Note: The job is a remote job and is open to candidates in USA. Minnesota Oncology is a healthcare organization committed to providing exceptional care to patients. The Lead Surgical Coding Auditor/Educator performs comprehensive surgical coding and documentation audits, trains physicians, identifies compliance trends, and recommends improvements to reimbursement and documentation practices.
Responsibilities
- Performs EMR chart audits for surgeons in accordance with USON requirements to ensure medical records are commensurate with captured charges and billing
- Works directly with providers to train and advise on supporting documentation for optimal reimbursement
- Prepares reports of findings that details discrepancies and summarizes opportunities for improvement
- Identifies coding and documentation trends that could be perceived as non-compliant with local guidelines
- Recommends procedural improvements and training opportunities to management. Provides written audit reports to supervisor for review and approval
- Reviews approved audit findings with physicians (individually and in a group setting) to discuss recommendations and improvement opportunities
- Collaborates with Health Information Management (HIM), CDI, and billing teams to resolve documentation and coding issues
- Maintains the confidentiality of medical information contained in each record
- Completes other reasonably related duties as assigned
Skills
- High School diploma or GED; Associate's or Bachelor's degree in Health Information Management or related healthcare field preferred
- 7+ years of billing, coding, and medical records experience
- 1+ years of auditor/educator experience required
- Must possess a broad knowledge of managed care and HMO policies and procedures and Medicare benefits
- Must possess a strong knowledge of current versions of ICD, CPT and HCPCS
- Strong math skills and attention to detail
- Excellent oral and written communication skills
- Excellent organizational and follow-up skills
- Ability to work independently
- Ability to independently research issues and apply laws & standards
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
- While performing the duties of this job, the employee is required to be present at the employment site during regularly scheduled business hours and regularly required to sit or stand and talk or hear
- The employee frequently is required to use hands to finger, handle, or feel and occasionally required to reach with hands and arms
- The employee must occasionally lift and/or move up to 10 pounds
- Specific vision abilities required by this job include close vision and ability to adjust focus
- Work is performed in an office, clinical or classroom environment and requires significant interaction with corporate and network staff
- Work will involve in-person interaction with co-workers and management and/or clients
- Work may require minimal travel by automobile to other USON buildings
- Associate's or Bachelor's degree in Health Information Management or related healthcare field preferred
- Surgical experience strongly preferred
- CPC certification is highly desired
- This position may be remote for well-qualified applicants. Incumbent must be located in Minnesota or Wisconsin
Benefits
- Medical
- Dental
- Vision
- Free Life Insurance
- Generous Paid Time Off (PTO) Plan
- Free Short-term and Long-term Disability Coverage
- 401k plan with company contribution
- Wellness program that rewards your healthy lifestyle
- Tuition Reimbursement
- Employee Assistance Program and Discount Program to some of your favorite retailers
- Free Parking
- Career Growth and Development
- Supportive Team and Resources
- This position may be remote for well-qualified applicants. Incumbent must be located in Minnesota or Wisconsin.
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