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Coding Audit Training Specialist
Broomfield, CO
Job Description
Job Description:
The purpose of this position is to perform all professional coding responsibilities for an assigned group of clinics and/or providers.Scope1.Assigns ICD, CPT and HCPCS coding classifications based on clinical documentationand/or physician orders. Utilizes appropriate tools, resources and guidelines to determine codes and assign principal and secondary diagnoses. Obtains clarification from physicians, clinical departments and others on documentation questions, as needed. Performs coding at a complex inpatient hospital coding complexity, such as Medicare and Medicaid charts with extended length of stays and multiple surgeries with extended consultations.
2. Serves as subject matter expert and mentor for coding associates. Develops and delivers training for IP/OP coding, answers coding questions, designs training plans to meet needs of coders to achieve high level of accuracy. Assists HIM Manager with coding meetings.
3. Participates in the hiring, interviewing, and onboarding of new associates within the departments. Monitors and performs quality assurance. Performs coding audits on coders and reports them to the SCLHS Compliance department. Complies daily and monthly reports as needed and requested.
4. Maintains assigned work queues within defined processing timeframe and meets or exceeds productivity standards.
5. Verifies data abstracted and entered from the EMR. Ensures integrity of the database for internal and external data reporting.
6. Adheres to all compliance guidelines, both internal and external. Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes and surgical techniques to support the effective application of coding guidelines and maintain credentials.
7. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.
8. Performs other duties as assigned.
Minimum Qualifications
Required
Associate Degree in Health Information or in a related field required
Certified Coding Specialist (CCS) credential through American Health Information ManagementAssociation (AHIMA) required
Five (5) years experience in a hospital or acute care setting, including inpatient and outpatient coding experience using both ICD and CPT coding required
Preferred
Bachelor Degree in Healthcare related field preferred
Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT)
To perform this job successfully, an individual must be able to perform each essential dutysatisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Navigates multiple software systems effectively and efficiently.
2. Utilizes critical thinking thought process to assign appropriate clinical diagnosis and procedure codes in accordance with nationally recognized guidelines.
3. Maintains knowledge of CPT codes assigned by departments at the time of charging and alerts departments when improper CPT codes are entered to assure accurate billing of accounts. Computer skills and 10-key typing proficiency.
4. General software skills with MS Office products, including Word and Excel.
5. Strong communication and integrity skills, both verbal and written, in order to interpret medical documents and communicate effectively with medical professionals especially related to compliance guidelines .
6. Ability to work independently in a remote environment.
7. Demonstrates attention to detail for accuracy requirements.
8. Familiar with coding software such as 3M encoder, Epic and computerized assisted coding applications preferred.
9. Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required
10. Ability to work nights and/or weekends is required for identified positions
Physical Requirements:
Hearing/listening, lifting, manual dexterity, pulling/pushing, seeing, sitting, speaking, squatting/kneeling, standing, and walking.Anticipated job posting close date:
05/12/2024Location:
Peaks Regional OfficeWork City:
BroomfieldWork State:
ColoradoScheduled Weekly Hours:
40The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$25.73 - $45.71We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our, and for our ; and our commitment to.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Our facilities do not discriminate against any person on the basis of race, color, national origin, disability, or age in admission or access to, or treatment or employment in, its programs, services or activities, or on the basis of sex (gender) in health programs and activities
Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Salary and Benefits
$25.73 - $45.71
Required Education
Associate Degree
Required Experience
5 years
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