NEW JOB OPENING
HIM CODING REVIEW MANAGER, CODER TRAINER AUDITOR (CTA)
IN Remote, USA!

100% Remote



Basic Qualifications:

• Minimum of 5 (five) years of professional fee and/or hospital acute care coding required

• Minimum of 3 (three) years of professional fee and/or hospital acute care quality review/auditing required



Minimum Education and Certification (required)

• High School Diploma or General Education Development (GED) required

• CPC (Certified Professional Coder), CCS (Certified Coding Specialist) or CCS eligible or RHIA/RHIT



Preferred Education and Certification

• Associate degree or Bachelor's degree in health information management, Business Administration, Healthcare Administration, or another related field

• CCDS (Certified Clinical Documentation Specialist) credential preferred

• CDIP (Certified Documentation Improvement Practitioner) credential preferred





Additional Requirements:

• Understanding of state/federal regulations that impact coding and reimbursement

• Demonstrated strong interpersonal and communication skills

• Provide expertise for high quality in-service and seminar of coding and coding related topics and clinical documentation integrity

• Working knowledge of Hierarchical Condition Category (HCC) coding and reimbursement methodology

• Current knowledge of ICD and CPT (Current Procedural Terminology) coding systems

• Knowledge of computerization and technological advances in health information

• Familiarity with privacy, security and confidentiality impacting sharing of clinical information

• Must be able to work in a Labor/Management Partnership (union) environment



Job Details

At the enterprise level, assures compliance with coding guidelines, guidance documents, policies, and procedures. Plans, and performs coding quality reviews/audits, develops educational presentations/webinars and provides education to the Enterprise. Supports manager and director in developing annual coding education workplan, and monitors compliance of same.

Conducts concurrent and/or retrospective coding quality and documentation integrity reviews/audits impacting revenue cycle. Assists all stakeholders with coding and documentation integrity questions and provides guidance on coding and documentation related issues/topics. Participates and supports in the development and presentation of coding education webinars or in-service as needed.

Supports physician documentation and diagnosis code selection/service capture processes, in alignment with regulatory standards and official coding guidelines.



Provides subject matter expert guidance to market teams/groups in support of development, implementation and monitoring practices for organizational goals and business objectives as it relates to Coding Integrity Services and the annual Office of Inspector General (OIG) workplan.



Maintain compliance and audits in collaboration with Coding Operations for DRG (diagnosis related groups) Validation. Provides education related to coding and DRG findings.

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**