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Coding Auditor and Educator Coordinator

Company: Skagit Valley Hospital
Location: Mount Vernon
Posted on: April 1, 2021

Job Description:

Job Category Professional/Technical - Non Patient Care Position Coding Auditor and Educator Coordinator Req Code 19637 Location Skagit Valley Hospital Job Summary The Coding Audit & Education Coordinator is to perform duties in compliance with SRH's business process. Coordinating the coding and audit functions of the Business Office Department. This position is responsible for conducting professional coding and documentation audits and conducting follow up face-to-face, telephonic, and/or web-based education with providers and certified professional coders. Develops monthly, quarterly and annual coding education plan. Conducts regular and ongoing audits to assess coder and provider performance. Assists with the development and implementation of new programs, policies, procedures and method relating to Provider coding. Ensures timely and accurate coding. Monitors Unbilled accounts report and assures compliance with CMS documentation guidelines. Essential Functions Provide onboarding new provider education for all SRH providers. Prepare and conduct one-on-one and/or group educational sessions with billing providers and/or coders. Conducts medical record documentation reviews of CPT-4 and ICD-10 coding according to set schedule for all SRH billing providers. Conducts medical record documentation reviews of CPT-4 and ICD-9 and ICD-10 coding according to set schedule for all SRH PB coders. Completes individual and departmental coding summary reports, provides onsite and/or web-based explanation of findings and offers education.Reviews and explains audit results with all Providers, Practice Managers, Practice Administrators and Directors of Business Office and Revenue Cycle. Prepares, initiates and monitors provider or coder departmental post-audit follow-up action plan based on review findings. Accuracy audit rate of 95%, review by internal and external auditors. Complies with SVH policies and procedures. Performs other duties as assigned. Minimum Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for long periods of time; when working in office. Repetitive tasks such as typing, sitting, answering phones, and interacting with computers and computer systems most of the day is a function of the position. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to focus. This position requires working in an indoor, environmentally controlled environment when in the office. Involves sitting approximately 50% percent of the day, walking or standing the remainder.Must be able to walk long distances at the different clinic/hospital locations for provider meetings and educational presentations. Must be able to employ a diplomatic approach when meeting with providers and delivering audit findings, understanding that the findings may at times be ill received, yet not wavering in the departmental duty to remain objective towards compliance. Education High school diploma or equivalent. Knowledge of medical terminology and hospital staffing preferred. Experience/Training Minimum three (3) years of directly related experience with CPT, ICD-9, ICD-10 coding and documentation auditing for providers is required. License/Certification One of the following coding credentials required. CCS, RHIT, RHIA, CPC, CPC-H, CPMA, or COSC. Additional credentialing as Certified Professional Medical Auditor (CPMA) required within 6-months of employment in this role. Must maintain a valid driver's license and have reliable transportation for the purposes of meeting with providers at our various clinic/hospital locations. Other Qualifications Strong verbal, written and interpersonal communication skills. Proficient computer and office equipment skills. Must be able to proficiently utilize Microsoft Office and department specific applications to perform work. Knowledge of health care regulations and standards as they apply to correct coding. Understands regulatory and organizational guidelines and remains aware of changes in the healthcare environment. Working knowledge of ICD-9-CM, ICD-10-CM, and CPT coding guidelines and conventions. Skills in interpersonal communication. Skills in efficient use of time, i.e. time management skills. Skills in analytics. Able to interpret documentation, billing, and coding guidelines. Able to organize work priorities and meet deadlines while handling large volumes of work. Maintains a professional and cooperative attitude with providers, co-workers, and employers. Able to maintain confidentiality of all compliance related information.

Keywords: Skagit Valley Hospital, Mount Vernon , Coding Auditor and Educator Coordinator, Accounting, Auditing , Mount Vernon, New York

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