Coding Auditor & Educator

Employment Type: Full time Shift: Day Shift Description: The Coding Auditor & Educator performs medical record audits including analysis of medical record documentation; validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Monitor’s accuracy of centralized coder’s charge capture and coding with proper ICD-10, CPTs, HCPCs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. Educates practitioners on coding, documentation, and compliance matters. SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: 1. CPC, RHIT, CRC or CDEO accreditation is required. 2. Two years of professional coding experience to include documentation review. 3. Strong knowledge of Medicare, Medicaid, and other third-party billing rules and regulations. 4. Strong verbal, written, and interpersonal communication skills. 5. Ability to comfortably interact with diverse populations. 6. Ability to work collaboratively in a team-oriented environment with a strong customer-service orientation. 7. Ability to maintain confidentiality of patient and organizational information. 8. Demonstrated dependability and regular attendance. 9. Strong knowledge of ICD-10 and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans. 10. Ability to maintain accurate records and to prioritize and organize work effectively. 11. Ability to exercise independent judgment as appropriate within standard practices and procedures. 12. Ability to code form operative reports, progress, and other note types is preferred. 13. Familiarity with standard desktop and Windows based computer system, including email, e-learning, intranet and computer navigation. 14. Ability to use other software required to perform essential functions. Epic experience preferred. 15. Fast-paced professional central billing environment requiring flexibility to adapt to changes in workload, competing priorities, and deadline situations. HIGHLIGHTS AND BENEFITS: When Saint Alphonsus takes care of you, you can take better care of our patients. We foster personal and professional growth and offer opportunities that empower our colleagues to develop their careers. Our belief in work-life balance compliments the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and Oregon. We offer market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one. Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs develop. We are proud to offer Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow. Visit www.saintalphonsus.org/careers to learn more! MINISTRY/FACILITY INFORMATION Saint Alphonsus Health System is a faith-based ministry and not-for-profit health system serving Idaho, Oregon, and northern Nevada communities. The health system boasts 4 hospitals, 609 licensed beds, and 73 clinic locations. Through innovative technologies, compassionate staff, and healing environments, Saint Alphonsus' goal is to improve the health and well-being of people by emphasizing care that is patient-centered, physician-led, innovative, and community-based. Top 15 Health Systems in the country by IBM Watson Health. The region’s most advanced Trauma Center (Level II). Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and quality of life. Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health 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, disability, status as a protected veteran, or any other status protected by law. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.