Revenue Cycle Auditor-Educator Coding

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Job Summary / Purpose
This is an advanced level position with expert knowledge of current ICD (diagnostic and procedural) and CPT-4 coding classification systems. Responsible for answering coding and billing questions, onboarding and training new staff, performing coding/DRG validation audits, and development and deployment of coding and CDI education.  Works in conjunction with the coding and CDI leadership team in planning and performing education and training across the system.  Responsible for performing internal audits and follow up education.  Facilitates and promotes standardization of coding/CDI practices, monitors and communicates regulatory coding and billing changes for timely and accurate implementation. Acts as a liaison between CDI, physicians, clinical quality, patient financial services, and other departments to ensure collaborative relationships resulting in accuracy and integrity of the inpatient medical record

Essential Functions
Essential Function
● Ensure coding/CDI practice adhere to compliant practices and regulatory requirements. Adhere to the ethical standards of coding as established by AAPC and/or AHIMA
● Actively monitors work queues/worklists to ensure KPIs are met. Meet productivity and accuracy standards.
● Acts as a liaison with CDI, patient financial services, patient registration, clinical staff to resolve problems and improve workflow and shows ability to  identify and determine resolution of complex issues
● Assist CSH leadership in strategic planning
● Ability to communicate effectively, deliver presentations to large groups, stay organized, and demonstrate effective leadership skills
● Ability to identify and interpret operational training/development needs
● Collaborates with coding/CDI leadership to discuss audit results, education and develop action plans for sustained improvement
● Develop and execute process improvement projects
● Actively seeks to promote and helps to maintain a professional, team-oriented, service-conscious environment, which contributes to the goals of the team and reflects the values of the enterprise
● Assess tools and resources to prevent downstream errors, denials, etc.
● Ability to troubleshoot computer issues in a timely fashion while working remotely

Education and Experience

Required 

Associates Other - Associate’s degree in HIM/related field or Associate’s degree in Nursing, 4-6 years Performing coding CDI audits and education in large multifacility healthcare systems
Certification from AHIMA (CCS, RHIT, RHIA, CDIP), AAPC (CIC) and/or ACDIS (CCDS) to be maintained
4-6 years - Performing coding CDI Audits and creating education sessions in large multifacility healthcare systems