Medical Coding Educator/Auditor

Responsibilities

• Performs EMR chart audits for medical or radiation oncology physicians/providers and surgeons in accordance with USON requirements.
• Works directly with providers to train and advise on optimal supporting documentation for reimbursement.
• Identifies coding and documentation trends that could be perceived as non-compliance with local and federal regulatory guidelines.
• Identifies opportunities for procedural improvements and training.
• Provides written audit report to supervisor for review and approval.
• Reviews approved audit findings with physicians and providers to discuss recommendations and improvement opportunities.
• Collaborates with Health Information Management (HIM), CDI, and billing teams to resolve documentation and coding issues.
• Maintains detailed records of audits, findings, and corrective actions in accordance with organizational and regulatory requirements.
• 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.
• 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

• The physical demands described here are representative of those that must be met by an employee to successfully perform 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 a clinical environment and requires frequent interaction with staff, patients and the public.
• Work may require minimal travel by automobile to other medical sites.

SALARY RANGE

$75,000 - $95,000 annually

WORK ENVIRONMENT

• The work environment characteristics described here are representative of those an employee encounters while performing th essential functions of this job.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Work is performed in a clinical environment and requires frequent interaction with staff, patients and the public.
• Work may require minimal travel by automobile to other medical sites.