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Samaritan Health Services · 6 days ago

Coding Educator-Auditor

Corvallis, OR

Full-time

Hybrid

Mid Level

3+ years exp

Samaritan Health Services is seeking a Coding Educator-Auditor to provide training and education on coding and documentation requirements. The role involves auditing medical records and claims to ensure compliance with regulations and providing support to healthcare providers.

Health CareHospital

Responsibilities

Provides formal and informal coding and regulatory education/training to Providers and Professional Coders

Serves as a liaison between providers and coders

Responsible for reviewing (auditing) professional charges, medical records, and claims to ensure accuracy and compliance with the CMS guidelines as well as CPT, HCPCS, ICD-10 coding guidelines

Identifies errors, inconsistencies, and areas for improvement in coding and documentation with current guidelines and regulations

Compiles and presents reports of audit results, highlighting areas for improvement, educating, and reauditing

Answers coding questions for clinic managers, providers, and other staff

Qualification

CPC certificationICD-10 codingMedical claims auditingData analysisMicrosoft OfficeProblem-solvingCommunication skillsAttention to detail

Required

High school diploma or equivalent required

Two (2) certifications (CPC, CRC Risk adjuster, CPMA, CPCO compliance officer, or RHIT) required upon hire

Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required

Experience with data analysis and report preparation required

Strong knowledge of healthcare regulations and standards, including Medicare and Medicaid

Knowledge of coding and billing practices in healthcare

Strong problem-solving and critical thinking skills

Excellent attention to detail and ability to identify errors and discrepancies

Excellent verbal and written communication skills

Ability to work independently and as part of a team

Ability to work well under pressure and meet tight deadlines

Proficiency in Microsoft Office and other relevant software applications