Job Description

Coding Auditor & Education Advisor at Phoebe Putney Health System summary:

The Coding Auditor & Education Advisor is responsible for reviewing and auditing medical records using ICD-9, ICD-10, and HCPCS coding to ensure accurate hospital inpatient documentation and compliance. The role involves analyzing reimbursement methodologies such as MS-DRG, DRG, and APC to optimize payer billing accuracy. Additionally, this position provides education and training related to coding standards, requiring strong knowledge of medical terminology, pathophysiology, and certification in coding specialties.

EDUCATION REQUIREMENTS 4 year / Bachelor's Degree in Health Information Management or related medical degree (Required) ;In lieu of a Bachelor's Degree; an Associate Degree and a Minimum of 4 years additional relevant experience is acceptable.
EXPERIENCE REQUIREMENTS 4 - 5 years Experience with ICD-9, ICD-10, and HCPCS coding including hospital inpatient medical records (Required)4 - 5 years Extensive knowledge of medical terminology, pathophysiology, and pharmacology (Required)4 - 5 years Experience calculating and analyzing MS-DRG, DRG, APC, and other payer reimbursement methodologies (Required) CERTIFICATIONS AND LICENSURES Required Certifications/Licensures: Certified Coding Specialist (CCS)Preferred Certifications/Licensures: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), AHIMA Approved ICD-10 Trainer
GENERAL SKILLS Organizational SkillsCommunication SkillsInterpersonal SkillsCustomer RelationsMathematicalAnalyticalGrammar / SpellingRead / Comprehend Written InstructionsFollow Verbal InstructionsBasic Computer SkillsMicrosoft Office SuiteGeneral Clerical Skills PHYSICAL REQUIREMENTS Have near normal vision - Clarity of vision (both near and far), ability to distinguish colorsAbility to perform - repetitive tasks/motion PHYSICAL DEMANDS Standing - Occasionally within shift (1-33%)Walking - Occasionally within shift (1-33%)Sitting - Continuously within shift (67-100%)Bending/Stooping - Occasionally within shift (1-33%)Twist at waist - Occasionally within shift (1-33%)Pushing/Pulling - Occasionally within shift (1-33%)Reaching above shoulder - Occasionally within shift (1-33%)

Keywords:

Medical coding, ICD-10, ICD-9, HCPCS, Coding audit, Health information management, MS-DRG, DRG analysis, Payer reimbursement, Medical records review, Certified Coding Specialist, Healthcare education

Job Tags

Shift work,

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