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Description

PeaceHealth is seeking a Hospital Coding Auditor Educator to serve as an expert resource for auditing and training in support of accuracy and appropriateness of coding using ICD-10 and CPT industry standards and PeaceHealth guidelines. Strong candidates will have Hospital Abulatory Surgery experience with strong surgical CPT coding in all discipline.

This is a remote position however the incumbent must reside in OR, WA, AK or TX by date of hire.

What you will enjoy:

• Performing coding audits and pre-billing coding compliance functions as required by system regulatory policies/procedures and established review metrics. Participating in development of action plans to include follow up education on identified issues with subsequent audit and reassessment. Utilizing a vendor-based pre-billing compliance tool to review targeted records for coding accuracy, mortality, PSI and HAC review. Performing post-billing medical record review focused on DRG validation.

• Developing training materials and curriculum for coding, external vendor, and CDI caregiver’s education.

• Serving as an expert resource for ICD-10/CPT as it affects coding, compliance and reimbursement. Assists with re-training efforts as a result of coding errors found. Delivers training and standards as directed.

• Reviewing records for payor, RAC, regulatory denials/appeals, and downgrades by providing in depth coding review, audit findings and appeal strategies to the System Coding Leadership.

• Working in tandem with HIM Coding team to identify aberrant coding patterns and trends.

• Participating in integrated testing of Epic, 3M, or other external vendor software.

• Providing production coding support as required.

What you will bring:

• Completion of an Accredited Coding program or a combination of education and experience that provides the caregiver with the requisite knowledge, skills and abilities to perform the job.

• Completion of a college-based or AHIMA approved coding education program preferred.

• Minimum of 3 years Acute care coding and/or auditing experience.

• Experience with facility-based coding.

• Registered Health Information Administrator or Registered Health Information Technician or Certified Coding Specialist or Certified Professional Coder or Certified Professional Coder - Hospital.

• Hospital Abulatory Surgery experience with strong surgical CPT coding in all discipline.

Other Skills:

• Knowledge including ICD-10, MS-DRG/APR-DRG methodology, HCPCS/CPT coding, regulatory policies from CMS and other third-party regulations.

• Hands-on ICD-10 and/or CPT proficiency.

• Excellent verbal and written communication skills including sensitivity to other cultures and ethnicities.

• Strong analytical skills.

• Must possess excellent ability for conceptual thinking, good listening, problem resolution and planning skills.

• Must possess excellent organizational skills.

• Must demonstrate computer skills in Microsoft Office.

• Ability to work well independently and in a remote environment.

Working Conditions

• Consistently operates computer and other office equipment.

• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.

• Sedentary work.

• Predominantly operates in an office environment.

• Ability to communicate and exchange accurate information.

• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

PeaceHealth is seeking a Coding Auditor Educator - Hospital Coding for a Full Time, 1.00 FTE, Day position. The general salary range for this job opening at PeaceHealth is $32.42 – $48.63. The actual hiring rate is dependent upon several factors, including but not limited to, the job/position responsibilities, location, terms of the applicable collective bargaining agreement, education, training, work experience, seniority, work performance, etc.

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility (https://www.thecaregiver.org/wp-content/uploads/2017/05/PeaceHealth-Statement-of-Commitment-to-Diversity-and-Inclusion-vFINAL.pdf) .

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.

PeaceHealth requires a completed Primary Vaccine Series (e.g., 2 dose monovalent Pfizer, Moderna or Novavax series or 1 dose J&J vaccine series) or be Up to Date (receiving the most recent Pfizer/Moderna bivalent vaccine/booster) for COVID-19 vaccination prior to their start date. PeaceHealth has a medical and religious exemption request process for those that are unable to receive the COVID-19 primary vaccine series due to medical/religious reasons. For caregivers that will be working in Oregon there is a personal vaccine exemption form that may be requested.

REQNUMBER: 72803