HB Coding Auditor / Educator - Remote

This job works as a consulting team member on client or internal assignments. Handles escalated coding related projects, new services, regulatory updates and overall coding quality. Provides coding education to various groups such as coders, billers, nurses, physicians, etc.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company’s discretion.

Education

Required – High school diploma or equivalent.

Preferred – Bachelor's degree in information technology (IT), computer science, health information management (HIM) or related field.

Work Experience

Required – 5 years of experience working in a hospital or ambulatory surgery center (ASC) as a coder required including experience in consulting and in client facing positions.

Certifications

Required – Certification as Registered Health Information Administrator, Registered Health Information Technician, Certified Coding Specialist, Certified Coding Specialist-Physician based, Certified Professional Coder, Licensed Practical Nurse, OR Registered Nurse.

Knowledge Skills and Abilities (KSAs)

Proficiency in using computers, software, and web-based applications including Microsoft Office Applications such as Word, Excel, PowerPoint, Outlook, Project, and Visio.

Effective verbal and written communication skills and ability to present information clearly and professionally.

Strong interpersonal skills.

Advanced knowledge of coding / documentation and billing regulations.

Strong analytical skills and ability to gather and interpret data, evaluate reports and track progress.

Ability to travel throughout and between facilities.

Job Duties

Participates in hospital revenue cycle assessments and process improvement engagements.

Prepares appropriate written reports to include findings and recommendations.

Conducts periodic status checks with the clients and project team to assess progress against plan and communicates progress to supervisors.

Oversees and provides training and mentoring to help team members increase their effectiveness.

Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.

Performs other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient / employee safety, patient privacy, and / or other compliance-related concerns.

The employer is 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, protected veteran status, or disability status.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Light Work - Exerting up to 20 pounds of force occasionally, and / or up to 10 pounds of force frequently, and / or a negligible amount of force constantly (Constantly : activity or condition exists 2 / 3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work : (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and / or pulling of arm or leg controls; and / or (3) when the job requires working at a production rate pace entailing the constant pushing and / or pulling of materials even though the weight of those materials is negligible. NOTE : The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.

The incumbent has no occupational risk for exposure to communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and / or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.