Coding Educator/Auditor

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Job description

Come be part of San Antonio's Top Work Places.

Why you should apply:

• We offer a flexible workplace and the ability to work from home, upon meeting certain criteria.
• We embrace a life-long learning approach and provide ongoing training
• Horizontal management-employee relationship.
• Collaborative team environment
• Great leadership

Excellent Benefits:

• Excellent medical and dental insurance
• Robust PTO accrual
• Vision Plan
• Life insurance
• FSA accounts
• Retirement plans
• Pet Insurance

POSITION SUMMARY/RESPONSIBILITIES

Works under the direct supervision of the Coding Education & Audit Manager. Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding classification systems and ensures proper assignment and completion of Diagnosis and Procedure Coding on all cases. Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System's guest relations' policy. Complies with all Federal, State, local and accrediting bodies' regulations and protocols. Accrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC).

EDUCATION AND EXPERIENCE

Associate's Degree is required; Associate's degree in Health Information Management and/or Bachelor's degree is preferred. Completion of a coding program is required. Note: Completion of a coding program from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPCS) will be accepted. Completion of a coding program from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding. At least five (5) years of coding experience in professional services, hospital services, or a combination of both is required for external applicants. At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software is required. Preference will be given to applicants with experience and knowledge of regulatory requirements, Microsoft Office products, and Epic EMR.

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