Professional Coding Auditor – Educator

Role Overview

• Educating and training WVU Healthcare Coding Staff as directed by Coding Managers.
• Overseeing or performing the overall auditing and education plans for the Coding staff.
• Performing coding quality audits, providing ongoing feedback and education.
• Utilizing various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment.
• Managing activities of designated coding personnel in training for WVU Healthcare and assuring the monitoring and reporting of respective employee’s developmental activity.
• Managing quality improvement audits and training of designated coding staff.
• Acting as expert coding resource to coders, clinical documentation improvement, providers and revenue cycle, specialty groups and meetings.
• Updating policies and procedures and in-services appropriate staff regarding changes in these areas.
• Developing and maintaining coding related policies, procedures, query development, work queues and training materials.

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
• Bachelor’s degree in Health Information Management or related field (preferred).
• 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

• Standard office environment
• Health insurance
• Paid time off