Veterans in Healthcare
Lead Coder Coding Educator and Auditor
Veterans in Healthcare, State College, Pennsylvania, United States
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Lead Coder Coding Educator and Auditor
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Lead Coder Coding Educator and Auditor
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Veterans in Healthcare Get AI-powered advice on this job and more exclusive features. Job Description
Graduate of an approved Health Information Management Technology program, preferred. Will also consider graduates of Medical Office Specialist program with current, acute care experience with ICD-9-CM, CPT, DRG coding rules and methodologies.
Bellefonte, PA, United States (Remote)
Job Description
POSITION SUMMARY
Responsible for performing quality audits regarding coding functions, identifies individuals and develops educational action plans in collaboration with Coding Supervisor in order to assure accuracy for inpatient and outpatient coding. Facilitates and coordinates the monitoring of internal and external coding audits to include third party payers or regulated review agencies. Assists with coding in times of short-staffing, high volumes, vacancy, etc. as needed.
Minimum Requirements:
Education:
Graduate of an approved Health Information Management Technology program, preferred. Will also consider graduates of Medical Office Specialist program with current, acute care experience with ICD-9-CM, CPT, DRG coding rules and methodologies.
Experience:
Minimum of five years coding experience required; inpatient and outpatient coding experience.
Knowledge, Skills, Abilities:
Excellent communication skills (both verbal and written). Ability and ease with presenting educational information in a large group setting. Critical thinking skills and the ability to research topics in order to better understand and explain complex medical coding/billing issues is required. Self‑motivated individual with personal integrity to organize work and work independently. Strong decision making skills. Ability to use computer software (e.g..: HIS, Encoder, WORD, EXCEL and PowerPoint). Remains calm in changing work situations and is adaptive to changes in routine and schedule. Ability to work with Coding Supervisor, Coding Staff, Physicians, Patient Accounts and other departments as needed.
License/Certification/Registration:
Registered Health Information Administrator (RHIA) credentials; and/or Registered Health Information Technician (RHIT) credentials; and/or Certified Coding Specialist (CCS) credentials.
Supervision Recieved
Receives general supervision from the Coding Supervisor.
Supervision Given
None.
Responsibilities
ESSENTIAL FUNCTIONS
Trains new coders or contract coders to include daily monitoring, feedback and education with oversight from coding supervisor. Researches and educates coders on ICD-10-CM and CPT/HCPCS coding changes as well as complex coding issues. This would also include yearly ICD-10-CM and CPT/HCPCS updates as well as CMS final rule updates. Remains current with AAPC, Coding Clinics, CPT Assistant, CMS guidelines and other required reporting. Trains new Physicians/Advanced Practice Provider including contracted credentialed physicians. Perform new provider education, coding and billing review in collaboration with coding team member. Researches and educates physicians/Advanced Practice Providers on ICD-10-CM and CPT/HCPCS coding changes as well as complex coding issues. This would also include yearly ICD-10-CM and CPT/HCPCS updates as well as CMS final rule updates. Remains current with AAPC, Coding Clinics, CPT Assistant, CMS guidelines and other required reporting. Collaborates with Supervisor HIM Coding MNPG to coordinate presentations of final audit findings to department staff, providers, and appropriate individuals. Works with auditees on corrective action plans and educates management, providers, utilization review/case management staff and/or hospital personnel on documentation, billing, and coding requirements. Maintains all records and data logs of the yearly audits performed in a comprehensive summary report and the supporting documents of the audit finding results and conclusion in an approve format. Provides audit findings and reports to identify patterns, trends, or variation in coding documentation practices. Assist in the development of provider specific training, as well as corrective action plans based on the audit results Assists Supervisor HIM Coding MNPG by reviewing records to include coding related correspondence from CMS, other regulatory agencies, insurance providers and internal requests. Assist clinical coordinators, managers, corporate compliance or others with any requests, patient complaints or second reviews. Presents recommendations to management as well as the provider and/or staff on coding and documentation issues. Facilitates and promotes standardization of coding practices and workflow facility-wide. Monitors and communicates regulatory coding and billing changes for timely and accurate implementation. Assists Corporate Compliance with developing and maintaining compliance plans, Coding and Compliance Policies and Procedures, as well as developing individualized educational plans to improve coder productivity and accuracy. Works in conjunction with the Patient Accounts and Finance departments to improve workflows and expedite accurate and compliant billing of patient accounts. Assists with coding in times of short-staffing, high volumes, vacancy, etc. as needed. Collaborates with Coding Supervisor and Information Services to test and update HIS and Encoding Software. Performs internal concurrent, prospective, and retrospective audits to assure that billed services are supported by documentation in the medical record and that all coding, billing, and documentation is compliant with appropriate guidelines and federal and state regulations. Develops audit detail summary spreadsheets and reports to address any coding, documentation, or financial discrepancies. NON-ESSENTIAL FUNCTIONS
Performs related and miscellaneous duties as assigned.
About Us
Why Mount Nittany Health?
At Mount Nittany Health, we provide high-quality patient care with a unique combination of the latest in clinical technology and compassionate medical professionals. We are committed to improving both the quality and availability of healthcare in our region and seek to hire only the best to support the communities we serve.
Job Info
Job Identification 1784 Job Category Patient Relations and Health Information Posting Date 07/14/2025, 11:46 AM Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Education and Training Industries Hospitals and Health Care Referrals increase your chances of interviewing at Veterans in Healthcare by 2x Sign in to set job alerts for “Lead Teacher” roles.
Pennsylvania Leadership/Educational Administrator Coach/Mentor
Pennwood Cyber Charter School - Assistant Principal
Early Intervention Paraprofessional-Part Time
Lead Coder Coding Educator and Auditor PG
Teacher at West Branch Elementary School
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Lead Coder Coding Educator and Auditor
role at
Veterans in Healthcare 4 days ago Be among the first 25 applicants Join to apply for the
Lead Coder Coding Educator and Auditor
role at
Veterans in Healthcare Get AI-powered advice on this job and more exclusive features. Job Description
Graduate of an approved Health Information Management Technology program, preferred. Will also consider graduates of Medical Office Specialist program with current, acute care experience with ICD-9-CM, CPT, DRG coding rules and methodologies.
Bellefonte, PA, United States (Remote)
Job Description
POSITION SUMMARY
Responsible for performing quality audits regarding coding functions, identifies individuals and develops educational action plans in collaboration with Coding Supervisor in order to assure accuracy for inpatient and outpatient coding. Facilitates and coordinates the monitoring of internal and external coding audits to include third party payers or regulated review agencies. Assists with coding in times of short-staffing, high volumes, vacancy, etc. as needed.
Minimum Requirements:
Education:
Graduate of an approved Health Information Management Technology program, preferred. Will also consider graduates of Medical Office Specialist program with current, acute care experience with ICD-9-CM, CPT, DRG coding rules and methodologies.
Experience:
Minimum of five years coding experience required; inpatient and outpatient coding experience.
Knowledge, Skills, Abilities:
Excellent communication skills (both verbal and written). Ability and ease with presenting educational information in a large group setting. Critical thinking skills and the ability to research topics in order to better understand and explain complex medical coding/billing issues is required. Self‑motivated individual with personal integrity to organize work and work independently. Strong decision making skills. Ability to use computer software (e.g..: HIS, Encoder, WORD, EXCEL and PowerPoint). Remains calm in changing work situations and is adaptive to changes in routine and schedule. Ability to work with Coding Supervisor, Coding Staff, Physicians, Patient Accounts and other departments as needed.
License/Certification/Registration:
Registered Health Information Administrator (RHIA) credentials; and/or Registered Health Information Technician (RHIT) credentials; and/or Certified Coding Specialist (CCS) credentials.
Supervision Recieved
Receives general supervision from the Coding Supervisor.
Supervision Given
None.
Responsibilities
ESSENTIAL FUNCTIONS
Trains new coders or contract coders to include daily monitoring, feedback and education with oversight from coding supervisor. Researches and educates coders on ICD-10-CM and CPT/HCPCS coding changes as well as complex coding issues. This would also include yearly ICD-10-CM and CPT/HCPCS updates as well as CMS final rule updates. Remains current with AAPC, Coding Clinics, CPT Assistant, CMS guidelines and other required reporting. Trains new Physicians/Advanced Practice Provider including contracted credentialed physicians. Perform new provider education, coding and billing review in collaboration with coding team member. Researches and educates physicians/Advanced Practice Providers on ICD-10-CM and CPT/HCPCS coding changes as well as complex coding issues. This would also include yearly ICD-10-CM and CPT/HCPCS updates as well as CMS final rule updates. Remains current with AAPC, Coding Clinics, CPT Assistant, CMS guidelines and other required reporting. Collaborates with Supervisor HIM Coding MNPG to coordinate presentations of final audit findings to department staff, providers, and appropriate individuals. Works with auditees on corrective action plans and educates management, providers, utilization review/case management staff and/or hospital personnel on documentation, billing, and coding requirements. Maintains all records and data logs of the yearly audits performed in a comprehensive summary report and the supporting documents of the audit finding results and conclusion in an approve format. Provides audit findings and reports to identify patterns, trends, or variation in coding documentation practices. Assist in the development of provider specific training, as well as corrective action plans based on the audit results Assists Supervisor HIM Coding MNPG by reviewing records to include coding related correspondence from CMS, other regulatory agencies, insurance providers and internal requests. Assist clinical coordinators, managers, corporate compliance or others with any requests, patient complaints or second reviews. Presents recommendations to management as well as the provider and/or staff on coding and documentation issues. Facilitates and promotes standardization of coding practices and workflow facility-wide. Monitors and communicates regulatory coding and billing changes for timely and accurate implementation. Assists Corporate Compliance with developing and maintaining compliance plans, Coding and Compliance Policies and Procedures, as well as developing individualized educational plans to improve coder productivity and accuracy. Works in conjunction with the Patient Accounts and Finance departments to improve workflows and expedite accurate and compliant billing of patient accounts. Assists with coding in times of short-staffing, high volumes, vacancy, etc. as needed. Collaborates with Coding Supervisor and Information Services to test and update HIS and Encoding Software. Performs internal concurrent, prospective, and retrospective audits to assure that billed services are supported by documentation in the medical record and that all coding, billing, and documentation is compliant with appropriate guidelines and federal and state regulations. Develops audit detail summary spreadsheets and reports to address any coding, documentation, or financial discrepancies. NON-ESSENTIAL FUNCTIONS
Performs related and miscellaneous duties as assigned.
About Us
Why Mount Nittany Health?
At Mount Nittany Health, we provide high-quality patient care with a unique combination of the latest in clinical technology and compassionate medical professionals. We are committed to improving both the quality and availability of healthcare in our region and seek to hire only the best to support the communities we serve.
Job Info
Job Identification 1784 Job Category Patient Relations and Health Information Posting Date 07/14/2025, 11:46 AM Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Education and Training Industries Hospitals and Health Care Referrals increase your chances of interviewing at Veterans in Healthcare by 2x Sign in to set job alerts for “Lead Teacher” roles.
Pennsylvania Leadership/Educational Administrator Coach/Mentor
Pennwood Cyber Charter School - Assistant Principal
Early Intervention Paraprofessional-Part Time
Lead Coder Coding Educator and Auditor PG
Teacher at West Branch Elementary School
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr