Maui Medical Group
Coding Auditor
Maui Medical Group, Wailuku, Hawaii, United States, 96793
Job Description
Posted Friday, August 9, 2024 at 4:00 PM | Expired Wednesday, August 28, 2024 at 3:59 PMHealth Care Excellence for Maui since 1961 - The leading provider of quality health care for the residents and visitors of Maui as measured by:patient satisfactionpatient outcomesstaff employment satisfactionMAUI MEDICAL GROUP, INCPOSITION DESCRIPTIONPosition Title:
Coding AuditorDepartment:
Provider Services DepartmentSECTION A: OVERALL PURPOSE OF THE POSITIONCodes office and hospital procedures for providers. Provides education for providers to improve coding and documentation. Reviews and analyzes diagnoses and procedures codes used by providers in accordance with established coding guidelines.SECTION B: MAJOR JOB RESPONSIBILITIESIn accordance with established coding guidelines, codes office and hospital procedures for providers and reviews and analyzes diagnoses and procedures codes used by assigned providers prior to submission of charges. (60%)Assists with audits of records in accordance with established coding guidelines. Ensures that the final diagnosis accurately reflects the care and treatment rendered as documented in the notes. Reviews the records for compliance with established reimbursement and special screening criteria. Reports compliance problems appropriately. (15%)Provides education for providers to improve coding and documentation. (10%)Attends seminars and in-services as required to remain current on coding issues. (5%)All other miscellaneous responsibilities and duties as assigned. (5%)Demonstrates quality work, completes assignments on a timely basis, and makes decisions within limits of authority. Takes initiative in problem solving, maintains confidentiality of patient and company information, and interacts with patients, co-workers, and management in a courteous and respectful manner. Adheres to all company policies and procedures. (2.5%)Maintains attendance standards consistent with company policy. (2.5%)Total 100%SECTION C: OTHER INFORMATIONRESPONSIBLE TO:
Provider Services ManagerMINIMUM QUALIFICATIONS:Education/Experience:
High School Diploma. Medical Coding Certificate - RHIT or CPC certification is required. Excellent interpersonal skills. Two years’ experience using ICD10-CM, CPT, HCPCS or equivalency. Computer competency. Must be able to manage multiple tasks at the same time. Maintains a positive "can-do" attitude. Must be able to work overtime or after hours as the need arises.Skills/Knowledge:
Knowledge of auditing concepts and principles. Advanced knowledge of medical coding and billing systems and regulatory requirements. Ability to use independent judgment and to manage and impart confidential information. Ability to analyze and solve problems. Strong communication and interpersonal skills. Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation. Knowledge of current and developing issues and trends in medical coding procedures requirements. Ability to clearly communicate medical information to professional practitioners and/or the public. Detailed knowledge of medical coding systems, procedures, and documentation requirements. Ability to adapt and modify medical billing procedures, protocol, and data management systems to meet specific operating requirements. Ability to provide guidance and training to professional and technical staff in area of expertise.Desired/Preferred Qualifications:
Possesses coding/auditing experience with a current certification. Demonstrates effective written and verbal communication.Equipment Use:
Personal computer, telephone, and 10 key machine. Microsoft products, Internet and e-mail.Characteristics:
Must be willing to effectively participate as a team member with Medical/Business office staff. Must be committed to the protection of confidential information, records, and/or reports. Must have the ability to communicate effectively in a professional and courteous manner. Must have good organizational skills. Requires prolonged sitting. Requires some bending, stooping, and stretching for files and supplies. Requires manual dexterity sufficient to operate a keyboard and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts.Hourly Rate:
Starting @ $23.98; based on experienceMaui Medical Group is an equal employment opportunity/affirmative action employer. We actively seek diversity among our employees. We do not discriminate on the basis of age, race, color, religion, sex/gender (including gender identity/expression), ancestry/national origin, disability, marital status, arrest and court record, sexual orientation, pregnancy, veteran status, genetic information, domestic or sexual violence victim status, or other protected categories in accordance with state and federal laws. We further encourage individuals with disabilities, minorities, and veterans to apply.
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Posted Friday, August 9, 2024 at 4:00 PM | Expired Wednesday, August 28, 2024 at 3:59 PMHealth Care Excellence for Maui since 1961 - The leading provider of quality health care for the residents and visitors of Maui as measured by:patient satisfactionpatient outcomesstaff employment satisfactionMAUI MEDICAL GROUP, INCPOSITION DESCRIPTIONPosition Title:
Coding AuditorDepartment:
Provider Services DepartmentSECTION A: OVERALL PURPOSE OF THE POSITIONCodes office and hospital procedures for providers. Provides education for providers to improve coding and documentation. Reviews and analyzes diagnoses and procedures codes used by providers in accordance with established coding guidelines.SECTION B: MAJOR JOB RESPONSIBILITIESIn accordance with established coding guidelines, codes office and hospital procedures for providers and reviews and analyzes diagnoses and procedures codes used by assigned providers prior to submission of charges. (60%)Assists with audits of records in accordance with established coding guidelines. Ensures that the final diagnosis accurately reflects the care and treatment rendered as documented in the notes. Reviews the records for compliance with established reimbursement and special screening criteria. Reports compliance problems appropriately. (15%)Provides education for providers to improve coding and documentation. (10%)Attends seminars and in-services as required to remain current on coding issues. (5%)All other miscellaneous responsibilities and duties as assigned. (5%)Demonstrates quality work, completes assignments on a timely basis, and makes decisions within limits of authority. Takes initiative in problem solving, maintains confidentiality of patient and company information, and interacts with patients, co-workers, and management in a courteous and respectful manner. Adheres to all company policies and procedures. (2.5%)Maintains attendance standards consistent with company policy. (2.5%)Total 100%SECTION C: OTHER INFORMATIONRESPONSIBLE TO:
Provider Services ManagerMINIMUM QUALIFICATIONS:Education/Experience:
High School Diploma. Medical Coding Certificate - RHIT or CPC certification is required. Excellent interpersonal skills. Two years’ experience using ICD10-CM, CPT, HCPCS or equivalency. Computer competency. Must be able to manage multiple tasks at the same time. Maintains a positive "can-do" attitude. Must be able to work overtime or after hours as the need arises.Skills/Knowledge:
Knowledge of auditing concepts and principles. Advanced knowledge of medical coding and billing systems and regulatory requirements. Ability to use independent judgment and to manage and impart confidential information. Ability to analyze and solve problems. Strong communication and interpersonal skills. Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation. Knowledge of current and developing issues and trends in medical coding procedures requirements. Ability to clearly communicate medical information to professional practitioners and/or the public. Detailed knowledge of medical coding systems, procedures, and documentation requirements. Ability to adapt and modify medical billing procedures, protocol, and data management systems to meet specific operating requirements. Ability to provide guidance and training to professional and technical staff in area of expertise.Desired/Preferred Qualifications:
Possesses coding/auditing experience with a current certification. Demonstrates effective written and verbal communication.Equipment Use:
Personal computer, telephone, and 10 key machine. Microsoft products, Internet and e-mail.Characteristics:
Must be willing to effectively participate as a team member with Medical/Business office staff. Must be committed to the protection of confidential information, records, and/or reports. Must have the ability to communicate effectively in a professional and courteous manner. Must have good organizational skills. Requires prolonged sitting. Requires some bending, stooping, and stretching for files and supplies. Requires manual dexterity sufficient to operate a keyboard and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts.Hourly Rate:
Starting @ $23.98; based on experienceMaui Medical Group is an equal employment opportunity/affirmative action employer. We actively seek diversity among our employees. We do not discriminate on the basis of age, race, color, religion, sex/gender (including gender identity/expression), ancestry/national origin, disability, marital status, arrest and court record, sexual orientation, pregnancy, veteran status, genetic information, domestic or sexual violence victim status, or other protected categories in accordance with state and federal laws. We further encourage individuals with disabilities, minorities, and veterans to apply.
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