Coder Trainer \ Auditor WLA Pasadena, CA
Candidate will be responsible for: Auditing electronic health records to determine whether the documentation substantiates the codes assigned (ICD-9-CM / MS-DRG/HCC). Instructing current coders and trainees on coding changes and identified issues. Providing education to coders will also be part of the overall responsibilities of a Coder Trainer Auditor. Expert knowledge of ICD-9-CM/MS-DRG/HCC/CPT coding. Additional qualifications include excellent analytical and communication skills. Coder Trainer Auditors must be able to travel if necessary.
- Assists Regional Coding Team & Health Information Management Managing Director in meeting coding quality & productivity goals & objectives by identifying opportunities for continuous quality improvement
- Communicates & participates in regional operational & strategic planning
- Actively involved in mentoring & training all functions & services related to hospital medical coding, medical documentation, & physician queries, abstracting & data collection
- Monitors coding & abstracting quality by conducting &/or coordinating ongoing audits to ensure coding quality & performance improvement standards are maintained, achieved & improved
- Works with Coding Supervisors & HIM Director to develop, implement, evaluate & improve coders participating in the HIM Department On-the-Job Training (OJT) Program
- Provides ongoing coding/systems education & training of staff
- Tracks & reports progress of coding trainees at each phase of OJT Program
- Assists Regional Coding Team in preparing statistical analysis &/or reports
- Ensures compliance with all applicable federal, state & local regulations, as well as with institutional/organizational standards, practices, policies & procedures
- Strong research skills including knowledge of automated analysis tools & on-line research tools required to resolve complex coding/systems issues
- Must be able to work flexible days & hours
- Travel between Medical Center facilities/Regional Offices will be required periodically
- Other duties as assigned
- May travel (10%).
- To qualify for this challenging role, individuals must have a combination of one or more of the following qualifications/credentials: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA).
- Extensive inpatient coding experience in an acute care facility required.
- With minimum four (4) years relevant experience assigning ICD-9-CM diagnoses and procedure codes, AMA CPT, and CMS HCPCS codes.
- Must possess a proficient understanding of the Inpatient and Outpatient Prospective Payment Systems (IPPS/OPPS), Medical Severity Diagnosis-Related Groups (MS-DRG), National Correct Coding Initiative Edits (NCCI), ICD-9-CM Official Guidelines for Coding and Reporting, and Coding Clinic.
- Must be able to develop and present training curricula for coders and healthcare providers based on analysis of audit data.
- Knowledge of laws and regulations pertaining to Health Information Management (e.g., TJC, HIPAA, CMS, OSHPD, DHS, and Uniform Health Care Information Act) required.
- Ability to demonstrate knowledge of and utilize health information management professional practice standards, principles, techniques and methodologies.
- Ability to demonstrate knowledge of and utilize, apply, interpret and train on current coding classifications systems and documentation guidelines.
- Must be able to work in a Labor-Management Partnership environment.
- CCS preferred.
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