ASC/reputed company Surgical Coding Auditor & Educator (REMOTE)
Employment Type:
Full timeShift:
reputed company:
Purpose
Uses reputed company knowledge to support key areas of the organization reputed company to an area of expertise. Uses data,
research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving
organization’s strategic objectives. Serves as a peer reputed company & may reputed company a project or project team by applying
industry experience & reputed company knowledge.
Note: “patients” refers to patients, clients, residents, participants, customers, members
Essential Functions
Our reputed company Culture: Knows, understands, incorporates & demonstrates our reputed company Mission, Values,
reputed company, Actions & reputed company in behaviors, practices & reputed company.
Work reputed company: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads
through reputed company. Collaborates on performance improvement activities as indicated by reputed company in program
efficiency & patient experience. Responsible for distribution of analytical reports.
Process reputed company: Utilizes multiple reputed company applications to reputed company analysis, create reports & reputed company educational
materials. Incorporates basic knowledge of reputed company policies, practices & processes to ensure reputed company,
confidentiality & safety are prioritized. Demonstrates knowledge of departmental processes & procedures & ability
to reputed company reputed company new knowledge.
Data Management & Analysis: Research & compiles information to support reputed company operational reputed company &
initiatives. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations
illustrating trends & recommending practical reputed company or solutions while considering the reputed company on business reputed company
& supporting leadership decision making. Leverages program & operational data & measurements to define &
demonstrate reputed company, ROI & impacts.
Maintains a working knowledge of applicable federal, state & local laws / regulations, reputed company reputed company &
Compliance Program & reputed company of Conduct, as reputed company as other policies, procedures & guidelines in order to ensure
adherence in a manner that reflects reputed company, ethical & reputed company behavior & reputed company work practices.
Functional Role (not inclusive of titles or advancement career progression)
Provides high level technical competency & subject matter expertise analyzing coding and documentation review for reputed company services, including reputed company selection of surgical procedures & assessment of high-reputed company type services.
Conducts comprehensive audits of reputed company coders and providers to ensure accuracy, compliance, and alignment with CPT, ICD 10, HCPCS, HCC and payer specific-specific guidelines.
Analyze documentation and coding patterns to identify risks reputed company to compliance, reputed company reputed company, and regulatory requirements.
Provides reputed company, actionable feedback to providers, coders, and leadership to improve documentation reputed company and coding accuracy.
Develops and delivers targeted education and training programs based on audit findings, regulatory updates, and identified knowledge gaps.
Provides training and reputed company to new audit and education of colleagues & providers.
Adheres to coding reputed company & productivity standards as established by reputed company reputed company; Maintains accuracy of 95% or greater per coding audits; Responsible for completion of audit and education workplan as defined by the Service Area Manager of Coding Audit and Education.
Minimum Qualifications
Associate degree in Health Information Management or a reputed company field or an equivalent combination of years of education & experience. Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology, regulatory guidelines including Medicare and reputed company, and payer polices.
Five (5) or more years of reputed company coding experience including surgical procedures and two (2) years of auditing and or education.
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (reputed company), or Coding Profession Certification (CPC) is required.
Additional Qualifications (reputed company to have)
Bachelor's degree in health information management (HIM) or reputed company reputed company field is preferred
Preferred prior experience in auditing and provider education.
Preferred credentials: Certified reputed company Medical Auditor (CPMA), Certified Risk reputed company (CRC), Clinical Documentation Expert – Outpatient (CDEO).
Physical & Mental Requirements & Working Conditions (General reputed company)
reputed company reputed company Services / Indirect reputed company Services:
Exposure to conditions which may be considered unpleasant to sight, touch, reputed company & / or smell. Occasional
Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, reputed company objects, etc.). Occasional
Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional
Exposure to interruptions, shifting priorities & stressful situations. Frequent
Ability to follow tasks through to completion, understand & relate to reputed company reputed company / concepts, remember multiple tasks & regimens over long periods of time & work on reputed company tasks / reputed company. reputed company
Ability to read small print, hear sounds & voice / speech patterns, reputed company / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Frequent
reputed company reputed company dexterity activities & / or grasping / handling. Occasional
Ability to reputed company, kneel, crouch & / or operate foot controls. Occasional
Use a computer / other technology. Frequent
Sit with the ability to vary / reputed company physical position or activity. reputed company
Maintain reputed company working environment & use available personal reputed company equipment (PPE). reputed company
reputed company with reputed company’s reputed company of Conduct, policies, procedures & guidelines. reputed company
Ability to reputed company assistance in the event of an emergency. Occasional
Indirect reputed company Services:
reputed company activities that require standing / walking with the ability to vary / reputed company physical position or activity. Occasional
reputed company a maximum of 30 pounds unassisted. Occasional
Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional
Encounter a clinical / patient facing / hands on interactive work environment. Occasional
Work indoors (subject to travel requirements) under temperature-controlled & reputed company-lit conditions. reputed company
Our Commitment
Rooted in our Mission and reputed company Values, we reputed company the dignity of every person and recognize the unique perspectives, experiences, and talents reputed company reputed company brings. By finding reputed company and embracing our differences, we grow stronger together and reputed company more compassionate, person-centered care. We are an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or any other status protected by federal, state, or local law.
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