Professional Coding EducatorAuditor

Search Solution Group; Buffalo (NY); On-site; USD 65,000 - 90,000; Full time

Job summary

Catholic Health Health Information Management Educator/Auditor provides provider coding education, including ICD-10 CM diagnosis selection and sequencing and correct E&M level selection across the enterprise. It collaborates with physicians, mid-level providers, enterprise leadership and provider billing leadership to ensure proper coding of services rendered.

It also onboards new providers to coding program requirements, audits 100% until 85% accuracy is reached, then moves to standard

Responsibilities

• Provide Provider Coding education including ICD-10 CM diagnosis selection and sequencing, and E&M level selection across the enterprise.
• Collaborate with physicians, mid-level providers, enterprise leadership and provider billing leadership to ensure proper coding of services.
• Onboard new providers to coding program requirements and audit them at 100% until 85% accuracy is achieved, then transition to standard auditing.
• Partner with provider billing services and Revenue Integrity annually to disseminate and educate on new ICD-10 CM codes and CPT-4 updates.

Job description

Job Description

Job Description

** JOB SUMMARY:**

The Catholic Health (CH) Health Information Management (HIM) Educator/Auditor is responsible for providing Provider Coding education, including but not limited to, ICD-10 CM diagnosis selection and sequencing and appropriate E & M level selection, to the Enterprise.

This position works cooperatively with physicians and mid-level providers, Physician Enterprise leadership, provider billing leadership and others to ensure that CHS/Trinity-employed providers appropriate code the medical services that are provided.

The Educator/Auditor will introduce new providers to the coding program requirements across CHS/Trinity and provide any needed training.

Additionally, new providers will be audited at 100% until (s)he attains an 85% accuracy rate. Once that accuracy is achieved, the provider will move to the standard auditing program provided.

This position will also partner with provider billing services and Revenue Integrity annually to create, disseminate and provide education on new ICD-10 CM diagnosis codes as well as CPT-4 procedure code updates.

This position will also offer support for various coding-related initiatives as needed.