WVUHS - Professional Coding Auditor- Educator; Urology​/Neurology​/Gastroenterology

WVUHS - Professional Coding Auditor
- Educator (Urology/Neurology/Gastroenterology)

Join to apply for the WVUHS - Professional Coding Auditor
- Educator (Urology/Neurology/Gastroenterology) role at WVU Medicine
.

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff.

Responsible for the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes 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.

Education, certification, and/or licensure:

• Graduate of a Health Information Technology (HIT) or equivalent program and Five (5) years of coding experience.
• Graduate of a Medical Coding Certification Program and Five (5) years of coding experience.
• High School Diploma or Equivalent and Eight (8) years of coding experience.

Certification – one of the following:

• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) through American Health Information Management Association.
• Certified Outpatient Coder (COC) through American Academy of Professional Coders.
• Certified Coding Specialist (CCS) through American Health Information Management Association.
• Certified Professional Coder (CPC) through American Academy of Professional Coders.

Education, certification, and/or licensure:

• Bachelor’s degree in Health Information Management or related field.

• 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, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Positions preferred.
• Previous supervisory or project management experience.

• Manages activities of designated coding personnel in training for WVU Healthcare and assures the monitoring and reporting of respective employee’s developmental activity.
• Manages quality improvement audits and training of designated coding staff.
• Acts as expert coding resource to coders, clinical documentation improvement, providers and revenue cycle, specialty groups and meetings.
• Acts as super user for all coding-related EMR systems necessary for accurate coding and EMR data governance.
• Updates policies and procedures for these areas of responsibility.
• Provides in-services to staff regarding changes.
• Develops and maintains coding-related policies, procedures, query development, work queues and training materials with management.
• Communicates continually with coding staff, medical staff, physician advisor, department chairman and department administrators.
• Organizes, facilitates, performs, tracks, trends and reports on internal quality reviews.
• Designs and uses audit tools (i.e., ROC) to monitor coding accuracy, documentation gaps, and billing performed by coding specialists.
• Coordinates audits performed by outside agencies, acts as liaison, facilitates exit conferences and provides final reports to coding manager.
• Coordinates coding/documentation denial reviews and facilitates appeal letter formation.
• Communicates regularly with coding leadership on activities, problems, coding and documentation issues and pending audits.
• Ensures audit recommendations are completed (one to coding education, coding changes, rebills).
• Extracts and analyzes data from various sources, develops action plan when necessary.
• Assists with onboarding new coding specialists regarding policies, audits and initiatives.
• Updates specialists on compliance and regulatory changes.
• Keeps abreast of coding changes,…