Coding Quality Auditor
Tenet Healthcare
Coding Manager, Audits & Education
Tenet Healthcare
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $85,280 - $136,032 per year
Job Level
SeniorLead
About the role
- Protect company interests and advance business objectives related to HIM coding
- Manage a team conducting coding quality reviews of Tenet TPR coded accounts
- Identify education opportunities based on reviews and develop/deliver educational content
- Perform annual Pro-Fee QA audits of assigned providers (E&M, CPT, ICD10, Modifiers) and assigned TPR GBC or Vendor coders
- Conduct Pre-Bill Clearance for all new assigned providers
- Perform focused QA audits as assigned (e.g., OIG workplan, payor review notifications)
- Provide provider/coder/practice coding education based on audit findings and trending
- Conduct claim denial root cause analysis and develop/deliver education to prevent denials
- Serve as coding education resource for providers, coders, practice and staff queries
- Communicate and present findings effectively in person and via online platforms
- Supervise, schedule and assess performance of coding auditor/educator FTEs domestically and in the GBC
- Coordinate and monitor Coding Manager meetings, assignments and activities as assigned by Senior Director of Coding and CDI
- Remote based role requiring travel 0-10%
Requirements
- Seven years progressive coding or coding review experience in a profee setting
- Associate’s degree in health information management or related field
- Previous managerial/supervisory experience, such as a profee coding supervisor
- Certified in coding from AAPC or AHIMA
- Knowledge of applicable federal regulations (APC/OPPS, NCCI, ICD-10-CM Official Guidelines, OPPS, Coding Clinic, etc.)
- Proven ability to effectively communicate findings and deliver educational content to all levels of the organization
- Ability to balance multiple deadlines
- Preferred: Bachelor's degree or higher in a health-related discipline
