What are the responsibilities and job description for the CODING AUDITOR EDUCATOR - REVO HEALTH position at Revo Health?
Description
The Coding Auditor / Educator - Multi-specialty will assure consistent quality coding and training in evaluation and management, office procedures, and surgical coding through ongoing internal audits, training and education while adhering to official coding guidelines, in support of federal, state, local, and department requirements.
This is a full-time hybrid / remote position working M-F between the hours of 7 : 00 am - 5 : 00 pm supporting our Corporate Office in Bloomington, MN.
Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.
Essential Functions :
- Training and development of current and newly hired remote and on-site coding team members.
- Perform quality assurance reviews to assess comprehension of training efforts.
- Training and continued development based upon internal and external audit results to expand coding expertise and assure coder corrections are made.
- Serve as clinical coding subject matter expert utilizing critical thinking to analyze and evaluate documentation issues via research, consultation with clinical staff, Coding leadership and Coding Specialists.
- Audit coders based on provider documentation verifying ICD-10, CPT-4 and HCPCs codes for clinic, outpatient, and hospital services.
- Audit providers based on documentation verifying medical decision-making level selection for clinic office visits (evaluation and management CPT).
- Audit complex surgical cases.
- Document audit findings.
- Serves in an advisory and educator role for Coding Specialists, Patient Financial Services (PFS), Providers and all clinical staff.
- Manage Revo Coding Education Email and Education WQs.
- Perform extensive research for coding questions that arise from Providers, Coding Specialists, PFS, and Coding Leadership.
- Communicate yearly coding updates per CMS and AMA.
- Communicate coding guideline updates.
- Communicate payer updates, payer policy requirements / changes, and documentation issues when discovered.
- Annual internal coding policy reviews.
- Create workflows and processes as needed / assigned.
- Assists Coding Specialists in writing appropriate coding queries and appeal letters.
- Support PFS in researching in coding denials.
- Develop curriculum and materials for training programs.
- Participate in and / or organize scheduled coder meetings.
- Lead training sessions.
- Onboard new providers on documentation requirements when requested.
- Code assigned providers based upon department need.
- Attend continuing education classes to maintain coding proficiency and certification requirements.
- Any and all other duties as assigned.
Education and Experience Requirements :
Benefits & Compensation :
Essential Requirements :
Ability to :
Performance Expectations - Revo Health's Core Values :
Environmental Conditions :
Notes :
