Coding Auditor & Educator Professional Fee
US-CO-Centennial
mountain-commonspirit_external
Req #: 84156
Type: Full-Time
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Overview: CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen-both inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life ColoradoTM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve. CommonSpirit Health is one of the nation's largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way. Responsibilities: You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. The Coding Auditor and Educator utilizes ICD-10-CM, HCPCS, and CPT-4 Coding Classification systems who supports the professional fee coding team. Responsible for answering coding and billing questions, onboarding and training new staff, performing coding audits, and development and deployment of coding education. Works in conjunction with the PB Coding leadership team in planning and performing coding education and training with the PB coding teams. 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. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: - Alabama- Arizona- Arkansas- Colorado - Florida- Georgia- Idaho- Indiana - Iowa- Kansas - Kentucky- Louisiana - Missouri- Mississippi- Nebraska- New Mexico - North Carolina- Ohio- Oklahoma- South Carolina - South Dakota- Tennessee- Texas- Utah - Virginia- West Virginia- Wyoming Qualifications: In addition to bringing humankindness to the workplace each day, qualified candidates will need the following: * High School Diploma/G.E.D. required * Associate degree or equivalent work experience in lieu of degree, preferred * 2 years of recent experience in PB coder audits, education, and training. * 5 years of' experience coding professional fee records. * Knowledge of professional fee coding rules and guidelines. * Understand rules and regulations governing Medicare billing. * Advanced Knowledge of NCCI, ICD-10-CM, CPT, HCPCS, and modifiers. * Advanced knowledge of medical terminology and anatomy and physiology. * Strong organizational, planning, scheduling and project management abilities. * Excellent analytical ability to develop and analyze data to recommend solutions and solve complex problems. * Experience with Epic and health care applications required. Epic experience required. * Demonstrate advanced computer skills. * Demonstrate excellent interpersonal, organizational, presentation, time-management, multi-tasking, and communication skills with strong attention to detail. * Coding Certification required: CPC Source: AAPC or CCS or CCS-P, or RHIT, or RHIA Source: AHIMA Certified Professional Coder (CPC Certification) CCS (Certified Coding Specialist) CCS-P (Certified Coding Specialists - Physician based) RHIT (Registered Health Information Technician) RHIA (Registered Health Information Administrator) Physical Requirements - Sedentary work - prolonged periods of sitting and exert up to 10 lbs. force occasionally
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