Coding Auditor – Educator

This is a fully remote position, open to applicants in United States.

📋 Description

• Accountable for the education and training of WVU Healthcare Coding Staff as per the directives of Coding Managers.

• Supervise or execute comprehensive auditing and educational strategies for the Coding team.

• Conduct quality audits on coding, offering continuous feedback and education.

• Employ various coding classifications such as ICD-10-CM, ICD-10-PCS, CPT, and other references to guarantee precise coding and correct MS-DRG, HCC, and APR-DRG assignments.

• Oversee the activities of designated coding personnel in training at WVU Healthcare, ensuring monitoring and reporting of their developmental progress.

• Manage quality enhancement audits and training for appointed coding staff.

• Serve as an expert coding resource not only for coders, clinical documentation improvement teams, providers, and the revenue cycle but also for specialty groups and meetings.

• Function as a Super User for all Coding-related Electronic Medical Record Systems essential for complete and accurate coding and EMR Data Governance.

• Create and maintain coding-related policies, procedures, query development, work queues, and training materials in collaboration with management.

• Ensure that recommendations from audits (both external and internal) are executed.

⛳️ Requirements

• A graduate of a Health Information Technology (HIT) program or equivalent AND Five (5) years of coding experience; OR a graduate of a Medical Coding Certification Program AND Five (5) years of coding experience; OR a High School Diploma or Equivalent AND Eight (8) years of coding experience.

• Certification in ONE of the following: Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT) through the American Health Information Management Association; Certified Outpatient Coder (COC) through the American Academy of Professional Coders; Certified Coding Specialist (CCS) through the American Health Information Management Association; Certified Professional Coder (CPC) through the American Academy of Professional Coders.

• Significant experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC, and APR-DRG assignments for positions, multi-specialty coding, E&M coding, procedural/surgical coding, as well as familiarity with governmental billing and coding regulations, including the 'Teaching Physician Guidelines' for Professional Coding Positions preferred.

• Prior supervisory or project management experience.

🏝️ Benefits

• Health insurance

• Retirement plans

• Paid time off

• Professional development

• Flexible work arrangements