Vail Health · 6 hours ago

HIM Coding Auditor

Vail, CO

Full-time

Remote

Entry, Mid Level

$33.12/hr - $41.52/hr

2+ years exp

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Responsibilities

Conduct quarterly reviews of coding quality by auditing pre and post bill records for coding compliance and records quality for each coder. Review findings with the individual coding specialists and, when appropriate, provide education to address deficiencies. Track and reports findings to the Coding Manager.

Conduct quarterly reviews of coding quality and records quality for each assigned provider. Reviews findings with the individual providers or provider groups and, when appropriate, provides education to address deficiencies. Tracks and reports findings to the Coding Manager.

Competently performs all duties of a Coding Specialist III.

Collaborates with others in the organization including Medical Staff, other clinicians, and physician office staffs; and with Patient Financial Services to ensure the codes submitted for claims are supported by the documentation in the record. When querying clinical staff, uses appropriate querying techniques to avoid leading the clinician and follows up to ensure queried accounts are dropped within 10 days of the query. As needed, involves the department leader. Participate in various hospital/physician committees as appropriate and prepare and provide provider in-services.

Attends all required in-services and coder meetings. Identifies and attends training and educational programs conducive to professional growth. Utilizes current literature and workshops attended to the benefit of the organization. New ideas, policies, regulations, and philosophies are adapted to current policies and procedures appropriately. Shares coding policies, procedures, and coding guidance routinely with staff. As necessary, tests staff on their level of understanding the shared materials. Arranges for routine in-service options for coding staff.

Supports the philosophy, objectives, and goals of the organization and department by volunteering in various capacities without compromising performance expectations. Role models the principles of a Just Culture.

Contributes to the efficiency of the department. Routinely volunteers to assist others when work is completed.

Routinely abides by standards of professional and ethical conduct as defined by CMS, AHIMA, and the professional organization from which the incumbent is certified and/or credentialed.

Understands and complies with policies and procedures related to medicolegal matters including confidentiality, amendment of medical records, release of information, patient rights, medical records as legal evidence, informed consent, etc. Is knowledgeable of and complies with HIPAA, Safety and Compliance Program Policies and Procedures.

Role models the principles of a Just Culture and Organizational Values.

Perform other duties as assigned. Must be HIPAA compliant.

Qualification

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ICD-10-CM codingICD-10-PCS codingCPT codingCoding compliance auditingRegistered Health Information TechnicianRegistered Health Information AdministratorCertified Coding SpecialistCertified Professional CoderCertified Professional Medical AuditorMicrosoft OfficeEncoder usage 3MEncoder usage TrucodeAnatomy knowledgeMedical terminology knowledgePhysiology knowledgePharmacology knowledgeEnglish language proficiency

Required

2 years hospital inpatient production coding experience required.

One of the following certifications required: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS/CCS-P), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA).

Use of a computer, keyboard, and mouse and experience with basic Microsoft Office applications, required.

Must possess the computer skills necessary to complete work assignments, online learning requirements for job specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Must have working knowledge of the English language, including reading, writing, and speaking English.

Graduate of a coding certificate program, associate or bachelor’s degree in health information technology, or other allied health field required.