Senior Auditor
Flagstar Bank
Professional Coding Auditor – Educator
WVU Medicine
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers.
- Oversee or perform the overall auditing and education plans for the Coding staff.
- Perform coding quality audits, provide ongoing feedback and education.
- Utilize various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment.
- Manage activities of designated coding personnel in training for WVU Healthcare.
- Assure the monitoring and reporting of respective employee’s developmental activity.
- Act as an expert coding resource not only to coders, clinical documentation improvement, providers and revenue cycle but also to specialty groups and meetings.
- Maintain coding related policies, procedures, query development, work queues and training materials in conjunction with management.
- Communicate regularly with the Coding Leadership on activities, problems, coding and/or documentation issues and pending audits.
- Ensure audit (external and internal) recommendations are completed (i.e. coding education, coding changes, rebills).
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) is required.
- 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.
- Knowledge of governmental billing and coding regulations including the “Teaching Physician Guidelines” for Professional Coding Positions preferred.
- Previous supervisory or project management experience is preferred.
Benefits
- Health insurance
- Professional development opportunities
- Remote work options
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-DRGcoding quality auditsmulti-specialty codingE&M codingprocedural coding
Soft skills
trainingcommunicationsupervisoryproject managementfeedbackeducation planningproblem-solvingleadershiporganizationalcollaboration
Certifications
RHITRHIACOCCCSCPC
