Auditor/Educator, Coding Compliance

High School/GED
Job Description: Provides training and education for the coding staff on all aspects of coding. Provides one-on-one and group coding training. Prepares comprehensive training materials and presentations on various coding topics. Utilizes team building skills in training methods that produce positive results. Thoroughly researches ICD9 and ICD10 coding questions and coding issues using all available resources. Responsible for maintaining the Clinician Documentation Clarifications (Physician Queries). Updates queries as warranted by coding guidelines. May interact with Clinical staff/CDI for the purpose of documentation improvement and clarification. Performs directed audits of the coding staff to ensure coding accuracy compliance. Provides statistical reports summarizing audit results. Responsible for reviewing, appealing and providing feedback to the Coding Staff on all coding audit results from all internal/external sources. Works with the Business Office and Case Management Department on all rebilled cases. Performs various coding assignments under the direction of the Coding Manager. May perform other duties as assigned.
Job Specifications: REQUIRED: Associate's or Bachelor's degree in Health Information Management. ICD-10 AHIMA Certified Trainer or Certified Coding Specialist (CCS) and Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Five (5) years hospital coding experience assigning ICD 9 CM and CPT codes; certified trainer in ICD 10 with documented education in ICD 10 CM/PCS. Experience with electronic and handwritten medical record documentation. Thorough knowledge of 3M Coding Applications. Thorough knowledge of billing and reimbursement as related to coding with emphasis in: MS-DRGs, APRDRGs (CA and National) and APCs. Demonstrated ability to explain complicated coding concepts; delivery of complex material to large groups. Strong problem solving and analytical skills. Strong project management and organizational skills. Knowledge of computerized health information systems and Microsoft Office applications; Excel, Powerpoint, Access, Outlook and Visio.



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