Lead Surgical Coding Auditor/Educator

The US Oncology Network • St. Paul, MN

2d • Hybrid

About The Position

At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients.

Requirements

• High School diploma or GED; Associate’s or Bachelor's degree in Health Information Management or related healthcare field preferred.
• 7+ years of billing, coding, and medical records experience.
• 1+ years of auditor/educator experience required.
• Surgical experience strongly preferred.
• CPC certification is highly desired.
• Must possess a broad knowledge of managed care and HMO policies and procedures and Medicare benefits.
• Must possess a strong knowledge of current versions of ICD, CPT and HCPCS.
• Strong math skills and attention to detail;
• Excellent oral and written communication skills;
• Excellent organizational and follow-up skills;
• Ability to work independently;
• Ability to independently research issues and apply laws & standards.

Nice To Haves

• Associate’s or Bachelor's degree in Health Information Management or related healthcare field preferred.
• Surgical experience strongly preferred.
• CPC certification is highly desired.

Responsibilities

• Performs EMR chart audits for surgeons in accordance with USON requirements to ensure medical records are commensurate with captured charges and billing.
• Works directly with providers to train and advise on supporting documentation for optimal reimbursement.
• Prepares reports of findings that details discrepancies and summarizes opportunities for improvement.
• Identifies coding and documentation trends that could be perceived as non-compliant with local guidelines.
• Recommends procedural improvements and training opportunities to management. Provides written audit reports to supervisor for review and approval.
• Reviews approved audit findings with physicians (individually and in a group setting) to discuss recommendations and improvement opportunities.
• Collaborates with Health Information Management (HIM), CDI, and billing teams to resolve documentation and coding issues.
• Maintains the confidentiality of medical information contained in each record.
• Completes other reasonably related duties as assigned.

Benefits

• Medical
• Dental
• Vision
• Free Life Insurance
• Generous Paid Time Off (PTO) Plan
• Free Short-term and Long-term Disability Coverage
• 401k plan with company contribution
• Wellness program that rewards your healthy lifestyle
• Tuition Reimbursement
• Employee Assistance Program and Discount Program to some of your favorite retailers
• Free Parking
• Career Growth and Development
• Supportive Team and Resources

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED