Hospital Coding Auditor
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**MEMBERS ONLY**SIGN UP NOW***. connects individuals, families and neighborhoods across Colorado and western Kansas with more than 21,000 of the most talented hearts and minds in medicine.
Through **MEMBERS ONLY**SIGN UP NOW***.â€™s 17 hospitals, two senior living communities, health neighborhoods, physician clinics, Flight for LifeÂ® Colorado, home care and hospice services, we offer a diverse range of work settings in a Colorado or Kansas community you will love to call home.
Enjoy amazing people, competitive pay, some of the best benefits in the industry and plenty of opportunity for professional growth and development.
If youâ€™re ready to discover the difference of working for a fully-integrated health system with a non-profit, faith-based mission to care, we look forward to receiving your application.
Job Description/Job Posting ID: 117451
Keegan Swihart, ~~~
Subject matter expert to facility and Coding Service Center personnel for the assigned patient types and/or service lines in inpatient and/or outpatient coding. Responsible for answering coding and billing questions . Works in conjunction with the Coding Service Center leadership team in planning and performing coding education and training statewide, including ICD-10. Responsible for performing internal audits and follow up education. Facilitates and promotes standardization of coding practices, monitors and communicates regulatory coding and billing changes for timely and accurate
implementation. Participates in short-term and long-term strategic planning with regard to compliant coding and regulatory billing practices.
Minimum Education Requirements
High School Diploma or GED required; Associate Degree preferred
Minimum of successful completion of coding certificate program by specialty as appropriate
Demonstrate expert technical coding competency in coding with ICD-10, CPT-4, HCPCS codes, modifiers, MS-DRGs,
APRs and APCs, as appropriate for the assigned patient types and/or service lines responsible for in the position
Demonstrates intermediate skills in coding with ICD-10-CM and PCS
Advance knowledge of disease management, anatomy & physiology, medical terminology, pharmacology and coding systems (i.e. 3M)
Advanced knowledge of 3M Encoder, Coding Clinic Guidelines, LMRPs, CMS Program Memorandums related to coding and billing practices, and Nosology, and charge description master (CDM)
Minimum Experience Requirements
5 years coding experience in an acute care setting required.
3 years experience in internal auditing and/or coding education; prefer multi-healthcare setting experience
Must demonstrate competency of inpatient and outpatient coding and guidelines, as appropriate
Advance knowledge of Microsoft Office applications (i.e. Word, Excel, Outlook, PowerPoint) and troubleshooting computer problems Excellent verbal and written communication skills
Current AHIMA credentials (i.e. RHIA, RHIT, CCS, RCC) or AAPC credential (COC, CPC-H, CIC) required and maintained
Position Duties (essential functions denoted with an * )
Responsible for performing internal audits and follow up education; monitors trends throughout the system.*
Responsible to analyze, summarize and present external and internal audit results.*
Responsible to maintain advanced coding and billing knowledge sustaining role as subject matter expert.*
Acts as a Resource to facility and Coding Service Center personnel for the assigned patient types and/or services lines for inpatient and/or outpatient coding and billing and responsible for answering coding questions received from the Coding Service Center and/or facility personnel.*
Demonstrates the ability to effectively present information and respond to questions from staff and other customers and follow up in a timely manner; Provides supporting documentation and/or references to support coding answers(i.e. Coding Clinic, Coding Compliance Plan). Communicates coding guidelines consistently to all applicable coders and facility stakeholders throughout the system.*
In collaboration with the Coding Service Center leaders is responsible for planning and performing coding education and training statewide, including ICD-10.*
Reviews coding denials from payer audits (i.e. CFMC, CDAC) and other external audits (i.e. RAC, MIC, ZPIC), asrequested.*
Participates in short-term and long-term strategic planning, as appropriate.*
Facilitates and promotes standardization of coding operations across the region and in alignment with the system.*
Actively seeks to promote and helps to maintain a professional, team-oriented, service-conscious and customer service environment, which contributes to the goals of the Coding Service Center, Revenue Management, facilities and reflects the values of the system.*
Sedentary Work - prolonged periods of sitting and exert/lift up to 10 lbs. force occasionally)
Important notification to applicants as of Nov. 20, 2014:
Effective Jan. 1, 2015, **MEMBERS ONLY**SIGN UP NOW***. will no longer hire tobacco users in Colorado and Kansas. The change to our policy does
not apply to associates hired on or before Dec. 31, 2014
. **MEMBERS ONLY**SIGN UP NOW***. is an Equal Opportunity Employer, M/F/D/V.
Website : http://www.centura.org
Centura Health, the region’s health care leader, is focused on connecting Colorado and Kansas to affordable, world-class care. Centura Health’s integrated network includes 14 hospitals, seven senior living communities, medical clinics, affiliated partner hospitals, Flight For Life® Colorado, 13 Colorado Health Neighborhoods and home care and hospice services. More than 15,800 of the best hearts and minds in medicine, along with over 6,000 physician partners, have access to the most technologically advanced tools available. For consumers, this means the top expertise and technology is right where you need it – close to where you are. We reach beyond hospital walls to connect with people at every stage of life; Connections that only Centura Health can make. - See more at: http://www.centura.org/about-us#sthash.eyXAK74G.dpuf