Coding Audit Training Specialist

Job Description:

The purpose of this position is to perform all professional coding responsibilities for an assigned group of clinics and/or providers.

Scope

1.Assigns ICD, CPT and HCPCS coding classifications based on clinical documentationand/or physician orders. Utilizes appropriate tools, resources and guidelines to determine codes and assign principal and secondary diagnoses. Obtains clarification from physicians, clinical departments and others on documentation questions, as needed. Performs coding at a complex inpatient hospital coding complexity, such as Medicare and Medicaid charts with extended length of stays and multiple surgeries with extended consultations.

1. Serves as subject matter expert and mentor for coding associates. Develops and delivers training for IP/OP coding, answers coding questions, designs training plans to meet needs of coders to achieve high level of accuracy. Assists HIM Manager with coding meetings.

2. Participates in the hiring, interviewing, and onboarding of new associates within the departments. Monitors and performs quality assurance. Performs coding audits on coders and reports them to the SCLHS Compliance department. Complies daily and monthly reports as needed and requested.

3. Maintains assigned work queues within defined processing timeframe and meets or exceeds productivity standards.

4. Verifies data abstracted and entered from the EMR. Ensures integrity of the database for internal and external data reporting.

5. Adheres to all compliance guidelines, both internal and external. Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes and surgical techniques to support the effective application of coding guidelines and maintain credentials.

6. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.

7. Performs other duties as assigned.

Minimum Qualifications

Required

Associate Degree in Health Information or in a related field required

Certified Coding Specialist (CCS) credential through American Health Information ManagementAssociation (AHIMA) required

Five (5) years experience in a hospital or acute care setting, including inpatient and outpatient coding experience using both ICD and CPT coding required

Preferred

Bachelor Degree in Healthcare related field preferred

Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT)

To perform this job successfully, an individual must be able to perform each essential dutysatisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Navigates multiple software systems effectively and efficiently.

2. Utilizes critical thinking thought process to assign appropriate clinical diagnosis and procedure codes in accordance with nationally recognized guidelines.

3. Maintains knowledge of CPT codes assigned by departments at the time of charging and alerts departments when improper CPT codes are entered to assure accurate billing of accounts. Computer skills and 10-key typing proficiency.

4. General software skills with MS Office products, including Word and Excel.

5. Strong communication and integrity skills, both verbal and written, in order to interpret medical documents and communicate effectively with medical professionals especially related to compliance guidelines .

6. Ability to work independently in a remote environment.

7. Demonstrates attention to detail for accuracy requirements.

8. Familiar with coding software such as 3M encoder, Epic and computerized assisted coding applications preferred.

9. Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required

10. Ability to work nights and/or weekends is required for identified positions

Physical Requirements:

Hearing/listening, lifting, manual dexterity, pulling/pushing, seeing, sitting, speaking, squatting/kneeling, standing, and walking.

Anticipated job posting close date:

05/12/2024

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$25.73 - $45.71

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (~~~/) , and for our Colorado, Montana, and Kansas based caregivers (~~~) ; and our commitment to diversity, equity, and inclusion (~~~/) .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Intermountain Health is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called Select Health, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

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We intentionally work toward an Intermountain Health that reflects our diverse communities and provides culturally competent care, health equity, and a sense of belonging amongst all our caregivers (employees). This is an important part of fulfilling our mission to help people live the healthiest lives possible. The three pillars of our work are talent experience with Intermountain (application, internship, development, etc.), community benefit, and care delivery.

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Intermountain Health's PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (~~~/)

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

All positions subject to close without notice.

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