[Hiring] Cardiac Coding Educator/Auditor @LCMC Health

Role Description

The Coding Educator Auditor will coordinate coding audits and education functions of LCMC system coding services. This individual will be responsible for managing and working the edit and denial coding work queues for inpatient, outpatient, and ambulatory and will provide coding feedback for education opportunities identified to the coding team. Prepares and presents educational programs related to coding.

• Reviews cases for accurate coding, monitoring the assignment and sequencing of ICD-10-CM/PCS and CPT codes.
• Sequences diagnoses and procedures accurately according to coding principles.
• Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is needed.
• Works coding edits work queues and provides feedback and coding education to coding staff regarding completeness and accuracy of code assignment.
• Utilizes retrospective edit tool to address possible coding and/or documentation issues related to submitted diagnosis and procedure information obtained from the health record.
• Reviews discrepancies between Clinical Documentation Specialist (CDS) DRG and the Coder DRG.
• Performs reviews in a timely manner to maintain DNFB within the assigned targeted goals.
• Assists in the development and provides ICD-10-CM/PCS, CPT/HCPCS, DRG (MS & APR) and APC auditing, coding and reimbursement training.
• Monitors and reports the coders' progress through the orientation and training processes.
• Establishes timelines for training completion specific to level of training necessary.
• Keeps abreast of new regulatory requirements, annual revisions to the codes, etc. and applies this information appropriately.
• Works as subject matter expert and provides expertise when applicable.
• Performs and reports research on topics related to health information management, coding, billing, and related compliance issues.
• Ensures audit findings and trends are investigated and education is prepared and reviewed with coding staff when necessary.
• Monitors changes in laws, regulations, standards that affect coding, billing, and related compliance.
• Reads, analyzes, and interprets laws, regulations, policies, and procedures governing the healthcare revenue cycle.
• Identifies potential areas of compliance vulnerability and risk, develops and identifies potential corrective action plans for resolution of problematic issues.
• Prepares and distributes audit results/reports for the system coding program to Coding management staff.
• Works with coding Manager to improve coding services provided by coding staff.
• Assists system coding leadership with training and/or development of a performance improvement track for coding staff in the disciplinary process related to quality or productivity performance.
• Performs special coding-related projects as assigned.
• Other duties as assigned.

Qualifications

• Minimum: 5 years in physician and hospital coding, 2 years of coding audit (LCMC)
• Preferred: experience in Cardiology on PB or HB side
• Required: Associate's Degree HIM (LCMC)

Requirements

• Certification Name: Certified Inpatient Coder - Required, Issuer: American Academy of Professional Coders (AAPC)
• Certification Name: Certified Professional Coder - Required, Issuer: American Academy of Professional Coders (AAPC)
• Certification Name: Certified Coding Specialist - Required, Issuer: Commission on Certification for Health Informatics and Information Management (CCHIIM)
• Certification Name: Registered Health Information Technician, Issuer: Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA
• Certification Name: Registered Health Information Administrator, Issuer: Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA

Benefits

• High ethical standards.
• Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG, and APC coding principles and guidelines.
• Experience in ICD-10-CM/PCS, auditing, coding, and reimbursement training.
• Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory, and provider-based clinic encounters.
• Extensive knowledge of hospital and professional coding including provider-based billing.
• Knowledge of documentation regulations of Joint Commission and CMS.
• Experience with concurrent coding reviews.
• Knowledge of medical terminology, classifications systems, and vocabularies.
• Knowledge of privacy and security regulations, confidentiality, laws, access, and release of information practices.
• Experience in assisting and identifying learning needs as well as providing education and training designed to support a learning organization.
• Strong analytical abilities and problem-solving skills.
• Excellent oral, written, and interpersonal communication skills.
• Ability to organize and set priorities to ensure objectives are met in a timely manner.
• Ability to adapt to change and handle challenges proactively and with poise.
• Ability to effectively collaborate with physicians and managerial staff at all levels.

Company Description

LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way.

• Celebrating authenticity, originality, equity, inclusion, and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary.
• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work.
• Be honest and real, but with compassion.
• Bring some lagniappe into everything you do.
• Forget one-size-fits-all, think one-of-a-kind care.
• See opportunities, not problems – it’s all about perspective.
• Cheerlead ideas, differences, and each other.
• Love what makes you, you - because we do.
• You are welcome here.