Coding Educator & Auditor

## Coding Educator & Auditor Apply locations:
Methodist Corporate Office - Omaha, NEtime type:
Full time posted on:
Posted Todayjob requisition :
JR115291
** Why work for Nebraska Methodist Health System?
** At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge.

We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.
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* Job Summary:

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* Location:

Methodist Corporate Office  Address: 825 S 169th St.

- Omaha, NE

Work Schedule:

Mon - Fri, 8:00am to 4:30pm    Responsible for the education, training and auditing of employees in the Coding department.
** Responsibilities:
**** Essential Functions
** Responsible for training new hires and contract staff by developing training plan with a defined time frame for completion of training.
* Inpatient Coding-ICD-10 Diagnosis and Procedure, as applicable.
* Outpatient Coding, outpatient surgery and professional services, as applicable.
* Current Procedural Terminology (CPT) coding, as applicable.

Performs audits during probationary period of new hires to ensure knowledge and understanding of coding guidelines and policies.

Responsible for the continuation of education in regards to new government rules, regulations, and yearly code updates for all jobs regarding I-10 coding and CPT coding.
* Researches new coding updates.
* Reviews CMS mandates and updates coding directives as needed.
* Reviews Federal Register to ensure compliant coding and reporting.

Organize education offerings for inpatient and outpatient coding staff as well as related jobs regarding coding and reimbursement.
* Has the ability to present information in a quick manner while still getting pertinent information distributed.
* Manages training supply needs, room reservations, and catering (if needed).
* Works with management to identify annual CEU offerings for inpatient and outpatient coders.

Works closely with the Coding Leadership.
* Per direction of Coding Team Manager: reviews and formulates processes for each coder to ensure efficient use of the medical record to ensure productivity standards are being met.
* Cross trains current staff in all processes in their respective job descriptions.
* Contributes to the development and maintenance of specialty-specific coding education materials.
* Identifies documentation trends and issues to bring forward for resolution

Serves as a resource for other departments, physicians and other requestors of education and information on ICD-10.Serves as a coder when volumes exceed department standards as determined by management.

Performs audits on inpatient or outpatient coders as directed by management.
* Develops and maintain audit spreadsheet for each coder, auditing frequency to be determined in coordination with Coding management.
* Develops individualized education/training plan in coordination with Coding management based on the results of the audits.

Outpatient Education Coordinator/Auditor will resolve APC Edits using CSG Edit Report to ensure all accounts reflect appropriate Current Procedure Terminology (CPT) codes, modifiers, and units of services to facilitate correct outpatient billing as defined by Medicare.

Works in collaboration with Business Office on denials by reviewing submitted charges and coding; resolve issues to enhance account payment timeliness.
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* Schedule:

** Mon - Fri, 8:00am to 4:30pm
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* Job Description:

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** Job Requirements
**** Education
* ** Minimum associates degree in Health Information Management or related field required.
** Experience
* ** Minimum of 5 years in coding of acute care inpatient services or hospital outpatient and/or professional services required.
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