WVU Medicine Professional Coding Auditor-Educator (Remote)

Role Overview

The Professional Coding Auditor-Educator at WVU Medicine plays a crucial role in ensuring accurate and compliant medical coding practices across the healthcare system. This remote position is responsible for developing and implementing coding education programs, conducting quality audits, and providing expert coding guidance to coding staff, clinical documentation improvement specialists, providers, and other stakeholders. The ideal candidate will possess extensive knowledge of ICD-10-CM, ICD-10-PCS, CPT coding, and governmental billing regulations, along with a strong commitment to continuous learning and improvement. This role offers the opportunity to make a significant impact on revenue cycle management and the overall quality of patient care at WVU Medicine.

A Day in the Life

As a Professional Coding Auditor-Educator, your day might include: * Developing and delivering coding education sessions for new and existing coding staff. * Performing coding quality audits to identify areas for improvement and ensure compliance with coding guidelines. * Providing one-on-one coaching and mentoring to coding staff based on audit findings. * Reviewing and updating coding policies and procedures. * Staying current on coding updates and changes in regulations. * Collaborating with clinical documentation improvement (CDI) specialists to improve documentation quality. * Assisting with the resolution of coding-related denials and appeals. * Participating in coding-related meetings and committees. * Responding to coding inquiries from providers and other stakeholders. * Developing training materials and presentations.

Why Remote in West Virginia?

While this position is remote, being based in or near West Virginia offers several advantages: * **Proximity to WVU Medicine Facilities:** Enables occasional on-site visits for training or meetings, fostering stronger relationships with colleagues. * **Understanding of Local Healthcare Landscape:** Familiarity with West Virginia's healthcare challenges and opportunities can enhance the effectiveness of coding education and auditing efforts. * **Access to WVU Medicine Resources:** Provides easier access to WVU Medicine's resources and support network. * **Quality of Life:** West Virginia offers a lower cost of living and access to outdoor recreational activities, contributing to a better work-life balance. * **Community Engagement:** Opportunity to contribute to the health and well-being of the local community.

Career Path

The Professional Coding Auditor-Educator role offers opportunities for career advancement within WVU Medicine's Health Information Management and Revenue Cycle departments. Potential career paths include: * **Senior Coding Educator:** Leading the development and implementation of coding education programs across WVU Medicine. * **Coding Manager:** Overseeing coding operations and ensuring compliance with coding guidelines. * **Clinical Documentation Improvement (CDI) Specialist:** Focusing on improving the quality and completeness of clinical documentation. * **Revenue Cycle Manager:** Managing various aspects of the revenue cycle, including coding, billing, and collections. * **Compliance Officer:** Ensuring compliance with healthcare regulations and ethical standards.

Salary & Benefits

The estimated salary range for the Professional Coding Auditor-Educator position is $65,000 to $95,000 per year, depending on experience and qualifications. WVU Medicine offers a comprehensive benefits package, including: * Comprehensive health insurance (medical, dental, and vision) * Paid time off (PTO) and holidays * Retirement plan with employer matching * Life insurance * Disability insurance * Flexible spending accounts (FSAs) * Employee assistance program (EAP) * Tuition reimbursement * Professional development opportunities * Employee discounts * Wellness programs

WVU Medicine Culture

WVU Medicine is committed to creating a supportive and inclusive work environment where employees can thrive. The organization values teamwork, collaboration, and continuous learning. Employees are encouraged to share their ideas and contribute to improving patient care and organizational efficiency. WVU Medicine also emphasizes employee well-being and offers various programs to support employees' physical, mental, and financial health.

How to Apply

To apply for the Professional Coding Auditor-Educator position, please click the "Apply" button located at the top of this page. Complete the application in full and attach your resume and cover letter. Be sure to highlight your relevant experience and qualifications, including your coding certifications, education, and experience in coding auditing and education.

Frequently Asked Questions (FAQ)

**1. What coding certifications are required for this position?** * Certification in ONE of the following is required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Outpatient Coder (COC), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC). **2. Is remote work equipment provided?** * WVU Medicine typically provides the necessary equipment for remote work, such as a computer, monitor, and headset. Specifics can be discussed during the interview process. **3. What is the work-life balance like in this role?** * WVU Medicine strives to provide a supportive work environment with a focus on work-life balance. Remote work offers flexibility, but it's important to manage your time effectively. **4. What opportunities are there for professional development?** * WVU Medicine offers tuition reimbursement and various professional development opportunities to help employees grow their skills and advance their careers. **5. What is the team dynamic like?** * The coding team at WVU Medicine is collaborative and supportive. Team members work together to ensure accurate and compliant coding practices. **6. How does WVU Medicine support employee well-being?** * WVU Medicine offers wellness programs, an employee assistance program (EAP), and other resources to support employee physical, mental, and financial health. **7. What is the interview process like?** * The interview process typically involves a phone screening, followed by one or more virtual interviews with the hiring manager and other team members. **8. What are the key performance indicators (KPIs) for this role?** * Key performance indicators include coding accuracy rates, audit results, and the effectiveness of coding education programs. **9. How does WVU Medicine stay up-to-date on coding changes?** * WVU Medicine subscribes to coding updates and provides ongoing training to ensure that coding staff stays current on the latest changes. **10. What is the typical career progression for this role?** * Potential career paths include Senior Coding Educator, Coding Manager, Clinical Documentation Improvement (CDI) Specialist, Revenue Cycle Manager, and Compliance Officer.