Physician Coding Auditor & Documentation Specialist
Company: Central Administration
Location: Kennewick
Posted on: January 19, 2023
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Job Description:
Job BriefPhysician Coding Auditor & Documentation Specialist
Toppenish, WAEmployment duration:Full timeExempt
Status:Non-exemptOffer Relocation?:NoID:10343YVFWC has a compulsory
vaccination policy including the Covid-19 primary series, the
organization does not mandate the Covid-19 booster although it is
offered through our employee health department. Medical and
religious exemptions to the primary series will be considered and
for those approved, the employee should anticipate following
appropriate guidance around masking and other protective equipment
offered.Under the direction of the Medical Coding Manager, the
Physician Coding Auditing & Documentation Specialist reviews and
audits medical records of outpatient clinic visits to facilitate
accurate and complete medical record documentation to reflect
clinical treatment and accurate capture of diagnoses in compliance
with federal and state regulations and according to established
ICD-10-CM coding and/or CPT-4 procedure coding classification
systems.This position identifies additional documentation
opportunities relating to HCCs (Hierarchical Condition Categories)
and provides appropriate education to YVFWC clinicians and other
organization team members for documentation improvement in
reference to ICD-10-CM and CPT-4 coding and documentation
guidelines and requirements. Educational sessions may be provided
via face-to-face in both small or large groups or
electronically.Schedule: Monday Friday 8:00 a.M. 5:00 p.M.What We
Offer$23-$28/hour DOE with ability to go higher for highly
experienced candidates.100% employer-paid health insurance for
employees including Medical, Dental, Vision, Rx, 24/7 telemedicine;
profit sharing, 403(b) retirement plan, generous paid time off,
paid holidays, and more.Essential
Functions/Responsibilities/DutiesUses a thorough understanding of
coding guidelines and standards of documentation compliance to
improve overall quality and completeness of clinical documentation
within the patient electronic health record (EHR).Conducts
retrospective medical record audits of outpatient clinic encounters
according to federal and state regulations and established
ICD-10-CM and/or CPT-4 procedure coding classification
systems.Identifies errors and issues related to coding and medical
record documentation.Provides consultation and consistent, ongoing
education and training to clinicians and other clinical staff
regarding accurate coding and documentation standards.Researches,
analyzes, recommends, and facilitates plan of action to correct
discrepancies to prevent future coding errors.Identifies
discrepancies, potential quality of care and billing
issues.QualificationsEducation: High School diploma or General
Education Development diploma (GED). Experience or coursework in
medical terminology, health records, Health Insurance Portability
and Accountability Act (HIPAA) and compliance required.Experience:
Six months experience or coursework in medical terminology, health
records, Health Insurance Portability and Accountability Act
(HIPAA) required. Total of five years' experience in healthcare
coding preferred. Three years' experience as a healthcare coding
auditor preferred.Professional Licenses/Certificates/Registration:
CPC (Certified Professional Coder) or Certified Coding Specialist
(CCS) certification preferred. CDEO (Certified Documentation Expert
Outpatient) certification or CCDS-O certification must be obtained
within 24 months of hire.Knowledge/Skills/Abilities Required or
Preferred: Knowledge of medical terminology, medical records,
investigations, and auditing. Knowledge of healthcare coding,
HIPAA, and State applicable privacy laws. Good analytical,
decision-making, and problem-solving skills. Skillfully exercises
independent judgment and decision making. Handles sensitive
situations and confidential information with discretion.
Effectively prioritizes work and handles a variety of tasks
simultaneously environment. Work in a collaborative team
environment, be well organized and have a strong attention to
detail and accuracy. Ability to effectively present educational
material to individuals, small and potentially large audiences.
Strong interpersonal communication (verbal, non-verbal and
listening) skills, including handling stressful situations.
Develops effective working relationships to gain trust and
establish credibility. Basic proficiency with a variety of computer
programs including Microsoft Outlook, Word, Excel and Electronic
Medical Record (EMR), preferably Epic.About YVFWCWe serve more than
181,000 patients across 25 medical clinics, 14 dental clinics, 10
pharmacies, and 64 program sites in two states. We are Level 3
Certified as a Patient-Centered Medical Home (PCMH). With
integrated services including medical, dental, pharmacy,
orthodontia, primary care nutritional counseling, autism screening,
and primary care behavioral health, YVFWC's patient-centered model
of care offers patients the full spectrum of care and shelter
assistance, energy assistance, weatherization, HIV and AIDS
counseling and testing, home visits, and four mobile medical/dental
clinics.Working at YVFWCWorking in our organization means being the
passionate champion for those who have no voice. It means having
the opportunity to work with underserved populations and with peers
committed to the same work.At Farm Workers ClinicWe will
consistently trust one another to work for the common good.We will
foster integrity by demonstrating ethical behavior and insisting on
doing what we say we will do.We will demonstrate transparency by
being candid and truthful no matter the risk.We will create
partnerships to strengthen ourselves and our community.We will
fight for just treatment for all individuals.We will let joy in.We
have the courage to be an agent of change and refuse anything short
of excellence.Our mission celebrates diversity. We are committed to
equal opportunity employment.
Keywords: Central Administration, Kennewick , Physician Coding Auditor & Documentation Specialist, Healthcare , Kennewick, Washington
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