Health Information Educator Auditor Outpatient KMH

Job Description

Facility: Kenmore Mercy Hospital

Shift: Shift 1

Status: Full Time FTE: 1.000000

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: Yes

Work Schedule: Days

Hours:

M - F 7a-3p or 8a or 4p

Summary:
The Catholic Health (CH) Health Information Management (HIM) Educator/Auditor will work cooperatively with CH coding associates, physicians, Inpatient and Outpatient Coding Managers, CDEI Education Manager and Documentation Specialists, Quality and Patient Safety, Corporate Compliance, and Ancillary departments to ensure coding across CH acute care facilities is consistent, accurate, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for SPARCS reporting. The Educator/Auditor 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 associates 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.

Responsibilities:

EDUCATION

• CPC, CPC-P, RHIT, or CCS is required
• CEMC is preferred

EXPERIENCE

• Three (3) years of coding experience utilizing electronic encoders/references, and compliance software, is required

KNOWLEDGE,SKILL AND ABILITY

• 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
• Partner with and across Teams. Demonstrated ability to work closely with CH 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 procedure
• 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
• Problem solving. 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 shares expertise, helps other 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

WORKING CONDITIONS

• Travels frequently to multiple sites to work with Clinic Manager, Physicians and with Educator/Analyst
• NYS driver's license and transportation is required
• Occasional change in work schedule to accommodate project implementation, auditing, meetings, or other departmental concerns
• Normal heat, light space, and safe working environment; typical of most office jobs

VACCINE REQUIREMENTS

• Effective January 1st 2022, you must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of your vaccination status as part of your new employee pre-boarding. Exceptions to the COVID-19 vaccination requirement may be granted for medical reasons.