CommonSpirit Health is a nonprofit organization that is on a mission to improve people’s health while making “the healing presence of God known.” The orga
Revenue Cycle Auditor-Educator CDI
Location
Colorado
Posted
33 days ago
Salary
$39 - $65 / hour
Seniority
Mid Level
Job Description
Revenue Cycle Auditor-Educator CDI
CommonSpirit Health
Role Description This is an advanced level position with expert knowledge of current ICD (diagnostic and procedural) and CPT-4 coding classification systems. Responsibilities include: - Answering coding and billing questions. - Onboarding and training new staff. - Performing coding/DRG validation audits. - Development and deployment of coding and CDI education. - Working in conjunction with the coding and CDI leadership team in planning and performing education and training across the system. - Performing internal audits and follow-up education. - Facilitating and promoting standardization of coding/CDI practices. - Monitoring and communicating regulatory coding and billing changes for timely and accurate implementation. - Acting as a liaison between CDI, physicians, clinical quality, patient financial services, and other departments to ensure collaborative relationships resulting in accuracy and integrity of the inpatient medical record. Additional responsibilities include: - Completing initial medical records reviews within 24-48 hours of admission for a specified patient population to evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality and severity of illness. - Conducting follow-up reviews every 2-3 days to support working DRG assignment. - Formulating compliant provider queries regarding missing, unclear or conflicting documentation, as necessary. - Following up daily on open queries with providers to ensure timely responses. - Reviewing final coding DRG assignment and following DRG reconciliation process. - Keeping abreast of Official Coding and Reporting Guidelines, AHA Coding Clinics, CMS and other agency directives and maintaining up-to-date knowledge of coding and CDI current trends. - Exhibiting strong oral communication skills and the ability to deliver presentations to large groups. Qualifications - Associates degree in Nursing and/or HIM related fields or 4-6 years of experience. - Five (5) years coding auditing experience including but not limited to hospital inpatient and outpatient encounters. - Six (6) years of experience in coding quality audit work or record review including but not limited to hospital inpatient and outpatient. - Certified Coding Specialist, upon hire. - Certified Professional Coder, upon hire. - Registered Health Information Administrator, upon hire. - Registered Health Information Technician, upon hire. - Clinical Documentation Improvement Professional, upon hire. Requirements - Associates degree in relevant field or combination of equivalent education and experience, upon hire.
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