Professional Medical Coding Educator Auditor HCS

Catholic Health System • Buffalo, NY

64d • $65,603 - $98,425

About The Position

The Auditor/Educator will work cooperatively with CH coding associates, Clinicians, Outpatient Coding Managers, CDEI Education Manager and Documentation Specialists, Corporate Compliance, Ancillary departments and private clients to ensure coding is consistent, accurate, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for reporting. The Auditor/Educator will monitor accuracy and perform audits using Intelicode or other appropriate software of coded data based on documentation in the medical record and through these audits will ensure that medical records are coded and billed in accordance with coding conventions, billing rules and Federal and State regulations. The Auditor/Educator will also provide timely education and feedback for Clinicians, Coding and CDEI associates with regards to quarterly coding updates. The Auditor/Educator will provide mentoring for new coding staff. The Auditor/Educator will also assist with the coding standardization of workflow redesign for Epic and other EHR systems. The Auditor/Educator may be assigned coding assignments as required to meet departmental needs.

Requirements

• CPC, COC, RHIT, CCS, or CCS-P certification is required.
• CPMA certification required.
• Minimum of three (3) years of multi-specialty coding experience utilizing electronic encoders.
• Thorough knowledge of ICD-10-CM, CPT-4, Evaluation and Management (E/M), anatomy and physiology, medical terminology, APC's, and Outpatient referred coding requirements.
• Excellent written and interpersonal communication skills.
• Proven track record to develop/maintain policies and procedures.
• Demonstrated proficiency with computers, software, hardware, and technological advances.
• Excellent analytical and problem-solving skills.
• Ability to travel to multiple sites.

Nice To Haves

• Flexibility to respond to diverse scheduling and the availability/needs of associates and Physicians.
• Ability and willingness to set goals and clear expectations for work performance and behaviors.
• Embraces improvements and creative thinking.

Responsibilities

• Monitor accuracy and perform audits of coded data based on documentation in the medical record.
• Ensure that medical records are coded and billed in accordance with coding conventions, billing rules, and Federal and State regulations.
• Provide timely education and feedback for Clinicians, Coding and CDEI associates regarding quarterly coding updates.
• Mentor new coding staff.
• Assist with coding standardization of workflow redesign for Epic and other EHR systems.
• Lead designated projects and serve as a mentor to the Coding Team.

What This Job Offers

• Job Type: Full-time
• Industry: Hospitals
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees