Coding Auditor/Trainer (Coding Coordinator)

Primary Responsibilities:

• Trains and instructs coders on CPT, Diagnosis, modifiers, CCI edits and documentation requirements as appropriate regarding all industry standards for each clinical department across OHSU 
• Reviews, develops, modifies, and/or adapts relevant training materials, presentations and curriculum 
• Audits medical record documentation to identify under-coded and up- coded services; prepares reports of findings and meets with coders and leadership to provide education and training on accurate coding practices and compliance issues both for coders currently in training and ongoing audits for all coders
• Leads cross training efforts for coders learning new subspecialties
• Review and respond in a timely manner to trainee questions and offer support
• Regularly communicates status of ongoing training projects as well as outcomes and challenges to leadership 
• Provides second-level review of documentation and coding for difficult/advanced services to ensure accurate and compliant charge submission
• Participates in process improvement through identification of provider or coder trends (documentation and coding) as well as workflow evaluations
• Provides coding audits and detailed assessments for annual performance appraisals 
• Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations and presents findings and material to the coding department to ensure ongoing education and compliance of all coders in Enterprise Coding
• Meets/communicates with Provider Educators to ensure that education is uniform and consistent for both providers and coders for any given area.

Secondary Responsibilities

• Assists Leads with coding e-mail queries for difficult scenarios
• Researches, analyzes, and responds to inquiries for challenging coding scenarios regarding compliance, inappropriate coding, denials, and billable services
• Participates in recruitment process including evaluation of resumes, interviews and correction/analysis of coding assessment test 
• Meets with the Coding & Compliance department as needed to discuss concerns, make plans for processes/procedures
• Participates in required huddles with leadership team to communicate ongoing training needs
• Participates in advisory team meetings to discuss coding guidelines and best practices for consistent coding across Depts/Service Areas.
• Other job-related duties as assigned

• Associates degree in Healthcare, Business or related field plus 5 years of production coding experience OR equivalent combination of education and experience

• Detailed knowledge of medical coding systems, procedures, and documentation requirements

• Knowledge of auditing concepts and principles

• Certification in CPC, CPC-H, RHIT, or RHIA

• Completed coding education and certification from an accredited institution such as AHIMA or AAPC (CPC, CPC-H, RHIT, RHIA)
• Solid understanding of 2023 E/M guidelines
• Specialty coding experience in a variety of specialties including but not limited to, OB/GYN, GI, ENT, Pulmonary, Endocrinology, Pediatric Medicine, Hospitalists and Telemedicine

Job Related Knowledge, Skills and Abilities (Competencies):

• Ability to analyze and solve problems
• Ability to develop and implement a training plan 
• Excellent oral, written, communication, and analytical skills
• Ability to use independent judgment and to manage and impart confidential information. 
• Ability to set priorities and meet deadlines
• Strong communication and interpersonal skills
• Knowledge of legal, regulatory, and policy compliance issues related to medical coding procedures and documentation
• Knowledge of current and developing issues and trends in medical coding procedures requirements