Professional Coding Auditor & Educator

Employment Type: Full time Shift: Day ShiftDescription:

Job Title:

 

Coding Auditor and

Educator (

Remote)

 

Employment Type:

 

Full-Time

 

Shift:

 

Days

 

(SUMMARY) Position Highlights:

 

• Competitive pay

• Additional Benefits:

  tuition reimbursement, free parking, employee discounts

• Quality of Life:

  Flexible work schedules

• Advancement:

  professional growth within the organization

• Location:

  Holy Cross Health has two hospitals and four healthcare

  centers

  all a short driving distance from Washington DC and Baltimore, MD.

 

Description:

 

• Monday-Friday

The Professional Coding Auditor Educator performs medical record audits including but not limited to 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).

 

 

Responsibilities:

 

• Monitors accuracy of centralized coders’ charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies.

• Partners with leadership to improve HCC,

  high risk

  scoring

  , with

  provider and coder education.

• Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner.

• Responsible for practitioner education in areas related to coding,

  documentation,

  and compliance.

• Works closely with leadership and the department to

  establish

  and modify the charge description master (CDM)

  methodology

  and pricing models to ensure accuracy and regulatory compliance.

• Reports to the

  Manager, Provider Revenue Operations

What you will need:

 

• High school diploma or equivalent combination of education and experience

• Certified Professional Coder or Registered Health Information Technician accreditation

  required

  .

• Minimum of 2-5 years of professional coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCs modifiers.  Knowledge of Medicare, Medicaid, and other third-party billing rules and regulations.

• 3-6 years of professional coding experience; ability to code from operative reports; prior auditing

  experience

  .(

  Preferred)

• Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations.

• Ability to work collaboratively in a team-oriented environment with a strong

  customer-service

  orientation.

• Ability to handle patient and organizational information in a confidential manner.

• Ability to

  demonstrate

  competency with a standard desktop and Windows-based computer system, including a basic understanding of email, e-learning,

  intranet

  and computer navigation.  Ability to use other software as

  required

  to perform the essential functions of the job.

• Demonstrated dependability and regular attendance.

• Solid understanding of ICD-10 and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, Health Maintenance

  Organization

  and commercial insurance plans.

• Ability to exercise independent judgment as

  appropriate within

  standard practices and

  procedures.

Pay rate: $ 28.00 – $43.40

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

 

About us:

 

Holy Cross Health is a Catholic, not-for-profit health system that serves more than

240,000 individuals

each year from Maryland's two largest counties — Montgomery and Prince George's counties. Holy Cross Health earns

numerous

national awards, clinical

designations

and accreditations across a wide range of specialties for providing innovative, high-quality health care services.

We were named one of America’s 100 Best Hospitals for 2021.

 

 

Holy Cross Health is an Equal Employment Opportunity (EEO) employer.  Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status

 

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.