WSU health professions awarded $485,000 for diversity plan
More minority and disadvantaged students will be supported in the College of Health Professions through a new one-year $485,000 grant that will provide them financial assistance.
Faculty/staff news update: Know your senators
New senators have been elected for Wichita State University's Faculty Senate, Unclassified Professionals Senate and Classified Senate.
Wichita Business Beat:
CODING AUDITOR - CLINIC BUSINESS OFFICE
Job Location: Wichita, Kansas Job Type: Full-Time Department:
CLINIC BUSINESS OFFICE Shift:
8 Hour Day Shift Hours:
Hours: 40 FTE: 1 JOB DESCRIPTION:
Position Summary:
This position will work with the Manager of Coding & Compliance to develop a quarterly coding compliance audit plan (“Plan”) for physicians and coding employees. This position will be responsible for carrying out the Plan, which will include, but not be limited to, physician/professional coding and billing compliance audits, coder audits, education to staff on appropriate coding and medical record documentation based upon coding guidelines and regulations, and assist with other coding compliance activities. Additionally, this position will ensure accuracy and reliability of data while promoting documenting efficiencies. Identifies areas of risk, and assists in developing and implementing processes to minimize or eliminate risks, in addition to assisting with coding overflow.
Key Responsibilities/Essential Functions:
Other duties may be assigned. Regular and reliable attendance is an essential function of the job.
• Developing quarterly audit plan from list of employed providers, and obtaining medical records from departmental systems, as well as any clinic medical records department as necessary for performing the audit.
• Auditing medical records via abstraction, compiling audit data, initiating coding correction of any errors found during audit, as well as, working with follow up staff for adjusted claims resolution.
• Sharing compiled data with compliance manager, physicians, and coders in a timely manner, and sharing compiled educational materials pertinent to the discovered areas of compliance risk to coders and physicians.
• Taking initiative to seek out direct understanding of physician work related to any of their respective specialties either by personal research, or by following(shadowing) in clinic periodically.
• Assisting with new fee/charge ticket development, new documentation template development, and create personalized by specialty educational submissions or presentations, documentation tools, and authoring physician newsletters.
• Assisting coding team with research of difficult coding and documentation problems, as well as assisting coding team with any overflow coding when necessary.
• Accurately coding CPT, ICD-9, HCPCS, development of ICD-10 initiative, and use of appropriate coding rules and guidelines.
• Substantial and concrete demonstration of CPT, ICD-9, HCPCS and E/M Coding-Auditing experience.
• Principles and practices of medical record keeping; advanced medical terminology,
anatomy, and physiology, as well as the states, sequence, progression and description of diseases as they apply to medical record coding and abstraction.
• Functions of a clinic/hospital medical records division; awareness of legal aspects of medical record administration.
• The APC structure and regulatory requirements, and payor guidelines.
• Current physician reimbursement systems, and associated regulatory review practices.
• The operation of standard office equipment; standard business computer hardware and software.
• Work with physicians and others to ensure complete and accurate information, and optimal reimbursement based on coding and abstracting of medical records.
JOB REQUIREMENTS:
Education and/or Experience:
Associates Degree Preferred. Requires 3-5 years coding, abstracting, auditing experience. Requires inpatient and outpatient ICD-9-CM, CPT and HCPCS coding experience in a clinic or hospital setting.
Certificates, Licenses, Registration:
Prefer CPMA. Requires minimum CPC.
Physical Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Frequently operate, activate, use, prepare, inspect, place, detect, position in order to operate a computer terminal and/or multi-line phone system, as well as detect, determine, perceive, identify, recognize, judge, observe, inspect, estimate, assess medical records and documents. Additionally, must be able to communicate, detect, converse with, discern, convey, express oneself, exchange information and be able to communicate verbally, orally, and in written form with employees, peers, and physicians.
• Also, frequently in a stationary position, required to be stationary at a desk for periods of several hours.
• Occasionally move, traverse constantly throughout the facility to interact with departmental staff. Additionally, will periodically move, transport, position, put, install, remove typical office items, and must be able to frequently move up to 10 lbs and occasionally move up to 20(i.e. Boxes of paper).
Via Christi Health
Via Christi is an Equal Opportunity Employer
Via Christi Health:
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