Health Information Educator Auditor Outpatient KMH

Responsibilities

• Provide Provider Coding education, including ICD-10 CM diagnosis selection and sequencing and appropriate E & M level selection, to the Enterprise.
• Work cooperatively with physicians and mid-level providers, Physician Enterprise leadership, provider billing leadership and others to ensure that CHS/Trinity-employed providers appropriately code the medical services that are provided.
• Introduce new providers to the coding program requirements across CHS/Trinity and provide any needed training.
• Audit new providers at 100% until they attain an 85% accuracy rate, then move to the standard auditing program.
• Create, disseminate, and provide education on new ICD-10 CM diagnosis codes as well as CPT-4 procedure code updates with provider billing services and Revenue Integrity.
• Offer support for various coding-related initiatives as needed.

Requirements

• CPC, CPC-P, RHIT, or CCS certification is required.
• Preferred: CEMC certification.
• Three (3) years of coding experience utilizing electronic encoders/references, and compliance software.

Qualifications

• Evidence of coding competency.
• Thorough knowledge of ICD-10-CM, CPT-4, Evaluation and Management (E/M), anatomy and physiology, and medical terminology.
• Demonstrated ability to work closely with CH associates, medical staff, department managers, and Finance.
• Superior written and interpersonal communication skills.
• Proven track record to develop/maintain policies and procedures.
• Professional skills related to leading by example, organization, prioritization, organizational integration, and coordination.
• Visual acuity for oversight of computer encoders, groupers, on-line references, Electronic Health Record.
• Demonstrated proficiency with computers, software, hardware, and technological advances.
• Computer and Microsoft Office proficiency to generate reports and collect data.
• Problem-solving skills, excellent analytical skills.
• Ability to respond to diverse scheduling and availability of associates and physicians to adjust schedules to accommodate needs of others.
• Ability and willingness to coach staff with negative behaviors and/or knowledge deficits, or reach out to others with ability to coach/assist these staff members in improvement.
• Mobilizer: Ability and willingness to set goals and clear expectations for work performance and behaviors. Holds self and staff accountable for all aspects of their assigned job.
• Change Driver: Embraces improvements and creative thinking, generates creative solutions, open to ideas of others, helps others embrace change.