[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

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