Elite Premium Insurance Filed Auditor
EXL
Professional Coding Auditor – Educator, Urology/Neurology/Gastroenterology
WVU Medicine
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
SeniorLead
About the role
- Educating and training WVU Healthcare Coding Staff as directed by Coding Managers.
- Overseeing or performing overall auditing and education plans for the Coding staff.
- Performing coding quality audits and providing ongoing feedback and education.
- Utilizing various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software for accurate coding and MS-DRG, HCC and APR-DRG assignment.
- Managing activities of designated coding personnel in training for WVU Healthcare and ensuring monitoring and reporting of respective employee’s developmental activity.
- Managing quality improvement audits and training of designated coding staff.
- Acting as expert coding resource to coders, clinical documentation improvement, providers, and revenue cycle, among others.
- Developing and maintaining coding related policies, procedures, query development, work queues and training materials in conjunction with management.
Requirements
- Graduate of Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience.
- Certification in RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), COC (Certified Outpatient Coder), CCS (Certified Coding Specialist), or CPC (Certified Procedural Coder).
- Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the 'Teaching Physician Guidelines' for Professional Coding Positions preferred.
- Previous supervisory or project management experience.
Benefits
- Professional development
- Flexible working hours
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
ICD-10-CMICD-10-PCSCPTMS-DRGHCCAPR-DRGmulti-specialty codingE&M codingprocedural codingsurgical coding
Soft skills
educatingtrainingauditingfeedbackmanagementquality improvementcommunicationsupervisoryproject management
Certifications
RHITRHIACOCCCSCPC
