[Hiring] Coding Auditor and Educator @Trinity Health

Role Description

The Professional Coding Auditor Educator performs medical record audits including but not limited to:

• Analysis of medical record documentation
• Validation of primary and secondary diagnoses and procedures
• Ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS)

Responsibilities include:

• Monitoring accuracy of centralized coders’ charge capture and coding with proper ICD-10, CPTs, and modifiers, adhering to local ministry and Trinity practices and policies
• Partnering with leadership to improve HCC high risk scoring with provider and coder education
• Conducting ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner
• Responsible for practitioner education in areas related to coding, documentation, and compliance
• Working closely with leadership and the department to establish and modify the charge description master (CDM) methodology and pricing models to ensure accuracy and regulatory compliance

Reports to the Manager, Provider Revenue Operations.

Qualifications

• High school diploma or equivalent combination of education and experience
• Certified Professional Coder or Registered Health Information Technician accreditation required
• Minimum of 2-5 years of professional coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCs modifiers
• Knowledge of Medicare, Medicaid, and other third-party billing rules and regulations
• 3-6 years of professional coding experience; ability to code from operative reports; prior auditing experience (Preferred)
• Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations
• Ability to work collaboratively in a team-oriented environment with a strong customer-service orientation
• Ability to handle patient and organizational information in a confidential manner
• Ability to demonstrate competency with a standard desktop and Windows-based computer system
• Demonstrated dependability and regular attendance
• Solid understanding of ICD-10 and CPT coding and medical terminology
• Ability to exercise independent judgment as appropriate within standard practices and procedures

Requirements

• Pay rate: $28.00 – $43.40
• Pay is based on experience, skills, and education
• Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates
• The pay range may also vary within the stated range based on location

Benefits

• Competitive pay
• Tuition reimbursement
• Free parking
• Employee discounts
• Flexible work schedules
• Professional growth within the organization