What are the responsibilities and job description for the Sr. Medical Coding Auditor position at St. Luke's Hospital?
Job Posting
We are dedicated to providing exceptional care to every patient, every time.
St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke’s Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades .
Position Summary:
Serves as a lead analyst for the St. Luke’s Hospital 3M 360 Encompass coding system and other coding quality systems. Responsible for development, re-engineering, and system enhancement projects. Performs system and/or staff audits across outpatient hospital and/or ambulatory coding. Maintains databases, spreadsheets, computer and paper files related to coding activities and regulations. Responsible for reporting and proactive analytical support related to coding and reimbursement systems. Responsible for ensuring that systems are designed for optimal and pliant code assignment , including building/ maintaining system code sets and tables. Troubleshoot system/program issues and ensure accuracy and efficiency of work flow . Works effectively with physicians, medical group managers and staff, Patient Financial Services, Information Services, Health Information Services, clinical departments, Finance, third-party payers, vendors and other external customers to resolve issues and optimize processes in a professional manner. Responsible for development of user training manuals and performing coding related training of physicians, office staff, and hospital staff. Resource for extensive analytical projects related to coding and charge assignment in the acute outpatient and ambulatory settings. Proficient in the use of a variety of reporting tools including 3M, Cerner, coding edit and chargemaster software systems. Uses reporting capabilities to assist in decision making with process implementation or improvements. Responsible for promoting teamwork with all members of the healthcare team. Performs duties in a manner consistent with St. Luke’s mission and values.
Education, Experience, & Licensing Requirements:
Education: Associate’s degree in health services discipline with formal HIM education
Experience: 3 years of relevant experience. Experience with APC, OPPS, RVU, Medicare risk adjustment, Hierarchical Condition Categories, coding, billing, auditing (Preferred)
Licensure: National certification as RHIA or RHIT are required . Current certification in clinical documentation improvement (CCDS, CDIP), or certification in medical coding and or risk adjustment ( i.e. CRC, CPC, CCS, or CCS-P or other pertinent to outpatient) preferred.
Benefits for a Better You:
You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke’s family to be a part of making life better for our patients, their families, and one another.
We are dedicated to providing exceptional care to every patient, every time.
St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke’s Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades .
Position Summary:
Serves as a lead analyst for the St. Luke’s Hospital 3M 360 Encompass coding system and other coding quality systems. Responsible for development, re-engineering, and system enhancement projects. Performs system and/or staff audits across outpatient hospital and/or ambulatory coding. Maintains databases, spreadsheets, computer and paper files related to coding activities and regulations. Responsible for reporting and proactive analytical support related to coding and reimbursement systems. Responsible for ensuring that systems are designed for optimal and pliant code assignment , including building/ maintaining system code sets and tables. Troubleshoot system/program issues and ensure accuracy and efficiency of work flow . Works effectively with physicians, medical group managers and staff, Patient Financial Services, Information Services, Health Information Services, clinical departments, Finance, third-party payers, vendors and other external customers to resolve issues and optimize processes in a professional manner. Responsible for development of user training manuals and performing coding related training of physicians, office staff, and hospital staff. Resource for extensive analytical projects related to coding and charge assignment in the acute outpatient and ambulatory settings. Proficient in the use of a variety of reporting tools including 3M, Cerner, coding edit and chargemaster software systems. Uses reporting capabilities to assist in decision making with process implementation or improvements. Responsible for promoting teamwork with all members of the healthcare team. Performs duties in a manner consistent with St. Luke’s mission and values.
Education, Experience, & Licensing Requirements:
Education: Associate’s degree in health services discipline with formal HIM education
Experience: 3 years of relevant experience. Experience with APC, OPPS, RVU, Medicare risk adjustment, Hierarchical Condition Categories, coding, billing, auditing (Preferred)
Licensure: National certification as RHIA or RHIT are required . Current certification in clinical documentation improvement (CCDS, CDIP), or certification in medical coding and or risk adjustment ( i.e. CRC, CPC, CCS, or CCS-P or other pertinent to outpatient) preferred.
Benefits for a Better You:
- Day one benefits package
- Pension Plan & 401K
- Competitive compensation
- FSA & HSA options
- PTO programs available
- Education Assistance
You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke’s family to be a part of making life better for our patients, their families, and one another.