Clinic Physician Educator/Auditor - Full Time

Clinic Physician Educator/Auditor - Full Time

POSITION SUMMARY:

This position educates and audits providers to ensure their compliance with coding and regulatory guidelines. Develops and provides onboarding training, as well an on-going training based on audit findings, noted trends and/or changes in coding/documentation updates. Establishes positive working relationships as the subject matter expert with all parties. Assists Coding Team to complete charging/coding for HOPD clinics. Ensures accurate submission of all coding data for reimbursement purposes. Ensures Regulatory Compliance and follows all Federal regulations for all payment systems.

POSITION REQUIREMENTS:

Minimum Education

• High School Diploma or equivalent.

Certificate Required:

One of the following Coding Certifications:

• CCS-Certified Coding Specialist.
• CPC-Certified Professional Coder.

and

• CPMA-Certified Professional Medical Auditor or ability to obtain within first year of employment.

Minimum Work Experience

• Minimum of 2 years’ experience with E&M coding experience required.
• Strong knowledge of E&M regulations and CMS Documentation Guidelines.
• Strong organization skills and attention to detail.
• Proficient in ICD10CM, CPT and HCPCS coding, policy and procedures based on physician practices.
• Ability to prioritize provider medical records reviews/projects and provider coding education opportunities with alignment with audits and overall trends.
• Ability to read and communicate in English; Bilingual preferred.
• Good communication and multi-tasking skills.
• Knowledge of computer applications for coding.
• Knowledge of medical terminology, anatomy and physiology.
• Knowledge and application of diagnostic and procedural coding.

POSITION ESSENTIAL FUNCTIONS:

Provider Educator

• Provides audits to all new providers after 60 days of start.
• Provider audits annually or as needed based on previous audit findings.
• Provide new hire training within EMR for all new providers.
• Provide all audit findings to the appropriate provider(s) for review.
• Attend monthly provider meetings for specific education presentations and/or as a resource for providers.

Coding

• Ensures accurate diagnostic coding assignment to include modifiers when applicable.
• Accuracy standards of 95°/o or greater.
• Accurately abstracting the coding data utilizing the coding software.

Productivity

• Maintains CVH coding productivity standards. Effectively coordinates scheduled daily activities to ensure productivity is met and work is completed in a timely manner.
• 25-30 per hour- out patient charts includes abstracting.

Goals/Standards

• In collaboration with the Executive Director Physician Clinics, Director of Revenue Cycle and HIM Supervisor, supports the goals and objectives of the department related to coding quality and reimbursement levels.
• Possesses working knowledge of all regulatory standards that apply to coding activities and ensures practice meets standards.
• Assists in training coding staff and/or contract coders.
• Provides all requested education to clinical staff to include in depth coding training, provider meeting presentations, audits and on-going support.

BENEFITS: If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.

• NO STATE INCOME TAX
• Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
• Vanguard 401(k) with match.
• Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
• Employer Paid Basic Life and AD&D insurance.
• Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
• Earned Time Off, Sick Leave and Paid Holidays.
• Nevada 529 College Fund.
• Unum Employee Assistance Program.
• Employer paid Credit monitoring and Identity Theft Program through CyberScout.
• Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions).
• Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months .
• Paid Volunteer Hours for staff to help in the community.
• and More...

CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE

"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024 & 2025!

WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!