Coding Auditor – Educator

🕒 July 31

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

🔎 Auditor

👻 Ghost score 16%

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WVU Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

📋 Description

• Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. • Oversee or perform overall auditing and education plans for the Coding staff. • Perform coding quality audits, provide ongoing feedback and education. • Utilize various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. • Manage activities of designated coding personnel in training for WVU Healthcare and assures the monitoring and reporting of respective employee's developmental activity. • Manage quality improvement audits and training of designated coding staff. • Act as expert coding resource not only to coders, clinical documentation improvement, providers and revenue cycle, but also to specialty groups and meetings. • Act as Super user for all Coding-related Electronic Medical Record Systems necessary for complete and accurate coding and EMR Data Governance. • Develop and maintain coding related policies, procedures, query development, work queues and training materials in conjunction with management. • Ensure audit (external and internal) recommendations are completed.

🎯 Requirements

• Graduate of a Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Graduate of a Medical Coding Certification Program AND Five (5) years of coding experience; OR 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 American Health Information Management Association. Certified Outpatient Coder (COC) through American Academy of Professional Coders. Certified Coding Specialist (CCS) through American Health Information Management Association. Certified Professional Coder (CPC) through American Academy of Professional Coders. • Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the 'Teaching Physician Guidelines' for Professional Coding Positions preferred. • Previous supervisory or project management experience.

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Professional development • Flexible work arrangements