Coding Education Auditor-Outpatient
Company: The Johns Hopkins Hospital
Posted on: October 21, 2019
Coding Education Auditor-Outpatient (Remote) Requisition #:
Location: Johns Hopkins Hospital, Baltimore, MD 21201
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: March 22, 2019
Johns Hopkins Health System employs more than 20,000 people
annually. When joining the Johns Hopkins Health System, you became
part of a diverse organization dedicated to its patients, their
families, and the community we serve, as well as to our employees.
Career opportunities are available in academic and community
hospital settings, home care services, physician practices,
international affiliate locations and in the health insurance
industry. Great careers continually advance here.
Under the direction of the Coordinator, Outpatient Education &
Audits, the Coding Education Auditor, Outpatient will be
responsible for assisting with developing all education and coding
quality improvement initiatives for the Outpatient Coding Division
at JHHS. The Coding Education Auditor, Outpatient is responsible
for analyzing, reviewing and resolving coding and documentation
issues that are related to reimbursement, compliance and revenue
enhancement. The Auditor will perform focused second level coding
quality reviews, as needed, to support improving coding quality for
each outpatient Coding Specialist. The Auditor will document
relevant trends of inaccurate coding and areas that are high risk
for compliance issues to the Coordinator. The Auditor is
responsible for offering recommendations for improvement to
maintain a minimum of 95% coding quality across the JHHS
enterprise. The Auditor will utilize the nThrive DNA learning
management system to assist with coding education and skill
development. This individual will assist with conducting
investigation and research of existing policies, guidelines and
precedent cases in publications such as Federal Register, AHA
Coding Clinic, and AHIMA Journal to support internal policy
development. Additional research will include AHRQ, RAC SOW, OIG
Coding Compliance Plan and Correct Coding Initiative Guidelines to
determine JHHS internal focused audits plan for the fiscal year.
The Auditor will assist with special projects assigned by the
Coordinator, Outpatient Education & Audits.
Full Time, Day Shift
Pay Grade: NK
Minimum Associate's Degree in HIM or health-care related field
required or work experience equivalent to two years of HIM Coding
experience, for one year of education experience, i.e. 4 years.
Bachelor's degree preferred.
Required Licensure Certification:
Requires Certified Coding Specialist (CCS) certification. RHIT or
RHIA credentials preferred. Candidate will be required to pass
AHIMA approved Outpatient Coding Specialist II assessment prior to
Requires minimum of 3 years outpatient coding experience required.
1 year of auditing experience preferred.
Knowledge and Skills:
Requires excellent and comprehensive knowledge of Anatomy,
Physiology, as defined by the Medical Diagnostic Categories and all
body systems. Strong background knowledge of disease process and
Pharmacology. Knowledge of Outpatient coding quality programs and
payer models, including but not limited to: CMS's Outpatient
Prospective Payment System and APC reimbursement, Maryland's HSCRC
outpatient reimbursement, all applicable OCE edits which includes
NCCI and NCD/LCD edits and the accuracy of coded data impacting
reimbursement and external quality databases. Must be conversant
in, with an advanced knowledge of ICD-10 CM, CPT, APCs and APGs.
Must possess demonstrable coding and auditing expertise. Must be
proficient with Microsoft Word, Excel, and Power Point. Requires
in-depth knowledge of clinical coding processing and documentation
standards, guidelines, policies and procedures. Must be conversant
in clinical documentation improvement. High level of proficiency in
adult education and training. Requires a thorough understanding of
Hospital bylaws and Joint Commission standards related to
departmental activities. Requires knowledge of clinical pertinence
requirements and proficiency in abstraction and data entry into the
entire database systems used for medical record coding. Must be
able to read and interpret electronic and manual documentation
generated by healthcare professionals. Requires understanding of
HSCRC and CMI impact on hospital reimbursement.
Requires analytical ability to allow for interpretation of clinical
data in all clinical specialties to determine appropriate diagnoses
supported by clinically pertinent data, ICD-10 CM and CPT coding
classification systems. Requires excellent written, oral
communication and interpersonal skills. Ability to effectively
communicate with all HIM Administrative staff, Coding Professionals
and Hospital practitioners is essential. Requires the ability to
provide constructive feedback for the development of coding staff.
Requires the ability to develop and conduct in-service training
relative to coding for groups of coding staffs. Must demonstrate
knowledge of and experience with coding and auditing of inpatient
and outpatient medical records. Ability and willingness to travel
to Maryland and DC area based JHHS hospitals. Ability to work
Johns Hopkins Health System and its affiliates are drug-free
Johns Hopkins Health System and its affiliates are an Equal
Opportunity / Affirmative Action employers. All qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, sexual orientation, gender identity
and expression, age, national origin, mental or physical
disability, genetic information, veteran status, or any other
status protected by federal, state, or local law.
Patients are the focus of everything we do at The Johns Hopkins
Hospital. From our beginnings in 1889 to the opening of our most
advanced patient facilities in 2012, our mission to advance patient
care, education, and research, continues to change the course of
Keywords: The Johns Hopkins Hospital, Catonsville , Coding Education Auditor-Outpatient, Education / Teaching , Baltimore, Maryland
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