HIM Auditor and Coding Specialist - Part-time

Full-and Part-Time Employee Benefits

Medical, Dental, and Vision Insurance Cancer plan.

401(k) retirement plan with matching Accident plan.

Paid time off (PTO) program Critical life events plan.

Tuition and certification reimbursement Employee Assistance Program (EAP).

Group Term Life Insurance and AD&D Free parking at all locations.

Short term and Long term disability Mileage reimbursement for company travel.

Un-reimbursed medical and dependent care.

POSITION SUMMARY

The HIM Auditor and Coding Specialist is responsible for performing concurrent and scheduled audits of the medical records for all locations /corporations (locations) to ensure documentation is complete and in compliance with Arkansas Hospice policy, State and Federal regulations, and HIM professional best practice guidelines. Responsibilities also include preparing audit reports; and identifying documentation trends. Must be skilled in assignment of ICD-10-CM, CPT and/or HCPCS code(s) and have expert knowledge of coding principles and guidelines related to regulatory compliance. Participates in other HIM department functions as assigned.

QUALIFICATIONS

Education: Associate Degree in Health Information Management, RHIT and coding credential required. The coding credential may be a CCS, CCS-P, CPC, or CPC-A.

Experience: A minimum of three (3) years medical record experience in a HIM Department, in a healthcare setting, with auditing and/or coding experience required. Knowledge of Electronic Health Record (EHR) systems and proficiency in Microsoft Word and Excel required.

Additional Requirements: Must have valid driver’s license, automobile insurance, personal vehicle, cell phone and ability to travel between locations and work flexible hours.

PRIMARY RESPONSIBILITIES - AUDITOR

1. Performs random audits of active and discharged medical records on a quarterly schedule for all locations to ensure documentation meets Federal and State regulations and HIM professional best practice guidelines, and documents audit results. Performs focus audits as needed.
2. Presents all final audit results to the HIM Director, Medical Record Committee, and other staff as necessary.
3. Collaborates with the Education department as needed.
4. Continues to assess and establish audits and audit procedures in EHR software(s). Track results and actions required.
5. Coordinates with the Finance department about identifying and gathering other data for statistical reporting.
6. Serves as a member of the Medical Record Committee and attends ad hoc audit meetings with other departments.
7. Maintain current knowledge base of EHRs.
8. Available to perform the ICD-10 coding when the full-time coder is out of the office.

PRIMARY RESPONSIBILITIES – CODER

1. Upon admission, reviews clinical documentation and assigns the primary and secondary ICD-10-CM code(s) and identifies co-morbidities.
2. Reviews and performs ongoing monitoring of ICD-10-CM code assignment for coding accuracy through regular and focus audits.
3. Educates clinical staff on the choice of appropriate ICD-10-CM codes based on their clinical documentation to meet regulatory guidelines and support of maximum reimbursement. Discusses alternative codes and possible additional documentation as well as educates staff, as needed.
4. Serves as a resource for directors, managers, physicians, clinicians, and administrative staff to obtain coding information or coding clarification, as needed.
5. Coordinates with the Compliance department and HIM Director regarding issues identified in coding audits.
6. Reviews and assigns CPT codes to physician visits for all service lines that have been identified on billing sheets, EHR documentation, or other electronic system(s).
7. Reconciles hospice physician visits with EHR reports to ensure all visits have been captured, verify they are correctly entered and submits for billing Collaborates on any discrepancies for corrections. Keeps the HIM Director and the Medical Billing Supervisor informed of any issues and when completed.

OTHER RESPONSIBILITIES

1. Maintains strict confidentiality at all times.
2. Utilizes and models excellent customer service skills at all times; seeks opportunities to assist patients, families and co-workers; demonstrates teamwork and cooperation.
3. Accepts direction and follows instructions from supervisor; seeks additional information as needed; works with minimal supervision.
4. Adheres to all organizational and departmental policies and procedures.
5. Continually meets organizational standards for attendance and punctuality; notifies supervisor in a timely manner when employee will be absent or late for work.
6. Attends all required meetings and in-services.; seeks opportunities for additional professional development activities as appropriate.
7. Completes special projects and other duties as assigned by HIM Director.

COMPETENCIES, KNOWLEDGE, SKILLS, AND ABILITIES

THIS SECTION DESCRIBES WHAT KNOWLEDGE, SKILLS AND ABILITIES AN EMPLOYEE IN THIS POSITION SHOULD CURRENTLY POSSESS. THIS LIST MAY NOT BE COMPLETE FOR ALL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED FOR THIS POSITION.

1. Competent in the use of electronic medical records systems, Microsoft Office, communications software, and online research for coding issues.
2. Skill in organizing and prioritizing workloads to meet deadlines.
3. Ability to communicate effectively both orally and in writing with all levels of staff.
4. Ability to follow basic safety policies and procedures.
5. Ability to use good judgment and to maintain confidentiality of information.
6. Ability to work as a team player.
7. Ability to demonstrate tact, resourcefulness, patience, and dedication.
8. Ability to accept direction and adhere to policies and procedures.
9. Ability to work in a fast-paced environment and manage multiple priorities.

Performs the above listed functions while regularly working with confidential and/or proprietary Arkansas Hospice and patient information, including but not limited to patient medical records, current or former employee information, Arkansas Hospice records, and other information that the employee regularly uses to perform job functions.

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