Auditor / Educator, Coding DRG Facility

We are recruiting for a Auditor / Educator, Coding DRG Facility to join our team!

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Department

HB & PB Coding Services

Job Summary

Under general supervision, trains and educates providers, hospital and coding staff on all aspects of inpatient facility coding and documentation as it applies to the inpatient hospital / facility setting. Prepares training and presentations on applicable topics. Researches questions and issues using all available resources. Provides both oral and written direction to coders when a provider query should be sent. Creates and approves content of queries for submission to providers. Interacts with hospital staff for the purpose of documentation improvement and clarification. Performs audits to ensure documentation and coding accuracy compliance. Reviews appropriate assignment of Major Comorbid Conditions (MCCs) and Comorbid Conditions (CCs). Provides feedback from audit findings for documentation and coding quality improvement. Participates in outside audit reviews with other departments including Clinical Documentation Improvement and Enterprise Compliance Services for all RAC, individual payer, and other outside agencies. Utilizes all available coding references to include software applications to perform coding related tasks.

Essential Functions :

• Performs audits of documentation and coding to ensure coding accuracy compliance. Provides feedback to coders from audits for quality improvement. Educates and trains on all aspects of inpatient coding. Prepares training and presentations on various topics, including Quarterly Coding Clinic Reviews.Training can be one-on-one or in a group. (50%)
• Coordinates and updates the annual review of Denver Health's Code / Do Not Code Guidelines, in collaboration with the HB IP Coding ManagerReviews and responds to clinical coding validation requests from Clinical Documentation Improvement (CDI) and Enterprise Compliance Services (ECS).Evaluates CDI mismatch encounters and provides feedback to CDI, coding, and management as needed. Participates, reviews and, if necessary, responds to any external audit finding(s) for the department. (10%)
• Creates, reviews, and revises standardized coding queries for inpatient coding use. Provides standardized training for provider queries and educates coders on appropriate situations to query. (10%)
• Reviews queries and provides feedback to areas where improvement is needed.Elevates potential areas requiring additional provider education to Director of Coding; Manager, Facility Coding; Audit and Education Manager, and CDI. (10%)
• Maintains advanced knowledge of Diagnostic Related Group (DRG), Risk of Mortality (ROM), Severity of Illness (SOI), and Present on Admission (POA) methodologies. Maintains any current coding credential(s). (5%)
• Continues to be educated and updated in using coding software and related systems.Researches questions, changes in regulatory compliance, guidelines, and other topics using all available resources. (10%)
• Participates in departmental coding and educational meetings and trainings. Reads and communicates information in applicable publications IPPS Updates (5%)

Education :

Work Experience :

Licenses :

Knowledge, Skills and Abilities :

Shift

Varies (United States of America)

Work Type

Regular

Salary

$78, - $118, / yr

Benefits

Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to , and generous medical plans

Free RTD EcoPass (public transportation)

On-site employee fitness center and wellness classes

Childcare discount programs & exclusive perks on large brands, travel, and more

Tuition reimbursement & assistance

Education & development opportunities including career pathways and coaching

Professional clinical advancement program & shared governance

Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF programÂ

National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

Respect

Belonging

Accountability

Transparency

Denver Health values the unique ideas, talents and contributions reflective of the needs of our community. For more about our commitment to diversity visit :