Professional Coding Auditor – Educator

Job Description:

  • Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers.
  • Oversee or perform the overall auditing and education plans for the Coding staff.
  • Perform coding quality audits, provide ongoing feedback and education.
  • Utilize various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment.
  • Manages activities of designated coding personnel in training.
  • Manages quality improvement audits and training of designated coding staff.
  • Acts as expert coding resource to coders, clinical documentation improvement, providers and revenue cycle.
  • Develops and maintains coding related policies, procedures, query development, work queues and training materials.
  • Coordinates audits performed by outside agencies.

Requirements:

  • Graduate of a Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Graduate of a Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience.
  • Certification in ONE of the following: Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT) through American Health Information Management Association ) Certified Outpatient Coder (COC) through American Academy of Professional Coders Certified Coding Specialist (CCS) through American Health Information Management Association Certified Professional Coder (CPC) through American Academy of Professional Coders.
  • Bachelor’s degree in Health Information Management or related field (preferred).
  • Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the “Teaching Physician Guidelines” for Professional Coding Positions preferred.
  • Previous supervisory or project management experience.

Benefits:

  • Health insurance
  • Professional development
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