Professional Coding Auditor-Educator at WVU Medicine: Remote Opportunity

Role Overview

WVU Medicine is seeking a dedicated and experienced Professional Coding Auditor-Educator to join our team remotely. In this role, you will be responsible for educating and training WVU Healthcare coding staff, overseeing auditing and education plans, and ensuring accurate coding practices across the organization. This position demands a deep understanding of coding classifications, including ICD-10-CM, ICD-10-PCS, and CPT, as well as proficiency in MS-DRG, HCC, and APR-DRG assignment.

A Day in the Life

As a Professional Coding Auditor-Educator, your day will involve a variety of tasks aimed at maintaining and improving coding quality and compliance. This includes:

• Conducting coding quality audits to identify areas for improvement.
• Developing and delivering training programs for coding staff.
• Providing ongoing feedback and education to coders to enhance their skills.
• Serving as a subject matter expert on coding guidelines and regulations.
• Collaborating with clinical documentation improvement specialists to ensure accurate and complete documentation.
• Participating in coding-related meetings and committees.
• Staying up-to-date on changes to coding guidelines and regulations.
• Assisting in the development and maintenance of coding policies and procedures.
• Managing the developmental activities of coding personnel in training.
• Acting as a Super User for coding-related software and systems.

Why Remote?

This position offers the flexibility of working remotely, allowing you to balance your professional and personal life. WVU Medicine is committed to providing a supportive remote work environment, with the technology and resources you need to succeed. The remote nature of this role also opens the door to candidates from across the country, bringing diverse perspectives and experiences to our team.

Career Path

At WVU Medicine, we are dedicated to the growth and development of our employees. This Professional Coding Auditor-Educator position can serve as a stepping stone to various career paths within the organization, such as:

• Coding Manager: Oversee a team of coders and ensure accurate and compliant coding practices.
• Clinical Documentation Improvement Specialist: Work with healthcare providers to improve the quality and completeness of clinical documentation.
• Revenue Cycle Manager: Manage the financial processes of a healthcare organization, including billing and coding.
• Compliance Officer: Ensure that the organization is in compliance with all applicable laws and regulations.
• Health Information Management Director: Lead the health information management department and oversee the management of patient medical records.

Salary & Benefits

The estimated salary range for this position is $65,000 to $95,000 per year, commensurate with experience and qualifications. WVU Medicine offers a comprehensive benefits package that includes:

• Comprehensive health insurance (medical, dental, vision)
• Prescription drug coverage
• Paid time off (PTO) for vacation, sick leave, and holidays
• Paid parental leave
• Short-term and long-term disability insurance
• Life insurance
• Accidental death and dismemberment (AD&D) insurance
• Employee assistance program (EAP)
• Retirement savings plan with employer matching contributions
• Flexible spending accounts (FSA) for healthcare and dependent care expenses
• Health savings account (HSA) with employer contributions
• Wellness programs and resources
• Tuition reimbursement for continuing education and professional development
• Employee discounts on various products and services
• On-site childcare (at some locations)
• Employee recognition programs
• Opportunities for career advancement
• A supportive and collaborative work environment

WVU Medicine Culture

WVU Medicine is a leading healthcare system in West Virginia, committed to providing high-quality patient care, advancing medical research, and educating the next generation of healthcare professionals. We foster a culture of teamwork, respect, and innovation, where employees are valued and supported in their professional growth. We are dedicated to creating a diverse and inclusive workplace where everyone feels welcome and has the opportunity to succeed.

How to Apply

To apply for the Professional Coding Auditor-Educator position, please click the "Apply" button located at the top of this page and complete the application in full. Be sure to include your resume and cover letter, highlighting your relevant experience and qualifications.

Frequently Asked Questions (FAQ)

1. What are the minimum qualifications for this position?

   The minimum qualifications include graduation from a Health Information Technology (HIT) or equivalent program AND five (5) years of coding experience; OR graduation from a Medical Coding Certification Program AND five (5) years of coding experience; OR a High School Diploma or Equivalent AND eight (8) years of coding experience. Additionally, certification in ONE of the following is required: Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT) through American Health Information Management Association; Certified Outpatient Coder (COC) through American Academy of Professional Coders; Certified Coding Specialist (CCS) through American Health Information Management Association; Certified Professional Coder (CPC) through American Academy of Professional Coders.

2. What are the preferred qualifications for this position?

   Preferred qualifications include a Bachelor’s degree in Health Information Management or a related field, extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC, and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the “Teaching Physician Guidelines” for Professional Coding Positions. Previous supervisory or project management experience is also preferred.

3. What are the main responsibilities of this role?

   The main responsibilities include managing the activities of designated coding personnel in training, managing quality improvement audits and training of designated coding staff, and acting as an expert coding resource not only to coders, clinical documentation improvement, providers and revenue cycle, but also to specialty groups and meetings. This also includes acting as a Super user for all Coding-related platforms.

4. Is this a remote position?

   Yes, this position is fully remote.

5. What type of benefits does WVU Medicine offer?

   WVU Medicine offers a comprehensive benefits package including health, dental, and vision insurance, paid time off, retirement plans, and tuition reimbursement, among others.

6. What is the work environment like at WVU Medicine?

   WVU Medicine fosters a collaborative and supportive work environment, emphasizing teamwork, respect, and innovation. We are committed to employee growth and development.

7. What opportunities for career advancement are available?

   WVU Medicine provides numerous opportunities for career advancement through various pathways such as Coding Manager, Clinical Documentation Improvement Specialist, Revenue Cycle Manager, Compliance Officer, and Health Information Management Director.

8. How does WVU Medicine support remote employees?

   WVU Medicine supports remote employees by providing necessary technology and resources to ensure productivity and connectivity, fostering a sense of community and support.

9. What coding systems knowledge is essential for this role?

   A strong understanding of ICD-10-CM, ICD-10-PCS, CPT coding systems, as well as MS-DRG, HCC, and APR-DRG assignment methodologies, is essential.

10. How does WVU Medicine ensure compliance with coding regulations?

    WVU Medicine ensures compliance by conducting regular audits, providing ongoing training, and staying up-to-date with changes in coding guidelines and regulations. The organization also has policies and procedures in place to ensure accurate and compliant coding practices.