WVU Medicine
WVUHS - Professional Coding Auditor- Educator (Urology/Neurology/Gastroenterolog
WVU Medicine, Carson City, Nevada, us, 89702
WVUHS - Professional Coding Auditor- Educator (Urology/Neurology/Gastroenterology)
Join to apply for the WVUHS - Professional Coding Auditor- Educator (Urology/Neurology/Gastroenterology) role at WVU Medicine Welcome! To apply to this position, click the Apply button and complete the application in full. Below, you’ll find other important information about this position.
Responsibilities
Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers.
Oversee or perform overall auditing and education plans for the Coding staff.
Perform coding quality audits, provide ongoing feedback and education.
Utilize ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment.
Qualifications
Education, Certification, and/or Licensure:
Graduate of Health Information Technology (HIT) or equivalent program AND five (5) years of coding experience;
Medical Coding Certification Program AND five (5) years of coding experience;
High School Diploma or Equivalent AND eight (8) years of coding experience.
Certification in RHIT, RHIA, COC, CCS, or CPC.
Preferred Qualifications
Bachelor’s degree in Health Information Management or related field.
Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, MS-DRG, HCC and APR-DRG assignment; knowledge of governmental billing and coding regulations including Teaching Physician Guidelines.
Previous supervisory or project management experience.
Core Duties and Responsibilities
Manage activities of designated coding personnel in training for WVU Healthcare and monitor developmental activity.
Manage quality improvement audits and training of designated coding staff.
Act as expert coding resource to coders, clinical documentation improvement, providers and revenue cycle, as well as specialty groups and meetings.
Serve as Super user for Coding-related EMR systems; update policies and procedures; conduct in-services for staff on changes.
Develop and maintain coding-related policies, procedures, query development, work queues and training materials with management.
Communicate with Coding Staff, Medical Staff, Physician Advisor, Department Chairman, and Department Administrators.
Organize, facilitate, perform, track, trend, and report on internal quality reviews.
Design and use audit tools to monitor coding accuracy, documentation gaps, and billing.
Coordinate audits with outside agencies and provide final reports to Coding Manager.
Coordinate denial reviews and facilitate appeal letter formation.
Ensure audit recommendations are completed; extract and analyze data to develop action plans.
Assist with on-boarding of new Coding Specialists; update on compliance and regulatory changes.
Keep abreast of coding changes and regulations; may contribute to Curriculum development for WVU Healthcare Coding Certificate Program.
Physical Requirements
Must be able to sit for long periods.
Visual and hearing acuity within normal range.
Manual dexterity to operate computer and office equipment.
May lift, push or pull 10-20 pounds.
Working Environment
Standard office environment; may require travel.
Visual strain from computer work.
Skills and Abilities
Excellent written and verbal communication and interpersonal skills.
Knowledge of healthcare compliance, revenue cycle operations, and auditing techniques.
Ability to mentor, educate and train others; ensure quality and productivity standards.
Ability to work under stress, maintain accuracy, and adapt to changes.
Independent decision-making and prioritization skills.
Strong organizational and time management skills.
Knowledge of anatomy, physiology and medical terminology.
Proficiency in office software and medical record/billing systems; ability to analyze complex data and reports.
Additional Information
Scheduled Weekly Hours: 40
Exempt/Non-Exempt: Exempt
Shift: United States of America (Exempt)
Company: SYSTEM West Virginia University Health System
Cost Center: 539 SYSTEM HIM Provider Based Coding Analysis
#J-18808-Ljbffr
Join to apply for the WVUHS - Professional Coding Auditor- Educator (Urology/Neurology/Gastroenterology) role at WVU Medicine Welcome! To apply to this position, click the Apply button and complete the application in full. Below, you’ll find other important information about this position.
Responsibilities
Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers.
Oversee or perform overall auditing and education plans for the Coding staff.
Perform coding quality audits, provide ongoing feedback and education.
Utilize ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment.
Qualifications
Education, Certification, and/or Licensure:
Graduate of Health Information Technology (HIT) or equivalent program AND five (5) years of coding experience;
Medical Coding Certification Program AND five (5) years of coding experience;
High School Diploma or Equivalent AND eight (8) years of coding experience.
Certification in RHIT, RHIA, COC, CCS, or CPC.
Preferred Qualifications
Bachelor’s degree in Health Information Management or related field.
Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, MS-DRG, HCC and APR-DRG assignment; knowledge of governmental billing and coding regulations including Teaching Physician Guidelines.
Previous supervisory or project management experience.
Core Duties and Responsibilities
Manage activities of designated coding personnel in training for WVU Healthcare and monitor developmental activity.
Manage quality improvement audits and training of designated coding staff.
Act as expert coding resource to coders, clinical documentation improvement, providers and revenue cycle, as well as specialty groups and meetings.
Serve as Super user for Coding-related EMR systems; update policies and procedures; conduct in-services for staff on changes.
Develop and maintain coding-related policies, procedures, query development, work queues and training materials with management.
Communicate with Coding Staff, Medical Staff, Physician Advisor, Department Chairman, and Department Administrators.
Organize, facilitate, perform, track, trend, and report on internal quality reviews.
Design and use audit tools to monitor coding accuracy, documentation gaps, and billing.
Coordinate audits with outside agencies and provide final reports to Coding Manager.
Coordinate denial reviews and facilitate appeal letter formation.
Ensure audit recommendations are completed; extract and analyze data to develop action plans.
Assist with on-boarding of new Coding Specialists; update on compliance and regulatory changes.
Keep abreast of coding changes and regulations; may contribute to Curriculum development for WVU Healthcare Coding Certificate Program.
Physical Requirements
Must be able to sit for long periods.
Visual and hearing acuity within normal range.
Manual dexterity to operate computer and office equipment.
May lift, push or pull 10-20 pounds.
Working Environment
Standard office environment; may require travel.
Visual strain from computer work.
Skills and Abilities
Excellent written and verbal communication and interpersonal skills.
Knowledge of healthcare compliance, revenue cycle operations, and auditing techniques.
Ability to mentor, educate and train others; ensure quality and productivity standards.
Ability to work under stress, maintain accuracy, and adapt to changes.
Independent decision-making and prioritization skills.
Strong organizational and time management skills.
Knowledge of anatomy, physiology and medical terminology.
Proficiency in office software and medical record/billing systems; ability to analyze complex data and reports.
Additional Information
Scheduled Weekly Hours: 40
Exempt/Non-Exempt: Exempt
Shift: United States of America (Exempt)
Company: SYSTEM West Virginia University Health System
Cost Center: 539 SYSTEM HIM Provider Based Coding Analysis
#J-18808-Ljbffr