Senior Coding Compliance & Education Analyst

Rush University Medical Center; Chicago (IL); On-site; USD 48,064 - 78,220; Full time

Job summary

Rush University Medical Center in Chicago, IL, is seeking a Health Information Management coding auditor to monitor coding quality and educate staff. The role involves preparing reports for administration and representing the HIM department at internal and external forums.

The candidate will uphold Rush’s mission and policies while promoting accurate coding practices. The position requires a coding certification and several years of audit or coding experience, with strong communication skills

Qualifications

• Coding certification required (RHIA, RHIT or CCS).
• 3–5 years of senior coding audit experience or five years of coding experience.
• Ability to interpret and analyze electronic medical records, ancillary reports and third party payer guidelines.
• Proficiency in Microsoft Office Applications.
• Excellent verbal and written communication skills.
• Experience with hospital billing systems.
• Ability to communicate effectively with physicians and hospital department leadership.

Responsibilities

• Design and perform chart reviews, test billing documentation.
• Prepare and present reports of findings with recommendations for corrective action as needed.
• Identify and prioritize risk issues, working as a team on projects.
• Monitor the Medical Center's compliance with governmental regulations through the performance of recurring compliance reviews.
• Research government billing regulations, third party payer guidelines and prospective payment system, ICD-9-CM, CPT/HCPCS coding guidelines.
• Maintain an understanding of regulatory issues through seminars, training courses and regulatory literature.
• Assist with the development of the annual departmental work plan.
• Design and implement individualized documentation and coding improvement activities for physicians and administrators.
• Act as a resource and an educator on documentation improvement projects.
• Serve as the internal liaison for Rush University Medical Center for coding and compliance questions and concerns.
• Facilitate compliance initiatives through education, newsletters and training sessions.
• Assist in updates to Compliance manuals and websites.
• Other duties and projects as assigned.

Skills

Coding auditing experience

EMR interpretation

Microsoft Office

Verbal & written communication

Hospital billing systems experience

Communication with physicians

Education

Bachelor's degree in Health Information Technology or related field

RHIA/RHIT/CCS certification

Tools

Electronic Health Record (EHR) systems

Microsoft Office Applications

Job description

Rush University Medical Center in Chicago, IL, is seeking a Health Information Management coding auditor to monitor coding quality and educate staff. The role involves preparing reports for administration and representing the HIM department at internal and external forums.

The candidate will uphold Rush’s mission and policies while promoting accurate coding practices. The position requires a coding certification and several years of audit or coding experience, with strong communication skills