Revenue Cycle Auditor-Educator Coding
About The Position
This is an advanced level position with expert knowledge of current ICD (diagnostic and procedural) and CPT-4 coding classification systems. Responsible for answering coding and billing questions, onboarding and training new staff, performing coding/DRG validation audits, and development and deployment of coding and CDI education. Works in conjunction with the coding and CDI leadership team in planning and performing education and training across the system. Responsible for performing internal audits and follow up education. Facilitates and promotes standardization of coding/CDI practices, monitors and communicates regulatory coding and billing changes for timely and accurate implementation. Acts as a liaison between CDI, physicians, clinical quality, patient financial services, and other departments to ensure collaborative relationships resulting in accuracy and integrity of the inpatient medical record.
Requirements
- Associate’s degree in HIM/related field or Associate’s degree in Nursing
- 4-6 years Performing coding CDI audits and education in large multifacility healthcare systems
- Certification from AHIMA (CCS, RHIT, RHIA, CDIP), AAPC (CIC) and/or ACDIS (CCDS) to be maintained
- 4-6 years - Performing coding CDI Audits and creating education sessions in large multifacility healthcare systems
Responsibilities
- Ensure coding/CDI practice adhere to compliant practices and regulatory requirements.
- Adhere to the ethical standards of coding as established by AAPC and/or AHIMA.
- Actively monitors work queues/worklists to ensure KPIs are met.
- Meet productivity and accuracy standards.
- Acts as a liaison with CDI, patient financial services, patient registration, clinical staff to resolve problems and improve workflow and shows ability to identify and determine resolution of complex issues.
- Assist CSH leadership in strategic planning.
- Ability to communicate effectively, deliver presentations to large groups, stay organized, and demonstrate effective leadership skills.
- Ability to identify and interpret operational training/development needs.
- Collaborates with coding/CDI leadership to discuss audit results, education and develop action plans for sustained improvement.
- Develop and execute process improvement projects.
- Actively seeks to promote and helps to maintain a professional, team-oriented, service-conscious environment, which contributes to the goals of the team and reflects the values of the enterprise.
- Assess tools and resources to prevent downstream errors, denials, etc.
- Ability to troubleshoot computer issues in a timely fashion while working remotely.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
