Coding Educator Auditor
Company: University Health
Location: San Antonio
Posted on: October 27, 2024
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Job Description:
POSITION SUMMARY/RESPONSIBILITIES Works under the direct
supervision of the Coding Education & Audit Manager. Will perform
any or a combination of the following types of coding education and
audit: Basic ancillary services, Emergency Room services, Hospital
Observation, Ambulatory surgery, Inpatient Admission. Utilizes the
ICD-10-CM and CPT coding classification systems and ensures proper
assignment and completion of Diagnosis and Procedure Coding in all
cases. Trains new Coding Specialist(s), Technician(s), and
Associate(s). Promotes the Health System's guest relations policy.
Complies with all Federal, State, local and accrediting bodies'
regulations and protocols. Accrediting bodies include, but not
limited to, the Centers for Medicare and Medicaid Services (CMS),
Agency for Healthcare Research and Quality (AHRQ), National
Committee for Quality Assurance (NCQA) that promotes Healthcare
Effectiveness Data and Information Set (HEDIS) metrics, Utilization
Review Accreditation Commission (URAC), and the Joint Commission
(TJC). EDUCATION AND EXPERIENCE An Associate's Degree is required;
an Associate's degree in Health Information Management and/or
Bachelor's degree is preferred. Completion of a coding program is
required. [Note: Completion of a coding program from the American
Health Information Management Association (AHIMA) and/or American
Association of Professional Coders (AAPCS) will be accepted.
Completion of a coding program from other licensing bodies shall be
accepted on a case by case basis and upon managerial discretion,
with the approval of the Director of Revenue Integrity-Coding.] At
least five (5) years of coding experience in professional services,
hospital services, or a combination of both is required for
external applicants. At least four (4) years of pro-fee,
outpatient/ambulatory, and inpatient coding experience is required
for internal applicants. Experience and working knowledge of 3M
Encoding and Grouping software is required. Preference will be
given to applicants with experience and knowledge of regulatory
requirements, Microsoft Office products, and Epic EMR.
LICENSURE/CERTIFICATION The Coding Educator & Auditor must maintain
a valid credential offered by the accrediting bodies mentioned
above (AHIMA and AAPC). [Note: Valid credential(s) from the
American Health Information Management Association (AHIMA) and/or
American Association of Professional Coders (AAPC) will be
accepted. Credential(s) from other licensing bodies shall be
accepted on a case by case basis and upon managerial discretion,
with the approval of the Director of Revenue Integrity-Coding].
Licensure as a Registered Health Information Technician (RHIT),
Registered Health Information Administrator (RHIA), and/or
Registered Nurse(s) (RN) are highly preferred.
Keywords: University Health, San Antonio , Coding Educator Auditor, Accounting, Auditing , San Antonio, Texas
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