WellStar Health System Coding Auditor in Atlanta, Georgia

Job Title:

Coding Auditor

Job ID:

ES-1042554

City:

Atlanta, GA

Facility:

Enterprise Support

Employment Type:

Regular

Full/Part Time:

Full-Time

Shift:

Days

Department:

Hospital Coding Assurance

Description:

Join the team named one of the Top 100 Companies by Working Mother Magazine and a 2015 Fortune 100 " Best Companies to Work For"

WellStar is the largest not-for-profit healthcare system in Georgia, priding itself in investing back into the communities that we serve. WellStar is more than 20,000 strong to meet the health demands and needs of our communities. With eleven unique hospitals over 1,000 beds, and a strong Physicians Group, WellStar has become a shining example of what’s possible when talented, passionate people dedicate themselves to making a difference in the industry and in the communities we serve.

Under direction of the Manager of Coding Assurance/Compliance, reviews chart documentation to ensure coders have

appropriate coding and DRG assignment, discharge disposition, admit and discharge dates and reimbursement. Educate staff

when errors are identified. Coordinates payment corrections with the assistance of the Billing and Revenue Cycle team:

-- Audit hospital and/or physician medical records and charges to ensure compliance with coding and regulatory standards.

-- Conduct medical record reviews to ensure accurate, ethical documentation, coding, charging and billing practices.

-- Support and provide coding and compliance training to coding staff, physicians, clinical personnel, billing, and/or other

hospital staff.

-- Establish effective communication with coding staff, physicians, clinical staff, and/or hospital staff to address

documentation, coding, and reimbursement issues.

-- Educate coding staff, physicians, clinical staff, and/or hospital staff on appropriate documentation as required by medical

review and governmental agencies.

-- Develop written policies promoting WellStar’s commitment to compliance and specific areas of potential fraud and abuse.

    +

-- Use knowledge of coding and compliance guidelines to identify potential billing / reimbursement issues.

-- Participate in special audits as instructed.

-- Work as a team member within Coding Assurance and all other departments.

-- Ability to work remotely and independently with self-driven focus on job completion.

-- Document work processes as required.

-- Perform other duties as assigned.

Required Minimum Education : Bachelor or Associate-level degree in Health Information Management, Business, or other

health care related field preferred (years’ experience may be considered in lieu of same).

Required Minimum Experience : Five years inpatient coding experience required with one to two years of hospital-based

outpatient services coding experience and one-year inpatient coding audit experience preferred. A combination of 5 years of

comparable experience with hospital coding, billing and reimbursement experience may be substituted for an Associate's

degree.

Required Minimum Certification : At least one of the following: Registered Health Information Administrator (RHIA),

Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder-Hospital (CPCH).

An auditing credential is a plus.

"Why Work for WellStar?"

Health Coverage: The company covers 84 percent of full and part-time employees' medical premiums as well as 76 percent of their dependents' medical benefits. Bariatric surgery is covered if the procedure is completed at a WellStar hospital. Fertility treatments are covered for up to $5,000 annually. Employees can also fill prescriptions through the WellStar Pharmacy Network at discounted rates with the convenience of payroll deduction. In addition they can pick them up onsite at almost all the WellStar facilities.

Work-Life Balance Programs: In 2012, approximately 80 percent of employees were using at least one flexibility option such as job-sharing, telecommuting, flex time or compressed work weeks. Clinical staff have access to a web-based self-scheduling tool so they choose shifts that best fit their lives within a schedule design that meets patient and organizational needs. One of the flexible work options allows seasoned workers to become more flexible, scaling back to a part-time schedule while continuing to receive benefits.

Wellness Programs: Employees can stay active using an onsite fitness center and discounted fitness classes. They can also receive $300 in incentives for participating in and achieving goals through HealthStart, WellStar's wellness program that offers free health assessments, screenings and individualized coaching. A farmers basket program lets employees buy fresh local produce, delivered weekly to their worksite at a cost of $16.00 a basket or less.

Recognition Programs: Employees receive recognition through several WellStar programs. For instance, when a patient thanks a WellStar employee by name for exceptional care they received, the WellStar team member's name is mentioned in a newsletter, along with the patient's comment. Team members receive a thank you along with two free movie tickets and their patient care story is highlighted in the hospital newsletter or on the site blog. The Winners of WellStar (WOW) program lets employees recognize and reward their peers. When employees collect three, five or seven WOW note sheets from peers, they can redeem them for a gift.

Parental Benefits: Expectant parents are invited to quarterly baby showers where they can learn about the resources and services available to WellStar parents. Full-time employees receive 120 hours of paid maternity or paternity leave and benefits-eligible part-time employees will receive 60 hours for the birth or adoption of a child. Adoptive parents can receive $10,000 in adoption benefits per child, with a total lifetime benefit of $20,000.

Thank you for your interest in WellStar. We are an equal opportunity employer.