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Coding QI Compliance Auditor Trainer II *Telecommute*

Company: Providence Health & Services
Location: Olympia
Posted on: August 5, 2022

Job Description:

Description Providence St. Joseph Health is calling a Coding QI Compliance Auditor Trainer II to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA. We are seeking a Coding QI Compliance Auditor Trainer II who will be critical to the coding compliance program. By performing audits of hospital coding, training new coding staff, preparing and presenting educational sessions for the coders and staying current with official coding guidelines and regulations, the incumbent ensures the proper coding of PH&S hospital medical records. This position includes obtaining, recording and reporting essential data, assisting in problem solving of coding issues and acting as a subject matter expert for coding staff. In this position you will have the following responsibilities:

  • Ensure accurate, compliant coding of hospital medical records through training, auditing and research.
  • Work with coders and CDI specialists to resolve complex coding and documentation issues.
  • Train and mentor new coding staff, keeping manager/supervisor informed as to progress.
  • Act as a subject matter expert for the coding staff.
  • Perform random and focused audits of HIM-coded medical records by reviewing charts for coding accuracy, including DRG or APC, severity of illness and risk of mortality levels. In addition, check the completeness and accuracy of abstracting, including discharge disposition and present on admission indicators. Communicate findings to coders. In cases of disagreement, convene the reviewer committee to review and vote, taking accountability for the final coding.
  • Train and mentor Coding QI Compliance Auditor and Trainer I staff by reviewing work done and providing feedback for growth.
  • Identify and track coding educational needs based on audit results; prepare and present training sessions to coders.
  • Research and answer coding questions, enlisting the assistance of colleagues, including CDS nurses, supervisor or manager as needed.
  • Review RAC coding denials and underpayments and provide rationale for appeals.
  • Assist with coding-related insurance company denials, providing rationale for appeals.
  • Assist with revision of PH&S coding guidelines.
  • Maintain coding skills by coding and abstracting in accordance with national and PH&S coding guidelines.
  • Meet departmental standards for productivity and quality on a consistent basis.
  • Attend and participate in coding section meetings and training sessions.
  • Maintain accurate, clear, concise, and complete account notes and other relevant information.
  • Promote PH&S as a premier service organization by treating customers with compassion and respect.
  • Identify, resolve and escalate major issues and service failures that impede success.
  • Maintain confidentiality of all patients' demographic, medical, and financial information, ensuring proper handling and disposal of confidential documents and adherence to HIPAA.
  • Comply with all applicable Federal, State, and local laws, regulations, and requirements as well as PH&S policies and procedures in all aspects of job performance. Required qualifications for this position include:
    • Associate's Degree in a healthcare-related program with a minimum of one of the following credentials required: any AHIMA or AAPC coding credential -OR- Equivalent combination of education and experience can be considered in lieu of degree.
    • 2 years Recent acute care coding auditing and training.
    • 4 years Recent acute care coding experience in one of the following areas: Hospital inpatient, day surgery or emergency department. A track record in troubleshooting coding quality problems.
    • A track record in reading and interpreting medical records.
    • A track record in organizing and planning with demonstrated ability to effectively manage time and achieve results in a fast paced environment.
    • Any AHIMA or AAPC recognized coding credential. Preferred qualifications for this position include:
      • Bachelor's Degree in a healthcare-related program with a minimum of one of the following credentials required: any AHIMA or AAPC coding credential or equivalent educ/experience.
      • An equivalent combination of education and experience can be considered in lieu of degree. About the department you will serve. One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC's objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise. We offer a full comprehensive range of benefits - see our website for details -http://www.providenceiscalling.jobs/rewards-benefits About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Requsition ID: 102610 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Schedule: Full time Shift: Day Career Track: Business Professional Department: 4001 SS RC CODING NWR Address: WA Olympia 413 Lilly Rd NE Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Keywords: Providence Health & Services, Olympia , Coding QI Compliance Auditor Trainer II *Telecommute*, Human Resources , Olympia, Washington

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