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Coding Educator-Auditor
Job
Samaritan Health Services
Remote
Full-Time
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Job Description
This is a hybrid position that will work from home and within the clinics providing training to providers.
JOB SUMMARY/PURPOSE
Provides formal and informal coding and regulatory education/training to Providers and Professional Coders. The education will include coding and documentation requirements as directed by Federal and State requirements as well as the AMA. Serves as a liaison between providers and coders. Responsible for reviewing (auditing) professional charges, medical records, and claims to ensure accuracy and compliance with the CMS guidelines as well asCPT, HCPCS, ICD-10
coding guidelines. Identifies errors, inconsistencies, and areas for improvement in coding and documentation with current guidelines and regulations. Compiles and presents reports of audit results, highlighting areas for improvement, educating, and reauditing. Answers coding questions for clinic managers, providers, and other staff.DEPARTMENT DESCRIPTION
The Regional Business Office Physician Coding Team is responsible for the accurate and timely coding of the Samaritan Health Services clinic providers according to all applicable guidelines with applicable federal/state rules and regulations.EXPERIENCE/EDUCATION/QUALIFICATIONS
High school diploma or equivalent required. Two (2) certifications (CPC, CRC Risk adjuster, CPMA, CPCO compliance officer, or RHIT) required upon hire. Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required. Experience with data analysis and report preparation required.KNOWLEDGE/SKILLS/ABILITIES
Strong knowledge of healthcare regulations and standards, including Medicare and Medicaid. Knowledge of coding and billing practices in healthcare. Strong problem-solving and critical thinking skills. Excellent attention to detail and ability to identify errors and discrepancies. Excellent verbal and written communication skills. Ability to work independently and as part of a team. Ability to work well under pressure and meet tight deadlines. Proficiency in Microsoft Office and other relevant software applications.PHYSICAL DEMANDS
Rarely (1- 10% of the time) Occasionally (11
- 33% of the time) Frequently (34
- 66% of the time) Continually (67
- 100% of the time) CLIMB
- STAIRS LIFT (Floor to
Waist:
0- 36") 0
- 20 Lbs LIFT (Knee to chest: 24
- 54") 0
- 20 Lbs LIFT (Waist to
Eye:
up to 54") 0- 20 Lbs CARRY 1-handed, 0
- 20 pounds
BEND FORWARD
at waist KNEEL (on knees)STAND WALK
- LEVEL
SURFACE ROTATE TRUNK
Standing REACH- Upward PUSH (0-20 pounds force) PULL (0-20 pounds force)
SIT CARRY
2-handed, 0- 20 pounds
ROTATE TRUNK
Sitting REACH- Forward