Centura Health Coding Educator & Auditor in Englewood, Colorado
Centura Health Physician Group (CHPG) offers providers a true opportunity to live their calling to care while experiencing the support of a built-in comprehensive network, vast resources, professional growth, trusted leadership, generous benefits and an amazing quality of life with locations that span Colorado and into Western Kansas. CHPG is proud to connect providers and consumers through state-of-the-art technology, clinical resources and professional expertise to help people live healthier. Our coordinated services represent a full continuum of care – from preventive and early diagnoses to leading-edge treatment and life-saving critical care. CHPG’s ability to deliver better health care value is the direct result of combining the best clinical tools, shared resources and medical expertise with a patient-centered approach that emphasizes Centura Health’s mission and commitment to quality, compassion and service.
*JOB DESCRIPTION/JOB POSTING ID: 133402*
*CLINIC:*SC RM CODING SVC PB
*DETAILS:* Full Time
Occasional travel to other sites to meet the needs of the clinic may be required.
This is a senior level position with at least five (5) or more years’ experience in multiple specialties; coding both inpatient and outpatient professional fee services. Individuals in this position should also have experience working with physicians to provide training and education. Coding Auditor/Educator key duties include working with professional fee coding leadership and compliance to perform audits of provider documentation; education related to audit findings and/or new regulations and guidelines; staying current with reimbursement trends such as HCC/RAF; developing training materials and presenting to providers in individual or group settings.
Auditor/Educators must be familiar with reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, understand current professional fee coder workflows, and assist coders and revenue management associates with complex appeals. Auditor/Educators will work with clinic supervisors, assistant administrators, administrators, and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines.
_Minimum Education Requirements_
High School Degree required
Associates degree or equivalent work experience in lieu of degree preferred
Advanced coding knowledge for professional services to include ICD-9 and 10, CPT-4 , HCPCS and 1500 billing
Anatomy and physiology, and medical terminology required
_Minimum Experience Requirements_
A minimum of 5 years experience in professional fee coding required.
Experience with the electronic health record (EHR) and health care applications required.
Epic experience preferred.
Demonstrate advanced computer skills, including Microsoft Office applications to include Word, Excel, PowerPoint.
Demonstrate excellent interpersonal, organizational and communication/writing skills
CPC or CCS-P and CPMA/CHCA required
Additional specialty credentials preferred
_Position Duties (Essential Functions)_
Uses appropriate tools, code books, references, and systems to determine proper coding for services based upon documentation in the patient record.
Completes assigned audits in a timely manner as directed by coding/compliance leadership and compiles reports.
Develops appropriate provider education based on audit findings and/or new coding guidelines/regulations
Performs individual and group provider education and training; and solicits feedback for improvement.
Ability to code multiple specialties
Assists Revenue Management team with crafting language for appeals as needed.
Meets productivity and accuracy standards established by management.
Participates in ad hoc workgroups to improve operations as needed.
Sedentary work -(prolonged periods of sitting and exert up to 10lbs force occasionally)
Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V.