Auditor/Educator Inpatient

Omega Healthcare Management Services•Boca Raton, FL

9d•Remote

About The Position

Seeking a part-time (20 hours a week) inpatient auditor to validate DRGs, Pdx, MCC, CC, SOI, ROM, POA, PCS, and DD. Must have a minimum of 2 years of recent IP auditing experience and at least 5 years of experience of prior IP coding experience. Must be experienced with auditing cases from an academic university health system and trauma level 1. Must be comfortable with reviewing cases from all specialties. Must have experience with Cerner and 3M. Prior to access being granted, approx. 4 hours of learning modules must be completed; any candidate applying must be able to commit to getting done within 48 hours of being released to the candidate. Candidate will be paid for the time. Schedule can be flexible within reason, but for initial training (1-2 weeks) must be available for a couple hours between 8a and 4p Mountain Time each day. For assigned coders and providers, review Inpatient, Outpatient or Professional Fee medical records for coding accuracy and medical record documentation as it impacts the correctness of the coding. Provide feedback and deliver additional education to correct inaccurate coding and improve documentation.

Requirements

Minimum 5 years’ experience in Coding and HIM operations with progressive responsibilities and at least 3 years’ experience in auditing and delivering feedback.
Prior experience delivering training related to this field.
Strong working knowledge of Coding terminology, guidelines, diagnostic and procedural codes, and exposure to delivering training through demonstrated past successes.
Bachelor’s Degree in HIM or equivalent or a combination of advanced formal training and relevant experience.
CCS, CCS-P, CPC, CPC-P, CPC-H, RHIA or RHIT certification
Working knowledge of Microsoft products (such as PowerPoint, Word, Excel, Visio, and Publisher) for creating training materials.
2+ years of recent IP auditing experience
5+ years of previous IP coding experience
Cerner and 3M experience
Academic and Trauma 1 experience
Able to maintain 95% accuracy in reviews
Good verbal and written communication skills
Experience with MS Excel

Nice To Haves

Experience with e-learning coding software (such as Relias), a plus

Responsibilities

Review medical records for accuracy of coding and data quality.
Elements included in reviews may include: All diagnosis and procedure assigned ICD-10-CM and ICD-10 PCS codes, Evaluation and Management, CPT, HCPCS, Physician Documentation Gaps, Adherence to Guidelines, Teaching Physician Attestations, Clinician Signature Validation.
Use relevant references to perform the Current Procedural Terminology (CPT-4) Official Coding Guidelines, Coding Clinic, CPT Assistant, CMS guidelines, etc.
Communicate effectively with client management, coders, and providers.
Provide information regarding work progress, actions, and issues in a timely and effective manner.
Create an action plan that articulates strengths and areas that may require ongoing development to ensure an effective and successful program.
Assist in creating additional learnings that addresses coding problems and documentation gaps.
Solicit feedback from program participants regarding training content or delivery enhancements that would further improve coder/provider effectiveness.
Capitalize on electronic delivery avenues.
Make recommendations to training content, length, delivery, or other aspects of training based on evaluations and feedback from HIM organization/Provider practice.
Keep abreast of training and development research such as learning theory, motivation theory, and new materials, methods, and techniques.
Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.