Coding Auditor & Educator - HCC Auditing

Category
Revenue Cycle / Health Information Management
Department
6511-PHYSICIAN SERVICES CODING
Position Type
Regular Full-Time
Work Schedule
DAY
Boise
Requisition ID
2017-9668

Overview

St. Luke’s is a nationally recognized leading healthcare organization where people like you drive our success. We are currently searching for a Coding Auditor and Educator to join our Physician Services Coding team. In this role, you perform internal quality assessment reviews on physician (professional) coding to ensure compliance with national coding guidelines and St. Luke’s policies for complete, accurate and consistent coding. We are looking for someone with coding experience to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and improve the quality of physician documentation. Our Physician Services department is passionate about coding quality and education, so the person in this role needs to be comfortable with providing physician & coder-specific education based on the quality monitoring review findings and trends.


Your typical day might look like:
• Working on CCI edits and other regulatory guidance.
• Developing, implementing, delivering and assessing coding education plans using a variety of methods to individual providers or provider groups.
• Understanding and interpreting healthcare insurance guidelines as relevant to correct coding initiatives is necessary.

 

Required Criteria
High school education or equivalent.

One year experience in surgical and outpatient procedural coding is required.

At least five (5) years E&M coding/auditing experience in any medical specialty, with greater experience preferred.
Successful completion of a post-secondary billing or coding program or coursework, or the equivalent combination of experience, education and training is required. Medical Terminology, Anatomy & Physiology or Pathophysiology coursework required.
CPC, CCS-P or PCS required. RHIA and/or RHIT will be considered.
One year experience in surgical and outpatient procedural coding is required.
Ability to assign, sequence and validate all CPT, ICD-9, HCPCS codes with appropriate modifier usage is required.

 

 

Preferred Criteria
Undergraduate degree in a health or business related field strongly preferred
Additional specialty certifications strongly preferred.
Experience in professional-fee billing is desired.
Additional nationally-accredited continuing education in a medical auditing, surgical or specialty coding methodology is strongly preferred.

 


If you’re looking for a place where you can grow in your personal life, in your career, and in your community, St. Luke’s may be just the place for you. Our employees enjoy many benefits, some of the most popular are tuition reimbursement, hospital retirement contributions, and hospital-supported on-going training and education.

About St. Luke’s
A strong, talented staff is at the heart of St. Luke’s Health System. We are Idaho’s largest private employer with more than 13,500 employees and a medical staff of more than 1,800 physicians and advanced practice clinicians. Our employees are dedicated to impacting the lives of those in our community while pursuing a life-changing career at St. Luke’s. Our staff is the reason for our outstanding reputation as both a quality employer and superior healthcare organization. We’re proud of our people who deliver skilled, compassionate care every day, and are looking to add dedicated individuals who will continue in the same tradition of excellence.

With multiple locations in beautiful southern central Idaho and Oregon, our mild, four season climate means you can play outdoors year-round. Whether you prefer leisurely walks along the river or heart-pounding climbs up a sheer cliff - there is always something to do after work. An exciting mix of urban and outdoor life defines Idaho and Oregon culture, you can ski in the morning and watch a college sporting event at night. It is a great area to raise a family and forge lasting relationships. The cost of living is low, and quality of life is high.
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#One of American’s Top 15 Health Systems - U.S.News & World Report, "America's Best Hospitals 2015-2016"

*St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

 

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