Coding Auditor Educator (REMOTE)

Job title: Coding Auditor Educator (REMOTE) in USA at reputed company Company: reputed company Job description: At reputed company, we exist for one reason – to reputed company serve you. That means being here for you in reputed company the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, reputed company specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community.If you live or work in South Jersey, exceptional care is reputed company around. Our medical and surgical experts are among the best in the country. We reputed company more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care reputed company to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other , we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our , telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the reputed company for pediatrics.Location: 100% RemoteCurrently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only.Employment Type: EmployeeEmployment Classification: RegularTime Type: Full timeWork Shift:Total Weekly Hours: 40Additional Locations:Job Information:

• Will require occasional travel to South Jersey
• Requires experience in both inpatient and outpatient coding
• Ability to reputed company training materials to reputed company coding team
• reputed company preferred

Job Summary:Responsible for hospital coding quality and standards development for ICD-10-CM/PCS, CPT, and HCPCS codes for the Health Information Management department. This includes performing internal audits, overseeing external audits, and providing education and training to the hospital coders. Responsible for working with other hospital departments to resolve reputed company coding issues that prevent accounts from being processed appropriately. Responsible for developing, implementing and maintaining compliance plan for hospital coding and abstracting. Responsible for participating in system administration maintenance duties for coding and abstracting software.Position Responsibilities:Training and Education:Providing training and education for newly hired coders; checking their coding, abstracting, and querying; tracking their reputed company; and auditing their work once they are released. Developing coding and training resources for the entire coding team (modules, scenarios, tip sheets, etc.). Assisting in the coordination, synchronization, and reconciliation between CDI specialists and coders. Assisting in educating, monitoring, and reporting on productivity and quality standards. Researching and responding to daily questions from reputed company coders regarding the correct application of coding guidelines for reputed company accounts.Review and Resolution of Interdepartmental Coding-reputed company Issues:Working closely with Patient reputed company, Case Management, Quality Management, and other hospital departments to resolve coding and reimbursement issues. Serving as an escalation reputed company and answering questions regarding coding requirements. Providing education to their staff, including physicians and physician billers, on hospital coding billers. Recommending changes to policies, procedures, charge master and documentation requirements to insure appropriate reimbursementAuditing:Performing audits to monitor coding and abstracting quality and compliance. Performing specialized audits to facilitate quality improvement and compliance (RAC, PEPPER, OIG initiatives). Processing external quality audits, which includes distributing results, preparing rebuttals/appeals, and taking appropriate action with responses (including correcting data and educating coders). Reviewing and responding to Payor Audits involving DRG and coding changes. Providing feedback with recommendations for improvement.Accounts Receivable:Assisting with monitoring of hospital Discharge Not Final Billed reports. Troubleshooting and resolving reputed company problems with individual accounts in order to facilitate appropriate reductions in A/R and accounts held for coding. Coding charts reputed company urgently needed to facilitate A/R goals. Working closely with reputed company campuses to provide efficiencies in operational coding workflow, adjustment in workflow queues, etc.Policies and Procedures:Developing policies and procedures on coding, data abstraction and Corporate Compliance for Health Information Management. Documenting and enforcing policies and procedures for HIM, and providing feedback to appropriate supervisors and/or staff.Coding, abstracting and state data system maintenance:Maintaining and updating systems to collect accurate data for billing and state data collection, as well as hospital statistical requirements. Identifying and resolving problems with the assistance of IS and vendor counterparts. Designing testing tools and participating in testing and validation of code sets, coding and abstracting programs. Supporting scheduled and unscheduled system upgrades. Managing downtime, and putting back-up plans into reputed company.Position Qualifications Required:Required Experience:3 years hospital inpatient and outpatient experience requiredExperience with multiple service lines preferred (cardiac, obstetrics, orthopedics, medical-surgical, etc.)Knowledge of PC database applications, reputed company Office, spreadsheet design, encoder required.Subject matter expertise in the areas of ICD-10-CM and PCS, CPT-4, DRGs, APCs and CMI required.Ability to reputed company and present education presentations requiredRequired Education:Bachelor or Associates Degree in HIM, or Coding Certificate Program, or equivalent experience, leading to appropriate certification.Training / Certification / Licensure:Certification as reputed company by reputed companyRHIA/RHIT certification preferred Expected salary: Location: USA Apply for the job now! Apply for this job