HIM Educator Auditor (Outpatient)

Nature & Scope:

Positional Overview

The Imagine Group is recruiting for an HIM Educator/Auditor (Outpatient) on behalf of our client, a leading healthcare system in Buffalo, New York, providing comprehensive medical services through a network of hospitals, primary care practices, and specialty facilities. With a strong focus on compassionate, patient-centered care, it is committed to improving community health through quality treatment, advanced technology, and a mission-driven approach.

In this role, you will monitor and perform audits of coded data for accuracy based on documentation in the medical record and through these audits will ensure that medical records are coded and billed in accordance with coding conventions, billing rules and Federal and State regulations. The Educator/Auditor will also provide timely education and feedback for Physicians, Coding and CDEI associate with regards to quarterly coding updates, as well as updates to the Medicare, New York and APR-DRG grouper logic. The Educator will provide mentoring for new coding staff. The Educator/Auditor will also assist with the coding standardization of workflow redesign for Soarian Financials, ECW, Meditech and eHIM.

Role & Responsibility:

Tasks That Will Lead to Your Success

• Evidence of coding competency
• Thorough knowledge of ICD-10-CM, CPT-4, Evaluation and Management (E/M), anatomy and physiology, medical terminology, APC’s, and Outpatient referred coding requirements
• Demonstrated ability to work closely with associates, medical staff, Clinical Documentation Improvement (CDI) leadership and staff, department managers, and Finance
• Superior written and interpersonal communication skills
• Proven track record to develop/maintain policies and procedures
• Drive Performance. Professional skills related to leading by example, organization, prioritization, organizational integration and coordination.
• Takes action and is proactive, addressing problems and coding/compliance issues head-on, solution-oriented
• Visual acuity for oversight of computer encoders, groupers, on-line references, Electronic Health Record
• Demonstrated proficiency with computers, software, hardware and technological advances
• Computer and Microsoft Office proficiency to generate reports and collect data
• Excellent analytical skills. Ensure difficult and/or most important issues and challenges are addressed appropriately
• Must be able to respond to diverse scheduling and availability of associates and physicians to adjust schedules to accommodate needs of others
• Coaching and Developing Others.
• Ability to use praise and positive/helpful feedback to recognize others regarding skills, specific knowledge, understand personal strengths and weaknesses, willingly share expertise, helps others develop abilities, create realistic career goals and plans, rounding.
• Ability and willingness to coach staff with negative behaviors and/or knowledge deficits or reach out to others with ability to coach/assist these staff members in improvement.
• Mobilizer. Ability and willingness to set goals and clear expectations for work performance and behaviors. Holds self and staff accountable for all aspects of their assigned job. Ability to meet deadlines consistently and generate reports.
• Change Driver. Embraces improvements and creative thinking, generates creative solutions, open to ideas of others, helps others embrace change.
• Ability to drive and travel to multiple sites.

Skills & Experience

Qualifications That Will Help You Thrive

• Three (3) years of coding experience utilizing electronic encoders/references, and compliance software, is required
• CPC, CPC-P, RHIT, or CCS is required
• CEMC is preferred
• Travel frequently to multiple sites to work with Clinic Manager, Physicians and with Educator/Analyst.
• NYS driver’s license and transportation are required.
• Occasional change in work schedule to accommodate project implementation, auditing, meetings, or other departmental concerns.