Auditor - Educator, Coding DRG Facility

September 16

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Denver Health

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Healthcare • Regional Level 1 Trauma Center • Community Health & Primary Care Services • Maternity & Pregnancy Services • Cardiovascular Services

5001 - 10000

Description

• Under general supervision, trains and educates providers, hospital and coding staff on all aspects of inpatient facility coding and documentation as it applies to the inpatient hospital/facility setting. • Prepares training and presentations on applicable topics. • Researches questions and issues using all available resources. • Provides both oral and written direction to coders when a provider query should be sent. • Creates and approves content of queries for submission to providers. • Interacts with hospital staff for the purpose of documentation improvement and clarification. • Performs audits to ensure documentation and coding accuracy compliance. • Reviews appropriate assignment of Major Comorbid Conditions (MCCs) and Comorbid Conditions (CCs). • Provides feedback from audit findings for documentation and coding quality improvement. • Participates in outside audit reviews with other departments including Clinical Documentation Improvement and Enterprise Compliance Services for all RAC, individual payer, and other outside agencies. • Utilizes all available coding references to include software applications to perform coding related tasks.

Requirements

• High School Diploma or GED Required • Bachelor's Degree Preferred • 4-6 years • 1. Six years Facility medical coding experience assigning ICD-10-CM diagnoses codes, ICD-10-PCS procedure codes, HCPCS, and modifiers codes for multi-specialty areas required. • 2. Four years’ experience with Diagnostic Related Group (DRG) and Ambulatory Payment Classification (APC) fundamentals required. • 3. Experience reviewing medical record documentation required. • 4. Experience with education, training, compliance, and auditing required. • Required Licenses : CCS - Certified Coding Specialist - AHIMA - American Health Information Management Association Required or AHIMA-AHIMA Member - AHIMA - American Health Information Management Association

Benefits

• Outstanding benefits including up to 27 paid days off per year • Immediate retirement plan employer contribution up to 9.5% • Generous medical plans • Free RTD EcoPass (public transportation) • On-site employee fitness center and wellness classes • Childcare discount programs & exclusive perks on large brands, travel, and more • Tuition reimbursement & assistance • Education & development opportunities including career pathways and coaching • Professional clinical advancement program & shared governance • Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program • National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer