RN Clinical Coder/Auditor - Hybrid

Building Name: HHH - In-State Hybrid/Remote

Location Address: 1110 Prim Rd, Colchester Vermont

Regular

Department: HHH - Clinical Outcomes

Full Time

Standard Hours: 37.5

Biweekly Scheduled Hours: 75

Shift: Day-7.5Hr

Primary Shift: 8:00 AM - 4:00 PM

Weekend Needs: Other

Salary Range: Min $29.87 Mid $37.34 Max $44.81

Recruiter: Abby Luck

Initial onboarding will take place at our offices in Colchester, VT.  The position will then be a hybrid work arrangement with 1-2 days per week in our offices located in Colchester, VT.  In-person meetings are also required at least quarterly.  

Job Summary
The Clinical RN Auditor is responsible for ensuring clinical documentation meets regulatory standards and procedures. This role involves reviewing potential quality of care issues, understanding workflows, and establishing patient care plans to support technical and clinical requirements. The auditor works to improve clinical outcomes by monitoring documentation accuracy and consistency, reducing risk, evaluating data, and collaborating with the manager of clinical outcomes to provide expertise in coding classifications.

Qualifications / Job Requirements
Education and Licensure
•    Current unencumbered Vermont RN Licensure
•    Homecare Coding Specialist- Diagnosis, or ability to obtain within one year from hire and maintained throughout employment
•    Homecare Coding Specialist- OASIS, or ability to obtain within one year from hire and maintain throughout employment
•    Associates Degree required, Bachelor’s degree preferred

Expected Experience/Skills/Attributes
•    3-5 Years of Home Health or Hospice experience; or a combination of education and experience from which comparable knowledge was obtained
•    Prior ICD-10 and other medical coding experience preferred
•    OASIS and HIS experience highly preferred
•    Proficiency in medical and clinical terminology
•    Demonstrated Proficiency in EMR (EHR) technology
•    Strong interpersonal and communication skills, with the ability to build and maintain relationships with diverse groups of people.
•    Excellent organizational and time management abilities
•    Meticulous and exacting attention to detail and trend identification
•    Strong project management abilities

Success Criteria
•    Quality Orientation – Comprehends and can explain technical and professional terminology, applies these skills appropriately and leverages these skills to solve difficult issues and identify opportunities for improvement to ensure accuracy and optimal outcomes.
•    Applied Reasoning – Leverage facts, data, and ideas to understand identifying interconnections and relevant themes; identifies underlying cause-and-effect relationships that may drive multiple, seemingly unrelated, outcomes.
•    High-Impact Communication – Conveys a professional presence in communication; clearly and succinctly conveying information and ideas. Checks understanding with audience adjusting message as necessary to ensure full comprehension.
•    Authenticity – Adheres to moral, ethical, and professional standards, regulations, and organizational policies; keeps commitments to promised actions.
•    Adaptability - Maintaining effectiveness when experiencing major changes in work responsibilities or environment (e.g., people, processes, structure, or culture); adjusting effectively to change by exploring the benefits, trying new approaches, and collaborating with others to make the change successful.

General Standards
•    Must demonstrate and maintain any required competency
•    Able to speak, read and write in English
•    Be honest, self-directed, possess initiative, display good judgment and a positive attitude toward daily activities 
•    Have the ability to communicate clearly and effectively both orally and in written work
•    Be able to work cooperatively and in a productive manner with organization’s employees, clients, customers and the general public
•    Maintain satisfactory standing with the Adult Abuse Registry, Child Abuse & Neglect Registry, Vermont Criminal Information Center and OIG 
•    Be free from intoxicating or impairing effects of drugs, prescribed or otherwise, in the workplace
•    Be free from the use of alcohol during work shifts
•    Be able to conduct the functions of this job without risk of harm to the health and safety of self and others
•    Hold a valid driver’s license and have a reliable, registered vehicle with insurance as required by the organization, and appropriate to position

Responsibilities 
•    Conduct thorough audits of patien