Employment Type:

Shift:

Description:

Saint Alphonsus is looking to hire aCoding Auditor and Educatorfor our Coding and Compliance Team. This position will be full time and benefit eligible.

Performs medical record audits including analysis of medical record documentation; validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Monitors accuracy of centralized coders charge capture and coding with proper ICD-10 CPTs HCPCs as well as proper modifiers adhering to local ministry and Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. Educates practitioners on coding documentation and compliance matters.

General Requirements:

• Two years of professional coding experience to include documentation review.
• Strong knowledge of Medicare Medicaid and other third-party billing rules and regulations.
• Ability to comfortably interact with diverse populations.
• Ability to work collaboratively in a team-oriented environment with a strong customer-service orientation.
• Ability to maintain confidentiality of patient and organizational information.
• Demonstrated dependability and regular attendance.
• Strong knowledge of ICD-10 and CPT coding and medical terminology with knowledge of Medicare Medicaid Health Maintenance Organization and commercial insurance plans.
• Ability to maintain accurate records and to prioritize and organize work effectively.
• Ability to exercise independent judgment as appropriate within standard practices and procedures.
• Ability to code form operative reports progress and other note types is preferred.
• Familiarity with standard desktop and Windows based computer system including email e-learning intranet and computer navigation.
• Ability to use other software required to perform essential functions. Epic experience preferred.
• Fast-paced professional central billing environment requiring flexibility to adapt to changes in workload competing priorities and deadline situations.
• Strong verbal written and interpersonal communication skills.

License/Certification:

• CPC RHIT CRC or CDEO accreditation is required.

Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health.

Visit learn more about the benefits culture and career development opportunities available to you at Saint Alphonsus Health System.

Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individualwith regard torace color religion gender marital status national origin age disability sexual orientation or any other characteristic protected by law.

Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.