Centura Health Hospital Coding Auditor in Colorado Springs, Colorado

Centura Health connects individuals, families and neighborhoods across Colorado and western Kansas with more than 21,000 of the most talented hearts and minds in medicine.

Through Centura Health’s 17 hospitals, two senior living communities, health neighborhoods, physician clinics, Flight for Life® Colorado, home care and hospice services, we offer a diverse range of work settings in a Colorado or Kansas community you will love to call home.

Enjoy amazing people, competitive pay, some of the best benefits in the industry and plenty of opportunity for professional growth and development.

If you’re ready to discover the difference of working for a fully-integrated health system with a non-profit, faith-based mission to care, we look forward to receiving your application.

_Job Description/Job Posting ID: 117451_

_Recruiter Contact:_ Keegan Swihart, keeganswihart@centura.org

_Schedule:_ Full Time

_Shift:_ Days

_Position Summary_

Subject matter expert to facility and Coding Service Center personnel for the assigned patient types and/or service lines in inpatient and/or outpatient coding. Responsible for answering coding and billing questions . Works in conjunction with the Coding Service Center leadership team in planning and performing coding education and training statewide, including ICD-10. Responsible for performing internal audits and follow up education. Facilitates and promotes standardization of coding practices, monitors and communicates regulatory coding and billing changes for timely and accurate

implementation. Participates in short-term and long-term strategic planning with regard to compliant coding and regulatory billing practices.

_Minimum Education Requirements_

  • High School Diploma or GED required; Associate Degree preferred

  • Minimum of successful completion of coding certificate program by specialty as appropriate

  • Demonstrate expert technical coding competency in coding with ICD-10, CPT-4, HCPCS codes, modifiers, MS-DRGs,

  • APRs and APCs, as appropriate for the assigned patient types and/or service lines responsible for in the position

  • Demonstrates intermediate skills in coding with ICD-10-CM and PCS

  • Advance knowledge of disease management, anatomy & physiology, medical terminology, pharmacology and coding systems (i.e. 3M)

  • Advanced knowledge of 3M Encoder, Coding Clinic Guidelines, LMRPs, CMS Program Memorandums related to coding and billing practices, and Nosology, and charge description master (CDM)

_Minimum Experience Requirements_

  • 5 years coding experience in an acute care setting required.

  • 3 years experience in internal auditing and/or coding education; prefer multi-healthcare setting experience

  • Must demonstrate competency of inpatient and outpatient coding and guidelines, as appropriate

  • Advance knowledge of Microsoft Office applications (i.e. Word, Excel, Outlook, PowerPoint) and troubleshooting computer problems Excellent verbal and written communication skills

_License/Certifications_

  • Current AHIMA credentials (i.e. RHIA, RHIT, CCS, RCC) or AAPC credential (COC, CPC-H, CIC) required and maintained

_Position Duties (essential functions denoted with an * )_

  • Responsible for performing internal audits and follow up education; monitors trends throughout the system.*

  • Responsible to analyze, summarize and present external and internal audit results.*

  • Responsible to maintain advanced coding and billing knowledge sustaining role as subject matter expert.*

  • Acts as a Resource to facility and Coding Service Center personnel for the assigned patient types and/or services lines for inpatient and/or outpatient coding and billing and responsible for answering coding questions received from the Coding Service Center and/or facility personnel.*

  • Demonstrates the ability to effectively present information and respond to questions from staff and other customers and follow up in a timely manner; Provides supporting documentation and/or references to support coding answers(i.e. Coding Clinic, Coding Compliance Plan). Communicates coding guidelines consistently to all applicable coders and facility stakeholders throughout the system.*

  • In collaboration with the Coding Service Center leaders is responsible for planning and performing coding education and training statewide, including ICD-10.*

  • Reviews coding denials from payer audits (i.e. CFMC, CDAC) and other external audits (i.e. RAC, MIC, ZPIC), asrequested.*

  • Participates in short-term and long-term strategic planning, as appropriate.*

  • Facilitates and promotes standardization of coding operations across the region and in alignment with the system.*

  • Actively seeks to promote and helps to maintain a professional, team-oriented, service-conscious and customer service environment, which contributes to the goals of the Coding Service Center, Revenue Management, facilities and reflects the values of the system.*

_Physical Requirements_

  • Sedentary Work - prolonged periods of sitting and exert/lift up to 10 lbs. force occasionally)

Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V.