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Coder-Quality Review/Trainer Job

Date: Dec 2, 2014

Location: Cleveland, OH, US

Company: Mayo Clinic

Job Posting Number: 28145BR
Job Posting Title: Coder-Quality Review/Trainer
Job Posting Category: Accounting/Billing/Finance , Business Professional
Work Site: Telework/Telecommute
Department: Revenue Cycle

Job Description
This position may be located at any of the 3 Mayo Group Practices (Arizona, Florida or Minnesota) or individual may work remotely with 20-50% travel. Please note: Mayo Clinic has several Coder-Quality Review/Trainer job openings within the regional markets throughout the U.S., applicants only need to apply to 1 opening to be considered for all positions.

Administers quality review program by evaluation of staff work against quality standards, identification of individual and unit educational needs, and development and delivery of relevant training. Communicates verbally and in written form about the quality of work performed by the individual coder. Reviews and maintains results, documents trends, and interprets performance data to recommend, develop, and deliver education and training programs at all Mayo sites. Oversees the development and maintenance of all lines of coding training curriculum. Works closely with technical support staff to maintain work unit databases. Demonstrates expert job knowledge and applies current billing and coding regulations, policies, and procedures along with effective decision-making and problem solving skills in the outpatient and inpatient coding process. Demonstrates excellent customer service. Contributes to a positive departmental image by exhibiting professionalism, adaptability, teamwork, and mutual respect. Practices continuous improvement. Extensively uses computers and is proficient in various administrative software products to support coding activities.

Hourly rates are based on regional markets, with the minimum and maximum rates defined as follows:

North Central - $25.54-$38.33 Montana, Wyoming, North Dakota, South Dakota, Nebraska, Kansas, Minnesota, Iowa, Missouri, Wisconsin, Illinois, Indiana, Michigan, Ohio

Northeast - $27.10-$40.65 Maine, New Hampshire, Massachusetts, Rhode Island, Connecticut, New Jersey, Delaware, Maryland, Vermont, New York, Pennsylvania, Washington D.C.

Southeast - $25.54-$38.33 Kentucky, West Virginia, Virginia, Tennessee, North Carolina, South Carolina, Georgia, Alabama, Mississippi, Florida

South Central - $27.10-$40.65 Utah, Arizona, Colorado, New Mexico, Oklahoma, Texas, Arkansas, Louisiana

West Coast - $29.61-$44.42 Washington, Oregon, Idaho, California, Nevada, Alaska, Hawaii

Basic Qualifications:
Associate's Degree in a healthcare related program with a minimum of one of the following credentials: RHIT or CCS or CPC; OR, Bachelor's Degree in a healthcare related program with a minimum of one of the following credentials: RHIA or CCS or CPC; OR, Bachelor's Degree in any field with a CCS credential. Minimum of five years’ CPT-4 surgical coding and/or ICD-9 diagnosis and procedure coding for outpatient and/or inpatient and/or MS-DRG assignment. Knowledge of and experience with the electronic medical record and billing systems required.

Other Qualifications:
Demonstrates expert job knowledge and applies current coding and billing regulations, policies, processes and procedures with effective decision-making and problem solving skills.

Abstracts, interprets, and reviews medical record documentation to assign appropriate coding accurate CPT-4 procedure and may assign ICD-9 diagnosis codes for procedures performed in the operating room, complex services performed in a procedure room (e.g. Interventional Radiology), procedure coding, and/or MS-DRG assignment. Assigns appropriate modifiers. Clarifies physician documentation as appropriate. Understands and applies medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes. Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the AMA CPT instructions/guidelines, CPT Assistant, ICD-9-CM Official Coding Guidelines, CMS guidelines, and other resources as applicable.

Internal applicants are required to attach their three most recent performance appraisals.

License or Certification:
RHIT or RHIA or CCS or CPC credentials.

Exemption Status: Non-exempt
Hours/Pay Period: 80
Schedule Details:
Weekend Schedule:

Compensation Detail: Education, experience, and tenure may be considered along with internal equity when job offers are extended. Minimum salaries are based on regional markets, as indicated in the job description.

Staffing Specialist: Karen Teetzel

Company Statement:
Mayo Clinic provides the highest quality patient care by placing the needs of the patient first. You'll discover a culture of teamwork, professionalism and mutual respect — and most importantly, a life-changing career. We invite you to join our diverse team as we provide health, hope and healing to people from all walks of life.

Mayo Clinic is an equal opportunity educator and employer (including veterans and persons with disabilities).

Nearest Major Market: Cleveland
Job Segment: Physiology, Curriculum, Radiology, Medical, Patient Care, Healthcare, Education