Texas Health Resources Coding Auditor I SWHR CIN in Dallas, Texas
Southwestern Health Resources (SWHR CIN) seeks to hire a Coding Auditor I to work Full Time supporting the Risk Adjustment & Coding department.
Please note: Southwestern Health Resources Clinically Integrated Network (SWHR CIN) is an affiliated company of Texas Health and UT Southwestern. If hired for this position, you will become a SWHR CIN employee rather than a Texas Health or UT Southwestern employee.
The address is 8150 Brookriver Drive, Dallas, Texas 75247 located at the SWHR Corporate Office.
Salary range is Min. $24.48/hour to Max. $42.57/hour – based on relevant experience
Full Time; 40 Hours
Monday – Friday; 6:30 am – 6:30 pm; flex start/end time based on business needs
Must be available to work 8 hours per day
Support comprehensive Risk Adjustment Coding and Documentation program to ensure documentation practices among providers comply with CMS Risk Adjustment requirements and ICD 10 Coding Guidelines.
HCC Chart Audits and Projects:
Perform production goals set by team supervisor for HCC chart audits, form review, etc. while maintaining ≥ 95 accuracy
Ensure all chart audit results are shared to the provider per process in a timely manner
Assist in monitoring problems related to claims data in capturing HCC codes; providing assistance and training at the clinic level
Maintain tools, methods and standards for HCC coding and documentation
Daily crosschecking to meet quality standards
Meet projects with month end deadlines
Perform other job duties as assigned
Provide education to providers on chart review results and any annual changes from CMS in regard to Risk Adjustment
Responsible for all education requests for clinics assigned
The ideal candidate will possess the following qualifications:
Associate Degree Required and
Completion of an Accredited Coding Program Required
2 years Relevant Work Experience in lieu of Degree Required
1 year minimum experience in Medical Record Reviews, Documentation and Coding; preferably in an Ambulatory Physician Setting Required
Experience in Interpreting all types of Medical Records, including Physician Documentation Required
Comprehensive knowledge of ICD-9 and ICD10 with HCC experience Preferred
Licenses and Certifications
CPC - Certified Professional Coder Certification Upon Hire Required, or
CPC-A - Certified Professional Coder Apprentice Upon Hire Required
Work independently while functioning as a team player.
Medical terminology, anatomy and physiology.
Intermediate skills in Microsoft Outlook, Word and Excel.
Excellent written and oral communication skills.
Working Indoors 67% or more
Employment opportunities are only reflective of wholly owned Texas Health Resources entities.
We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.