Schedule:

Full Time Position

Monday-Friday 8:00 am - 5:00 pm

800 W Court St. Pasco, WA

Tri-Cities Community Health (TCCH) is looking for a Documentation & Coding Auditor who has a passion for helping others. As a community health center, located in southeastern Washington, serving Pasco, Kennewick, Richland and the surrounding communities.

TCCH offers a variety of schedules to support a work-life balance. Most of our clinics offer Monday-Friday day shifts, with no weekends or holidays, competitive salaries and benefits. While providing careers in a fast-paced work environment and opportunities for professional development.

We employ a highly diversified group of talented individuals who are dedicated to fulfilling our mission to provide the highest quality patient care with the greatest degree of professionalism and courtesy regardless of a patient’s ability to pay.

Our Mission:

We are dedicated to the communities we serve, bringing together a unified team that delivers the highest-quality health care to every person, every time.

Who are we?

Our community health center began as a modest sized medical clinic in Pasco, Washington in 1981. The clinic was founded by a small group of women in the Pasco community who saw the need to serve low income community members who could not afford to pay for Healthcare.

Tri-Cities Community Health has grown into a comprehensive non-profit Federally Qualified Health Center (FQHC) where we have evolved into a network of community health centers that continue with the foundation TCCH was built on and serve an even more diverse population in the Tri-Cities and surrounding areas.

Description:

The Documentation & Coding Auditor is responsible for review and follow up auditing of new and existing medical records in accordance with the clinic’s compliance plan, training clinical, billing and administrative staff on provider rules and CPT and ICD-9/ICD-10 coding. He/she will focus on the accuracy of provider coding and supporting documentation. Coordinates, implements, monitors and enforces compliance initiatives for TCCH.

Essential Job Functions:

• Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures. Assigns proper ICD 9 (10) CM and HCPCS diagnostic and operative procedure codes to charts and related records by reference to designated coding manuals and other reference material
• Overview of duties and responsibilities:

• Coders will need to have in depth training on Nextgen before they can provide assistance to the providers/staff.
• Work as a liaison between billing department, providers and other medical staff for clarification regarding diagnosis, missing documentation for nursing visits, splitting encounters for L&I etc .
• Audit for accuracy on off-sites and provide feedback/training to biller/provider.
• Participate in planning and rolling out ICD-10 implementation to all services lines.
• Coordinates implementation, monitoring and enforcement of compliance initiatives for employed providers, to comply with applicable laws as they pertain to billing procedures and requirements.
• Responsible for clinical documentation analysis (medical, dental, vision and behavior health), documentation completeness, coding accuracy and compliance.
• Assists with training and education related to corporate compliance to providers and staff in all departments.
• Coordinates audit and training activities with the Director of Patient and Financial and Information Services. Independently asses critiques and makes authoritative recommendations for revisions to the organization’s coding and documentation techniques and policies. Monitors compliance on an ongoing basis and ensures that approved recommendations are implemented and reported to the Director of Human Resources and Compliance.
• Initiates communication with providers in order to obtain or offer more specific principal diagnosis. Solicits clarification of existing documentation in the medical record that supports.

• Interpersonal Requirements:

• Exhibits a commitment to Tri-Cities Community Health.
• Demonstrates the ability to interact in a positive and helpful manner with all “customers” both internally and externally.
• Reflects commitment to building a supportive work environment and maintains a positive attitude at the work place and toward their job.
• Maintains the confidentiality of all patient, employee, provider and facility related information.
• Demonstrates the ability to recognize priorities in organization of work flow.
• Able to perform duties independently, with a minimal need for direct supervision.

• Answers physicians/clinicians questions regarding coding principles. Assists finance, data processing, and other departments as needed
• Remains current with developments in medical record technology by pursuing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent literature, and so forth
• Defined Roles for Scope:

• Conducts internal reviews.
• Assists with preparation and communication for external audits.
• Re-“Audits” providers not meeting Coding accuracy percentage.
• Focused documentation review (Behavioral Health Coding, Vision Coding, Payer Specific Coding & Guidelines, Medical Necessity, diagnosis reviews, E&M coding, Problem Code Reviews; i.e.: 99211, 99212, 99215, 99204, 99205)
• Individual Provider Education (New Hires, Review and Audit Results, Q&A).
• Group Provider Education (Department meetings).
• ICD-10 Documentation Reviews & Provider Education to meet new standards and follow up tending analysis for documentation and compliance.
• Conducts / attends ICD-10 Trainings.
• Works with TCCH teams to develop the templates.
• Billing/Coding Staff Knowledge review, assessment audits & educational reviews.

• Attends all required safety training programs and can describe his or her responsibilities related to general safety, department/service safety, and specific job related hazards
• Follows the exposure control plans/blood borne and airborne pathogens
• Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment
• Promotes effective working relations and works effectively as part of a department/unit team inter- and interdepartmentally to facilitate the department’s/unit’s ability to meet its goals and objectives

Minimum Education: High school diploma/GED required. Billing/Coding training desirable.

Minimum Work Experience: Two years’ experience in compliance, review and auditing in a clinic or physician practice setting preferred.

Required Licenses/Certifications: CPC, CCS-P or AHIMA certification required. ICD-10 certification preferred.

Required Skills, Knowledge, and Abilities: Knowledgeable and proficient in CPT/ICD-9/ICD-10 coding, medical billing, claims processing, medical terminology, and Microsoft Office products. Familiarity with coding software preferred. Ability to interpret, comprehend and transmit complicated and detailed instructions accurately required. Must demonstrate positive working relationship with providers and peers. Strong communication skills required.

Benefits:

• Paid Time Off - Sick, Vacation, and Holidays
• Medical, Dental, and Vision
• Flexible Health Spending Account and Dependent Care Spending Account
• CME Reimbursement (if applicable)
• Retirement - 403(b) with matching contributions
• Employee Assistance Programs
• Life Insurance

Visit our website for more! https://mytcch.org/careers/
Tri-Cities Community Health is an Equal Opportunity Employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, veteran status or any other protected factor under federal, state or local law