Job: CODING HUB AUDITOR

CODING HUB AUDITOR

Requisition Number 34922

City Denver

Physical Location PAH-MASON HALL

Department Name CEN PROF RECEIVABLE

Status Full Time

Benefits Eligible Yes

Hours per Pay Period 80

Shift Days

Required Education Associates Degree

Required Experience 3 - 5 years

Grade OOO

Certificate/Licensure Certification Required

Responsible for conducting high volumes of E&M provider coding, billing and documentation audits for
accuracy of ICD-9-CM, CPT, HCPCS Level II codes, modifiers and charges in a timely and efficient manner and
ensures coding compliance with all regulatory reporting requirements. Schedules and/or conducts multiple
provider and coder audits at one time. Adapt audit programs to scope, objectives and procedures to be
performed for each assignment based on risks associated with regulatory programs. Identifies and determines
that the integrity of coding controls and revenue generation is supported by the documentation and escalates
issues and provides recommendations accordingly. Prepares audit reports containing adequate evidence to
support audit findings and makes recommendations. Provides providers and coders with individualized report
results and schedules training and follow-up audits as applicable. Prepares audit reports for coding audit
manager's review and approval. Assists with training new providers and coders on accurate coding assignment
that is supported by documentation.

Participates in decision making concerning policies, procedures as requested. Assists in writing and
implementation of new policies and procedures.

Works closely with the physician services coding manager, physicians, physician clinics' office staff, hospital
staff and coding hub staff. Communicates with physicians and physician clinics' office staff when needed in
order to addresses all needs/concerns and in a timely manner. Uses a professional attitude and a high degree
of customer service when dealing with all customers and handles stressful situations with professionalism and
tact.

Coordinates training and auditing activities within the hub department and physician clinics. Participates in quality improvement projects.

Partners with other revenue management areas and facilities to achieve resolution. Stays current on coding regulatory requirements to ensure accurate coding assignments. Researches and resolves issues to meet customer needs. Uses problem-solving ability for various levels of issues.

Associates degree preferred, Certified CPC, RHIA or RHIT required. Five years of internal audit and coding audit experience in a multi-healthcare setting, to include 3 years in physician services (1500 billing). Demonstrated knowledge, skills and experience in the principles and practices of coding inclusive of working knowledge of DRG, CPT, ICD-9, APC, AHA Coding Clinic CMS Reimbursement rules. Prefer knowledge of chargemaster, coding products (i.e. 3M encoder and resources) and different medical electronic documentation and billing programs. Excellent written and verbal communications.
Exhibits high degree of accuracy and attention to detail in all documentation and correspondence. Basic computer skills to include Microsoft Office Windows, Excel, PowerPoint and Email.

This position will require travel to various Centura facilities, posibly up to 50%. Centura Health, the largest health care system in Colorado, includes 12 hospitals, 7 senior communities, home care and hospices services. We provide state-of-the-art, technologically advanced, spiritual care throughout the state, from Boulder County, to the mountain communities, to Pueblo and Cañon City.

As the largest health care provider in Colorado and the state's fourth largest private employer, Centura Health provides care and comfort to more than 500,000 people each year. The Centura family includes 12 hospitals, 7 senior living communities, medical clinics and home care and hospice services.

As a nonprofit, faith-based organization, Centura Health invests every dollar it earns into furthering it's mission.

Catholic Health Initiatives and Adventist Health System have combined their unique histories to forge an organization unlike any other. Centura Health. It is the combination of a forward thinking hospital system made up of a broad range of facilities in a location that many consider the perfect blend of outdoor adventure and metropolitan sophistication.

Phenomenal benefits, relocation assistance, competitive salaries and a work environment that honors you as well as outstanding leadership, create the professionally challenging yet personally fulfilling career at Centura Health.