Medical Coding Analyst Auditor - Educator

UNM Medical Group • Albuquerque, NM

1d • Remote

About The Position

UNM Medical Group, Inc. is hiring for a Medical Coding Analyst Auditor - Educator to join our Coding Department. This opportunity is a REMOTE , full-time, day shift opening located in New Mexico. This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico Sign-On Bonus - $2,000 Minimum $58,905 - Midpoint $73,632 Salary is determined based on years of total relevant experience. Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Reporting to Manager, Medical Coding, responsible for the quarterly medical coding audits and monthly educational sessions for the UNM Medical Group, Inc., Medical Coding Analysts. Works closely with the Coding Supervisors, Manager and Director to identify areas and make recommendations for educational improvement for both coding staff and medical providers as needed.

Requirements

• High school diploma or GED with 2 years directly related experience.
• Must be a CPC (Certified Professional Coder) and CPMA (Certified Professional Medical Auditor) or certificate eligible to pass CPMA within 12 months of employment.
• Completed degree from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.
• Verification of education and licensure (if applicable) will be required if selected for hire.

Responsibilities

• Assesses the auditing and medical coding educational needs of professional fee Medical Coding Analysts and develops programs and research educational resources to meet those needs.
• Develops training materials and medical coding aids for use by MCAs in daily work.
• Responsible for performing medical coding audits for all UNMMG professional fee coding staff to assure coding accuracy and prepares reports and observations.
• Responsible for follow-up feedback and working in conjunction with Medical Coding Leadership to improve coder accuracy when inappropriate coding patterns are identified, and accuracy goal is not met.
• Responsible for working in conjunction with Medical Coding Leadership in providing 1:1 and/or group educational coding sessions for MCA and UNMMG medical providers.
• Serves as a TES/Claims Manager edit resource to ensure medical coding edits are as current as possible and meet professional documentation and medical coding standards; reports and revises TES Edit information when inaccurate.
• Reviews and analyzes CMS, Federal, State, and other billing guidance agencies to ensure Medical Coding Department guidelines are accurate and kept up to date to reflect any changes or updates that are utilized by medical coding staff.
• Assists Medical Coding Management in the formulation of the annual work plan to capture risks in audit plan.
• Provides On Boarding education and training of all newly hired Medical Coding Analysts.
• Ensures strict confidentiality of medical and financial records.
• Attends medical coding conferences, workshops and in-house sessions to receive updated coding and auditing information and changes to regulations.

Benefits

• Competitive Salary & Benefits : UNMMG provides a competitive salary along with a comprehensive benefits package.
• Insurance Coverage : Includes medical, dental, vision, and life insurance.
• Additional Perks : Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees