Coding Auditor and Educator - Full Time

Employment Type: Full time Shift: Day Shift Description: At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. Saint Alphonsus is looking to hire a Coding Auditor and Educator for our Coding and Compliance Team. This position will be full time, and benefit eligible. 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. General Requirements: Two years of professional coding experience to include documentation review. Strong knowledge of Medicare, Medicaid, and other third-party billing rules and regulations. Ability to comfortably interact with diverse populations. Ability to work collaboratively in a team-oriented environment with a strong customer-service orientation. Ability to maintain confidentiality of patient and organizational information. Demonstrated dependability and regular attendance. Strong knowledge of ICD-10 and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans. Ability to maintain accurate records and to prioritize and organize work effectively. Ability to exercise independent judgment as appropriate within standard practices and procedures. Ability to code form operative reports, progress, and other note types is preferred. Familiarity with standard desktop and Windows based computer system, including email, e-learning, intranet and computer navigation. Ability to use other software required to perform essential functions. Epic experience preferred. Fast-paced professional central billing environment requiring flexibility to adapt to changes in workload, competing priorities, and deadline situations. Strong verbal, written, and interpersonal communication skills. License/Certification: CPC, RHIT, CRC or CDEO accreditation is required. Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health. Visit www.saintalphonsus.org/careers to learn more about the benefits, culture and career development opportunities available to you at Saint Alphonsus Health System. Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local 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.