Physician Coding Auditor & Documentation Specialist
YVFWC has a compulsory vaccination policy including the Covid-19 primary series, the organization does not mandate the Covid-19 booster although it is offered through our employee health department. Medical and religious exemptions to the primary series will be considered and for those approved, the employee should anticipate following appropriate guidance around masking and other protective equipment offered.
Under the direction of the Medical Coding Manager, the Physician Coding Auditing & Documentation Specialist reviews and audits medical records of outpatient clinic visits to facilitate accurate and complete medical record documentation to reflect clinical treatment and accurate capture of diagnoses in compliance with federal and state regulations and according to established ICD-10-CM coding and/or CPT-4 procedure coding classification systems.
This position identifies additional documentation opportunities relating to HCCs (Hierarchical Condition Categories) and provides appropriate education to YVFWC clinicians and other organization team members for documentation improvement in reference to ICD-10-CM and CPT-4 coding and documentation guidelines and requirements. Educational sessions may be provided via face-to-face in both small or large groups or electronically.
Schedule: Monday - Friday 8:00 a.m. - 5:00 p.m.
What We Offer
- $23-$28/hour DOE with ability to go higher for highly experienced candidates.
- 100% employer-paid health insurance for employees including Medical, Dental, Vision, Rx, 24/7 telemedicine; profit sharing, 403(b) retirement plan, generous paid time off, paid holidays, and more.
- Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR).
- Conducts retrospective medical record audits of outpatient clinic encounters according to federal and state regulations and established ICD-10-CM and/or CPT-4 procedure coding classification systems.
- Identifies errors and issues related to coding and medical record documentation.
- Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff regarding accurate coding and documentation standards.
- Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies to prevent future coding errors.
- Identifies discrepancies, potential quality of care and billing issues.
- Education: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required.
- Experience: Six months experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) required. Total of five years' experience in healthcare coding preferred. Three years' experience as a healthcare coding auditor preferred.
- Professional Licenses/Certificates/Registration: CPC (Certified Professional Coder) or Certified Coding Specialist (CCS) certification preferred. CDEO (Certified Documentation Expert Outpatient) certification or CCDS-O certification must be obtained within 24 months of hire.
- Knowledge/Skills/Abilities Required or Preferred: Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic.
We serve more than 181,000 patients across 25 medical clinics, 14 dental clinics, 10 pharmacies, and 64 program sites in two states. We are Level 3 Certified as a Patient-Centered Medical Home (PCMH). With integrated services including medical, dental, pharmacy, orthodontia, primary care nutritional counseling, autism screening, and primary care behavioral health, YVFWC's patient-centered model of care offers patients the full spectrum of care and shelter assistance, energy assistance, weatherization, HIV and AIDS counseling and testing, home visits, and four mobile medical/dental clinics.
Working at YVFWC
Working in our organization means being the passionate champion for those who have no voice. It means having the opportunity to work with underserved populations and with peers committed to the same work.
At Farm Workers Clinic
- We will consistently trust one another to work for the common good.
- We will foster integrity by demonstrating ethical behavior and insisting on doing what we say we will do.
- We will demonstrate transparency by being candid and truthful no matter the risk.
- We will create partnerships to strengthen ourselves and our community.
- We will fight for just treatment for all individuals.
- We will let joy in.
- We have the courage to be an agent of change and refuse anything short of excellence.
Our mission celebrates diversity. We are committed to equal opportunity employment.