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

Description:





• Required Level of Education: Certification in Professional Coding

• How many years of related experience are you looking for in your ideal candidate? 3-5 years professional fee review/auditing experience

• Specific Systems Knowledge Required: EPIC

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



• Top Three things Worker will be doing:

Reviewing provider documentation, validating diagnosis selection, correcting diagnosis selection based on documentation in the review tool

• Top Three Skillsets needed: analytical, auditing skills, strong professional diagnosis coding skills

• Anything else important we need to know to fill your role?:



Job Description:

Minimum of 3+ years of professional fee quality review/auditing required. Minimum of 5 years of professional fee coding required. Demonstrated strong interpersonal communication skills. Ability to develop and provide high quality in-service and seminar of coding and coding related topics. Working knowledge of State/Federal, CMRI, NCQA, JCAHO, and CMS Regulations.



• Preferred Qualifications:

• 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

• Consistently supports compliance and the Principles of Responsibility (Client Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (if applicable), and Client policies and procedures. Models and reinforces ethical behavior in self and others in accordance with the Principles of Responsibility; adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty; shows consistency in words and actions; follows through on commitments.

• In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Client Service Quality Care

• **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.**