Manager, Coding Quality, Audit & Education

🕒 4 dias atrás

🏄 California – Remoto

🏄 California – Remote

💵 $70 - $93 / hora

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 0%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

Candidatar-se

Encontrar Vagas Remotas Similares

Configurar Alerta de Email para Novas Vagas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Stanford Health Care

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1885

🏥 Saúde

⚕️ Seguro de Saúde

📚 Educação

Healthcare • Healthcare Insurance • Education

O Stanford Health Care é um importante centro médico acadêmico afiliado à Stanford Medicine. Ele oferece cuidados aos pacientes de renome mundial, com ênfase na inovação e pesquisa, além de oferecer uma ampla gama de serviços clínicos e oportunidades de carreira em áreas como enfermagem, prática avançada, saúde aliada, laboratório, tecnologia, administração e outras áreas. A organização promove valores como C-I-CARE (respeito, cortesia, conexão pessoal), sustentabilidade, dedicação e colaboração comunitária entre médicos, pesquisadores, professores e estudantes para avançar na saúde, cura e conhecimento em nível global.

Descrição

• Provide enterprise leadership for coding accuracy, audit oversight, regulatory compliance, and coder/physician education across inpatient, outpatient, and professional services • Communicate coding regulation, policy, and guideline changes health system wide • Serve as a coding resource and subject matter expert for Revenue Integrity departments, physicians, providers, and administration • Develop and provide coding compliance education and training programs • Train newly hired and contractor coding auditor & educators and monitor team performance • Prepare standardized monthly reports, final audit reports, executive summaries, and presentations • Maintain and update the Coding Audit Policy • Ensure consistent monthly or quarterly audits of internal and contractor coders • Conduct and oversee retrospective, prospective, targeted, external, and internal coding audits • Apply standardized scoring methodology and report monitoring results • Communicate review results and recommendations to management, departments, coders, vendors, contractors, physicians, and providers • Evaluate the effectiveness of coding audits and education programs • Research and communicate federal, state, payer, Medicare, Medi-Cal, ICD, CPT, and Coding Clinic requirements • Assess medical record documentation, identify trends and issues, and coordinate resolution • Assure accuracy and compliance of MS/APR DRG, APC, ICD-10-CM, CPT, and HCPCS assignments • Lead audits across inpatient, outpatient, and professional coding environments • Establish risk-based audit priorities based on denial trends, volume, regulatory changes, and specialty variation • Create or update Revenue Cycle Academy e-learning webinars and physician onboarding education • Participate in faculty meetings, multidisciplinary committees, and code-dependent initiatives • Administer the compliance work plan/program for correct coding and auditing • Govern professional unlisted, custom, and special procedure codes • Partner with clinical, coding, compliance, revenue cycle, pricing, and finance stakeholders on new technologies, emerging procedures, and atypical services

🎯 Requisitos

• Bachelors Degree in a work-related field / discipline from an accredited college or university; relevant experience in lieu of degree may be considered with approval • 5–7 years of progressively responsible, directly related experience, including at least 2 years in coding, auditing, and education • EPIC experience is required • Clearly demonstrates elevated knowledge and skillset in professional coding and/or outpatient & inpatient hospital coding settings • Clearly demonstrates elevated knowledge and skillset in auditing & education within professional coding and/or outpatient & inpatient hospital coding settings • Ability to analyze problems and issues and understand regulatory and reimbursement impacts • Critical thinking skills; ability to assess, evaluate, and teach clinical concepts • Effective written and verbal communication, including summarizing data and presenting results • Advanced understanding of regulatory guidelines and official coding advice • Ability to comply with AHIMA Code of Ethics, Standards of Ethical Coding, and applicable UHDDS standards • Familiarity with HIPAA principles and provisions • Ability to establish and maintain effective work relationships • Ability to manage, organize, prioritize, multitask, and adapt to changing priorities • Computer proficiency for data input, manipulation, and output • Ability to work effectively as a team player and leader • Familiarity with health information systems used in Health Information Management and hospital revenue cycle • Advanced ICD-10-CM/PCS and CPT-4 coding knowledge • Advanced knowledge of patient medical records standards, coding systems, medical terminology, anatomy, physiology, and diseases • Knowledge of privacy regulations and confidentiality requirements • CCS certification required • Master's degree, 3+ years in an academic medical center, auditing software experience, RHIT, RHIA, and CPC and/or CCSP are preferred