Coding Auditor [*Remote]

Company: Baylor Scott & White Health
Location: Killeen
Posted on: March 15, 2020

Job Description:

TheOutpatient CDI Coding Auditor (remote) is proficient in all types of coding andis responsible for performing coding quality audits, providing feedback tocoders, and educating coders. The Coding Auditor utilizes the InternationalClassification of Disease (ICD-10 CM & PCS) and Physicians CurrentProcedural Terminology (CPT) and other coding references to ensure accuratecoding and Diagnosis Related Group (MS-DRG and APR-DRG) assignment. The CodingAuditor reviews, researches and helps develop billing edits.. The CodingAuditor reviews denied claims for proper coding and makes recommendations forprocess improvement based on these findings.The Coding Auditor is also responsible for using these findings tocreate physician education.WHATIS EXPECTED (ESSENTIAL FUNCTIONS): Perform coding quality reviews, providesfeedback to coders, and educates coders. Perform coding quality reviews incollaboration with or for internal divisions of the organization. Provides feedbackand education as appropriate depending on findings. Analyze and interpretdocumentation from medical records and completes accurate coding of diagnosesand procedures. Abstract and validate required data elements into the codingand abstracting screens/system. Communicate with providers for missingdocumentation or questions regarding documentation and offers guidance andeducation when needed. Review, research, and process billing edits workingcollaboratively with revenue cycle departments to ensure coding and edits areprocessed timely and accurately. Review and edit charges. Work collaborativelywith HIM to communicate opportunities for accurate, complete and compliantdocumentation.KNOWLEDGE,SKILLS AND ABILITIES: Strong knowledge of medical terminology, ICD, CPT, andDRG. Able to complete accurate coding of diagnoses and procedures and performquality reviews. Able to collaborate, educate and provide constructivefeedback. Able to work in a fast-paced environment, flexibility to handlemultiple priorities while maintaining a high level of professionalism.Attention to detail and accuracy of data input. Independent, self-motivated,able to work under pressure & meet challenges. Strong interpersonal verbaland written communication skills. Skilled in the use of computers; must be proficient with Epic EMR, MS Word and PowerPoint, and a basic knowledge of MS Excel.The ideal Candidate will be able to work remotely and meet deadlines, must be self-sufficient; have effective time management skills; be able to work between the hours of 7:30am and 5pm M-F Central timeLocation/Facility Remote Worker (*in eligible States only)Specialty/Department/Practice OP Clinical Documentation Shift/Schedule Full-time Mon-Fri 7:30am CT to 5pm CT / Non-Exempt StatusBenefits Our competitive benefits package includes*:Immediate eligibility for health and welfare benefits401(k) savings plan with dollar-for-dollar match up to 5%Tuition ReimbursementPTO accrual beginning Day 1*Note: Benefits may vary based upon position type and/or level.H.S. Diploma/GED EquivalentRHIA, RHIT, CCS, CPC, COC, CIC or CIRCC certification requiredMinimum of 5 years of related experience required, including at least 1 (one) year of experience auditing of coding2 years of education may suffice for 2 years of experiencePreferred 3-5 years of healthcare experience, with at least 2 in outpatient medical coding, billing and/or revenue cycleExperience with Epic EMR / electronic health record a plusPreference given to those with clinical background and experienceAs a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviors that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products.We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Keywords: Baylor Scott & White Health, Killeen , Coding Auditor [*Remote], Accounting, Auditing , Killeen, Texas