diploma or equivalent required.

Two (2) certifications (CPC, CRC Risk adjuster, CPMA, CPCO compliance officer, or RHIT) required upon hire.

Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required.

Experience with data analysis and report preparation required.

KNOWLEDGE/SKILLS/ABILITIES

Strong knowledge of healthcare regulations and standards, including Medicare and Medicaid. Knowledge of coding and billing practices in healthcare.

Strong problem-solving and critical thinking skills.

Excellent attention to detail and ability to identify errors and discrepancies.

Excellent verbal and written communication skills.

Ability to work independently and as part of a team.

Ability to work well under pressure and meet tight deadlines.

Proficiency in Microsoft Office and other relevant software applications.

PHYSICAL DEMANDS

Rarely
(1 - 10% of the time)

Occasionally
(11 - 33% of the time)

Frequently
(34 - 66% of the time)

Continually
(67 – 100% of the time)

CLIMB - STAIRS

LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs

LIFT (Knee to chest: 24"-54") 0 - 20 Lbs

LIFT (Waist to Eye: up to 54") 0 - 20 Lbs