Jobs · Healthcare · New York

Professional Medical Coding Educator Auditor HCS

Catholic Health · Buffalo, NY · 1 mo ago
On-siteHealthcareOther
We need to output HTML fragment with sections: About the role (summary), Responsibilities, Requirements (maybe combine qualifications?), Skills, Benefits, Pay, Schedule only if present. We need to parse the posting. Given text: Facility: Administrative Regional Training Cntr Shift: Shift 1 Status: Full Time FTE: 1.066667 Bargaining Unit: Catholic Health Emmaus Exempt from Overtime: Exempt: Yes Work Schedule: Days Hours: 8:00 AM-4:30 PM Summary: The Auditor/Educator will work cooperatively with CH coding associates, Clinicians, Outpatient Coding Managers, CDEI Education Manager and Documentation Specialists, Corporate Compliance, Ancillary departments and private clients to ensure coding is consistent, accurate, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for reporting. The Auditor/Educator will monitor accuracy and perform audits using Intelicode or other appropriate software of coded data based on documentation in the medical record and through these audits will ensure that medical records are coded and billed in accordance with coding conventions, billing rules and Federal and State regulations. The Auditor/Educator will also provide timely education and feedback for Clinicians, Coding and CDEI associates with regards to quarterly coding updates. The Auditor/Educator will provide mentoring for new coding staff. The Auditor/Educator will also assist with the coding standardization of workflow redesign for Epic and other EHR systems. The Auditor/Educator may be assigned coding assignments as required to meet departmental needs. Responsibilities: EDUCATION CPC, COC, RHIT, CCS, or CCS-P is requiredCPMA required Experience Minimum of three (3) years of multi- specialty coding experience utilizing electronic encoders following the official CPT coding guidelines using AHA Coding Clinic, CPT Assistant, CMS Documentation Guidelines, Official Guidelines for Coding and Reporting and other authoritative resources KNOWLEDGE, SKILL AND ABILITY Evidence of coding competencyThorough knowledge of ICD-10-CM, CPT-4, Evaluation and Management (E/M), anatomy and physiology, medical terminology, APC's, and Outpatient referred coding requirementsPartner with and across Interdisciplinary Teams. Demonstrated ability to work closely with CH associates, medical staff, Clinical Documentation Improvement (CDI) leadership and staff, department managers and private clientsExcellent written and interpersonal communication skills, entering or accessing essential information from proprietary databases, often utilizing Microsoft Excel for multiple Medical SpecialtiesProven track record to develop/maintain policies and proceduresProfessional skills related to leading by example, organization, prioritization, organizational integration, and coordination. Individual is proactive, addressing problems and coding/compliance issues head-on, solution orientedVisual acuity for oversight of computer encoders, groupers, on-line references, Electronic Health RecordDemonstrated proficiency with computers, software, hardware, and technological advancesComputer and Microsoft Office proficiency to generate reports and collect dataExcellent analytical and problem-solving skills. Ensures difficult, vital issues, and challenges are addressed in a timely fashionFlexibility to respond to diverse scheduling and the availability/needs of associates and PhysiciansThe Auditor/Educator will lead designated projects and serve as a mentor to the Coding TeamAbility 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. Ability to meet deadlines consistently and generate reportsEmbraces improvements and creative thinking, generates creative solutions, open to ideas of others, helps others embrace change Ability to travel to multiple sites WORKING CONDITIONS: Travels frequently to multiple sites to work with Clinic Manager, Physicians and with Educator/AnalystNYS driver's license or transportation is requiredOccasional change in work schedule to accommodate project implementation, auditing, meetings, or other departmental concerns ENVIRONMENT Normal heat, light space, and safe working environment; typical of most office jobs We need to remove boilerplate: Facility, Shift, Status, FTE, Bargaining Unit, Exempt from Overtime, Work Schedule? Actually Work Schedule is given: Days Hours: 8:00 AM-4:30 PM. That is schedule info; we can include in a Schedule section if present. The instruction: include a section ONLY when posting has real, specific content for it — never emit heading followed by filler/placeholder text. So we can include Schedule section with that info. Pay: not mentioned. Benefits: not mentioned. So we omit those. We need sections: About the role (summary), Responsibilities, Requirements (maybe combine qualifications?), Skills. The posting includes "Responsibilities:" then a block that seems to mix education, experience, knowledge, skill and ability. Actually after "Responsibilities:" they list "EDUCATION CPC, COC, RHIT, CCS, or CCS-P is requiredCPMA required Experience Minimum of three (3) years of multi- specialty coding experience ..." then "KNOWLEDGE, SKILL AND ABILITY Evidence of coding competency..." So we need to parse. We should separate into sections: Responsibilities (duties), Requirements (education, experience), Skills/Knowledge (knowledge, skill and ability). Also maybe "Working Conditions" could be part of Responsibilities? But we can include as part of Responsibilities or separate? The instruction: use headings for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we can have About the role (summary), Responsibilities (the duties list), Requirements (education + experience), Skills (knowledge, skill and ability). Also maybe include Working Conditions as part of Responsibilities? Not needed. We need to use
  • for any list of duties/requirements/benefits, and

    for prose. We need to preserve all substantive information, not invent or summarize away detail. So we need to extract each bullet point as list items. Let's extract duties from summary: The Auditor/Educator will work cooperatively with CH coding associates, Clinicians, Outpatient Coding Managers, CDEI Education Manager and Documentation Specialists, Corporate Compliance, Ancillary departments and private clients to ensure coding is consistent, accurate, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for reporting. The Auditor/Educator will monitor accuracy and perform audits using Intelicode or other appropriate software of coded data based on documentation in the medical record and through these audits will ensure that medical records are coded and billed in accordance with coding conventions, billing rules and Federal and State regulations. The Auditor/Educator will also provide timely education and feedback for Clinicians, Coding and CDEI associates with regards to quarterly coding updates. The Auditor/Educator will provide mentoring for new coding staff. The Auditor/Educator will also assist with the coding standardization of workflow redesign for Epic and other EHR systems. The Auditor/Educator may be assigned coding assignments as required to meet departmental needs. We can turn each sentence into a list item under Responsibilities. Now Requirements: Education: CPC, COC, RHIT, CCS, or CCS-P is required; CPMA required. Experience: Minimum of three (3) years of multi-specialty coding experience utilizing electronic encoders following the official CPT coding guidelines using AHA Coding Clinic, CPT Assistant, CMS Documentation Guidelines, Official Guidelines for Coding and Reporting and other authoritative resources. We can list these as list items. Skills/Knowledge: The block after "KNOWLEDGE, SKILL AND ABILITY". Let's parse sentences: - Evidence of coding competency - Thorough knowledge of ICD-10-CM, CPT-4, Evaluation and Management (E/M), anatomy and physiology, medical terminology, APC's, and Outpatient referred coding requirements - Partner with and across Interdisciplinary Teams. - Demonstrated ability to work closely with CH associates, medical staff, Clinical Documentation Improvement (CDI) leadership and staff, department managers and private clients - Excellent written and interpersonal communication skills, entering or accessing essential information from proprietary databases, often utilizing Microsoft Excel for multiple Medical Specialties - Proven track record to develop/maintain policies and procedures - Professional skills related to leading by example, organization, prioritization, organizational integration, and coordination. Individual is proactive, addressing problems and coding/compliance issues head-on, solution oriented - 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 - Excellent analytical and problem-solving skills. Ensures difficult, vital issues, and challenges are addressed in a timely fashion - Flexibility to respond to diverse scheduling and the availability/needs of associates and Physicians - The Auditor/Educator will lead designated projects and serve as a mentor to the Coding Team - 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. Ability to meet deadlines consistently and generate reports - Embraces improvements and creative thinking, generates creative solutions, open to ideas of others, helps others embrace change - Ability to travel to multiple sites Also Working Conditions: Travels frequently to multiple sites to work with Clinic Manager, Physicians and with Educator/Analyst; NYS driver's license or transportation is required; Occasional change in work schedule to accommodate project implementation, auditing, meetings, or other departmental concerns. Environment: Normal heat, light space, and safe working environment; typical of most office jobs. We could include Working Conditions as part of Skills or maybe as separate section? Not in allowed headings list; but we could incorporate into Responsibilities or Skills. Probably better to add as part of Responsibilities? But it's not a duty; it's condition. Could add as a separate section like "Working Conditions" but not in allowed headings. The instruction says use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but says "Use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It implies we should use those headings when appropriate. It doesn't say we cannot add other headings, but better to stick to those. So we can incorporate working conditions into Responsibilities or Skills as list items. Schedule: we have Work Schedule: Days Hours: 8:00 AM-4:30 PM. So we can add a Schedule section with that info as a

    . Now we need to output only HTML fragment, no /, no markdown. We'll produce:

    About the role

    ... summary paragraph ...

    Responsibilities

    • ...
    • ...

    Requirements

    • Education: CPC, COC, RHIT, CCS, or CCS-P is required; CPMA required.
    • Experience: Minimum of three (3) years of multi-specialty coding experience utilizing electronic encoders following the official CPT coding guidelines using AHA Coding Clinic, CPT Assistant, CMS Documentation Guidelines, Official Guidelines for Coding and Reporting and other authoritative resources.

    Skills

    • Evidence of coding competency.
    • Thorough knowledge of ICD-10-CM, CPT-4, Evaluation and Management (E/M), anatomy and physiology, medical terminology, APC's, and Outpatient referred coding requirements.
    • Partner with and across Interdisciplinary Teams.
    • Demonstrated ability to work closely with CH associates, medical staff, Clinical Documentation Improvement (CDI) leadership and staff, department managers and private clients.
    • Excellent written and interpersonal communication skills, entering or accessing essential information from proprietary databases, often utilizing Microsoft Excel for multiple Medical Specialties.
    • Proven track record to develop/maintain policies and procedures.
    • Professional skills related to leading by example, organization, priorit

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