Senior Medical Coding Auditor & Education Leader

WVU Medicine; United States; Remote; USD 90,000 - 110,000; Full time

Job summary

SYSTEM West Virginia University Health System is seeking a senior Coding Educator and Auditor to educate and train Coding Staff, oversee quality audits, and lead education plans for the Coding team.

The role requires RHIA/RHIT/COC/CCS/CPC certification, 5+ years coding experience, and supervisory or project management experience; duties include auditing, policy development, and staff development.

Qualifications

• Graduate of a Health Information Technology (HIT) or equivalent program and five years of coding experience.
• Graduate of a Medical Coding Certification Program and five years of coding experience.
• High School Diploma or Equivalent with eight years of coding experience.

Responsibilities

• Manages activities of designated coding personnel in training for WVU Healthcare and monitors developmental activity.
• Manages quality improvement audits and training of designated coding staff.
• Acts as expert coding resource to coders, CDI, providers, revenue cycle, and specialty groups.
• Acts as Super user for Coding-related EMR systems and updates policies accordingly.
• Develops and maintains coding policies, procedures, query development, work queues and training materials.
• Communicates with Coding Staff, Medical Staff, Physician Advisor, and Administrators.
• Organizes internal quality reviews and reports on findings.
• Designs and uses audit tools to monitor coding accuracy and documentation gaps.
• Coordinates audits performed by outside agencies and facilitates exit conferences.
• Coordinates denial reviews and facilitates appeal letter formation.
• Communicates regularly with Coding Leadership on activities and issues.

Skills

ICD-10-CM

ICD-10-PCS

CPT

MS-DRG

HCC

APR-DRG

E/M coding

supervisory experience

Education

Health Information Management program

Medical Coding Certification

High School Diploma or GED

Tools

EMR systems

Job description

SYSTEM West Virginia University Health System is seeking a senior Coding Educator and Auditor to educate and train Coding Staff, oversee quality audits, and lead education plans for the Coding team.

The role requires RHIA/RHIT/COC/CCS/CPC certification, 5+ years coding experience, and supervisory or project management experience; duties include auditing, policy development, and staff development.