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WVU Medicine, the West Virginia University Health System, provides advanced healthcare services to the people of West Virginia and surrounding regions. Encompas
Coding Auditor – Educator
Location
West Virginia
Posted
74 days ago
Salary
0
Seniority
Lead
Job Description
Coding Auditor – Educator
West Virginia University
• Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. • Will oversee or perform the overall auditing and education plans for the Coding staff. • Perform coding quality audits, provide ongoing feedback and education. • Utilize various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. • Manages activities of designated coding personnel in training for WVU Healthcare and assures the monitoring and reporting of respective employee’s developmental activity. • Manages quality improvement audits and training of designated coding staff. • Acts as expert coding resource not only to coders, clinical documentation improvement, providers and revenue cycle, but also to specialty groups and meetings. • Acts as Super user for all Coding-related Electronic Medical Record Systems necessary for complete and accurate coding and EMR Data Governance. • Updates policies and procedures for those areas of responsibility. • Develops and maintains coding related policies, procedures, query development, work queues and training materials in conjunction with management. • Continually communicates with Coding Staff, Medical Staff, Physician Advisor, Department Chairman, and Department Administrators. • Organizes, facilitates, performs, tracks, trends, and reports on internal quality reviews. • Designs and uses audit tools (i.e ROC) to monitor the accuracy of coding, documentation gaps, and billing performed by Coding Specialists. • Coordinates audits performed by outside agencies and facilitates appeal letter formation.
Job Requirements
- Graduate of a Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Graduate of a Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience.
- Certification in ONE of the following: Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT) through American Health Information Management Association ) Certified Outpatient Coder (COC) through American Academy of Professional Coders Certified Coding Specialist (CCS) through American Health Information Management Association Certified Professional Coder (CPC) through American Academy of Professional Coders.
- Bachelor’s degree in Health Information Management or related field preferred.
- Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the “Teaching Physician Guidelines” for Professional Coding Positions preferred.
- Previous supervisory or project management experience.
Benefits
- Standard office environment.
- May require travel.
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