Lead Surgical Coding Auditor/Educator

Responsibilities

• Performs EMR chart audits for surgeons in accordance with USON requirements.
• Works directly with providers to train and advise on supporting documentation for optimal reimbursement.
• Prepares reports of findings that details discrepancies and summarizes opportunities for improvement.
• Identifies coding and documentation trends that could be perceived as non-compliant with local guidelines.
• Recommends procedural improvements and training opportunities to management.
• Provides written audit reports to supervisor for review and approval.
• Reviews approved audit findings with physicians (individually and in a group setting) to discuss recommendations and improvement opportunities.
• Collaborates with Health Information Management (HIM), CDI, and billing teams to resolve documentation and coding issues.
• Maintains the confidentiality of medical information contained in each record.
• Completes other reasonably related duties as assigned.

Qualifications

• High School diploma or GED; Associate’s or Bachelor's degree in Health Information Management or related healthcare field preferred.
• 7+ years of billing, coding, and medical records experience.
• 1+ years of auditor/educator experience required.
• Surgical experience strongly preferred.
• CPC certification is highly desired.
• Must possess a broad knowledge of managed care and HMO policies and procedures and Medicare benefits.
• Must possess a strong knowledge of current versions of ICD, CPT and HCPCS.

Competencies

• Strong math skills and attention to detail;
• Excellent oral and written communication skills;
• Excellent organizational and follow-up skills;
• Ability to work independently;
• Ability to independently research issues and apply laws & standards.

Physical Demands

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Work is performed in an office, clinical or classroom environment and requires significant interaction with corporate and network staff.
• Work will involve in-person interaction with co-workers and management and/or clients.
• Work may require minimal travel by automobile to other USON buildings.

Work Environment

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Work is performed in an office, clinical or classroom environment and requires significant interaction with corporate and network staff.
• Work will involve in-person interaction with co-workers and management and/or clients.
• Work may require minimal travel by automobile to other USON buildings.

Payscale

$85,000 - $105,000 annually

Benefits

• Medical
• Dental
• Vision
• Free Life Insurance
• Generous Paid Time Off (PTO) Plan
• Free Short-term and Long-term Disability Coverage
• 401k plan with company contribution
• Wellness program that rewards your healthy lifestyle
• Tuition Reimbursement
• Employee Assistance Program and Discount Program to some of your favorite retailers
• Free Parking