Note: The job is a remote job and is open to candidates in USA. IHA is seeking a Professional Coding Auditor and Educator to support accurate medical coding, documentation, and regulatory compliance. The role audits medical records, validates diagnoses and procedures, monitors coder charge capture, provides practitioner and coder education, and collaborates with leadership on charge description master methodology and pricing models.
Responsibilities
- Monitors accuracy of centralized coders’ charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies
- Partners with leadership to improve HCC, high risk scoring, with provider and coder education
- Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner
- Responsible for practitioner education in areas related to coding, documentation, and compliance
- Works closely with leadership and the department to establish and modify the charge description master (CDM) methodology and pricing models to ensure accuracy and regulatory compliance
- Reports to the Manager, Provider Revenue Operations
Skills
- High school diploma or equivalent combination of education and experience
- Certified Professional Coder or Registered Health Information Technician accreditation required
- Minimum of 2-5 years of professional coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCs modifiers. Knowledge of Medicare, Medicaid, and other third-party billing rules and regulations
- Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations
- Ability to work collaboratively in a team-oriented environment with a strong customer-service orientation
- Ability to handle patient and organizational information in a confidential manner
- Ability to demonstrate competency with a standard desktop and Windows-based computer system, including a basic understanding of email, e-learning, intranet and computer navigation. Ability to use other software as required to perform the essential functions of the job
- Demonstrated dependability and regular attendance
- Solid understanding of ICD-10 and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans
- Ability to exercise independent judgment as appropriate within standard practices and procedures
- 3-6 years of professional coding experience; ability to code from operative reports; prior auditing experience.( Preferred)
Benefits
- Tuition reimbursement
- Free parking
- Employee discounts
- Flexible work schedules
- Professional growth within the organization
- Remote work
Company Overview
Company H1B Sponsorship