HB Coding Educator​/Auditor - Remote

Overview

HB Coding Educator/Auditor - Remote at LCMC Health

The Coding Educator Auditor coordinates coding audits and education functions of LCMC system coding services. This role manages and works the edit and denial coding work queues for inpatient, outpatient and ambulatory services and provides coding feedback for education opportunities identified to the coding team. Prepares and presents educational programs related to coding. Must be familiar with reviewing documentation to assign CPT/HCPCS and ICD-10-CM-PCS codes, understands current professional coder workflows, and reviews principal and secondary diagnoses and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT.

• Review cases for accurate coding and monitor the assignment and sequencing of ICD-10-CM/PCS and CPT codes to ensure correct coding of diagnostic and procedure codes.
• Sequence diagnoses and procedures according to coding principles.
• Review non-CC/MCC records to determine miscoding or need for additional documentation.
• Work coding edits work queues and provide feedback and coding education to staff regarding code completeness and accuracy.
• Utilize retrospective edit tools to address coding and documentation issues from health records.
• Review discrepancies between CDS DRG and coder DRG.
• Perform timely reviews to maintain target DNFB goals.
• Assist in development and provide ICD-10-CM/PCS, CPT/HCPCS, DRG and APC auditing, coding and reimbursement training.
• Monitor progress of coders through orientation and training; establish training completion timelines.
• Stay current with regulatory changes and apply them to coding practices.
• Serve as subject matter expert and provide guidance on coding topics; perform research related to health information management and compliance.
• Ensure audit findings are investigated and education is prepared for coding staff as needed.
• Identify potential compliance risks and develop corrective action plans; provide guidance to avoid recurrence.
• Prepare and distribute audit results to Coding management; collaborate with leadership to improve coding services.
• Support performance improvement initiatives for coding staff and participate in special coding projects as assigned.
• Perform other duties as assigned.

Experience: 5 years in physician and hospital coding; 2 years of coding audit experience (LCMC preferred).

Education: Associate s Degree in Health Information Management (HIM).

Licenses and

Certifications:

• Certification:
  Certified Inpatient Coder
• Issuer:
  American Academy of Professional Coders (AAPC)

• Knowledge of electronic health records, health information systems and coding practices; familiarity with ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles.
• Strong analytical and problem-solving abilities; excellent oral, written and interpersonal communication skills.
• Ability to organize and prioritize objectives; adapt to change; collaborate with physicians and managerial staff at all levels.
• Knowledge of regulatory requirements, Joint Commission and CMS documentation standards; privacy and security regulations.
• Experience in training and education to support a learning organization.

Days (United States of America)

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. We are committed to a culture of everyday extraordinary, celebrating authenticity, equity, inclusion and compassionate care.