Medical Coding Analyst Auditor - Educator

UNM Medical Group, Inc. is hiring for a Medical Coding Analyst Auditor - Educator to join our Coding Department. This opportunity is a REMOTE, full-time, day shift opening located in New Mexico.

*This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico*

**Sign-On Bonus - $2,000**

Minimum $57,220 - Midpoint $71,531*

*Salary is determined based on years of total relevant experience.

*Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE.

Summary:

Reporting to Manager, Medical Coding, responsible for the quarterly medical coding audits and monthly educational sessions for the UNM Medical Group, Inc., Medical Coding Analysts. Works closely with the Coding Supervisors, Manager and Director to identify areas and make recommendations for educational improvement for both coding staff and medical providers as needed.

Minimum Job Requirements for a Medical Coding Analyst Auditor - Educator:

High school diploma or GED with 2 years directly related experience. Must be a CPC (Certified Professional Coder) and CPMA (Certified Professional Medical Auditor) or certificate eligible to pass CPMA within 6 months of employment. Completed degree from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

Verification of education and licensure (if applicable) will be required if selected for hire.

Duties and Responsibilities for a Medical Coding Analyst Auditor - Educator:

1. Assesses the auditing and medical coding educational needs of professional fee Medical Coding Analysts and develops programs and researches educational resources to meet those needs.
2. Develops training materials and medical coding aids for use by MCAs in daily work.
3. Responsible for performing medical coding audits for all UNMMG professional fee coding staff to assure coding accuracy and prepares reports and observations.
4. Responsible for follow-up feedback and working in conjunction with Medical Coding Leadership to improve coder accuracy when inappropriate coding patterns are identified and accuracy goal is not met.
5. Responsible for working in conjunction with Medical Coding Leadership in providing 1:1 and/or group educational coding sessions for MCA and UNMMG medical providers.
6. Serves as a TES/Claims Manager edit resource to ensure medical coding edits are as current as possible and meet professional documentation and medical coding standards; reports and revises TES Edit information when inaccurate.
7. Reviews and analyzes CMS, Federal, State, and other billing guidance agencies to ensure Medical Coding Department guidelines are accurate and kept up-to-date to reflect any changes or updates that are utilized by medical coding staff.
8. Assists Medical Coding Management in the formulation of the annual work plan to capture risks in audit plan.
9. Provides "On Boarding" education and training of all newly hired Medical Coding Analysts.

10. Ensures strict confidentiality of medical and financial records.

11. Attends medical coding conferences, workshops and in-house sessions to receive updated coding and auditing information and changes to regulations.

Why Join UNM Medical Group, Inc.?

Since our creation in 2007, our dynamic organization has continued to grow and form strong partnerships within the UNM Health system. We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence.

Diversity, Equity, and Inclusion Commitment:

We will strive as an institution and as individuals to recognize, cultivate and promote all forms of diversity and to foster health and well-being throughout New Mexico by weaving cultural humility and respect for all people.

Benefits:

• Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package.
• Insurance Coverage: Includes medical, dental, vision, and life insurance.
• Additional Perks: Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.