Compliance Coding Auditor/Administrative Coordinator I

Salary: $37,860.00 - $70,054.00 Annually
Location : Richland County, SC
Job Type: FTE - Full-Time
Job Number: 140896
Agency: Department of Mental Health-DIS Columbia
Opening Date: 12/05/2023
Closing Date: 2/29/2024 11:59 PM Eastern
Class Code:: AH10
Position Number:: 60011286
Normal Work Schedule:: Other
Normal Work Schedule (Other):: Will be discussed during interview.
Pay Band: Band 5
Hiring Range - Min.: $35,360.00
Hiring Range - Max.: $50,394.00
Opening Date: 11/15/2022
EEO Statement: Equal Opportunity Employer
Agency Specific Application Procedures:: You must apply on-line at www.careers.sc.gov. Follow the status of your application on-line.
Veteran Preference Statement: South Carolina is making our Veterans a priority for employment in state agencies and institutions.
Job Responsibilities
THIS POSITION IS REPOSTED
*** Previous applicants are still under consideration and do not need to reapply***
With our Agency's mission to support the recovery of people with mental illnesses, we provide a complete array of medical and support services for children, adults, and families throughout South Carolina.
This position is located at the Department of Mental Health, G. Werber Bryan Psychiatric Hospital, 220 Faison Drive, Columbia, SC 29203.
As the Administrative Coordinator I, working under minimal supervision of the Administrative Coordinator II Compliance Auditor, you will serve as the Compliance Coding Auditor for the DIS inpatient facilities. Maintains a schedule of auditing hardcopy and EHR medical records at the DIS facilities. Keeps abreast of changes in the Medicare/Medicaid's rules & regulations, AHIMA National Coding Guidelines and Evaluation & Management (E&M) Guides. Develops and maintains appropriate educational in-services and training for clinicians. Establishes and provides consultation to the Administrative Coordinator II Compliance Auditor of any non-compliance activities and identifies training needs for corrective actions. Provides reports and completes specialized assignments.
Responsibilities include but are not limited to:

• Monitors state and federal rules and regulations; alerts DIS Compliance Officer of changes in regulations.
• Stays abreast of changes in the Medicaid and Medicare rules/regulations, America Health Information Management Association (AHIMA) National Coding Guidelines and the Evaluation and Management (E&M) Guidelines.
• Trains the newly hired Licensed Prescribing Practitioners (LPP) during orientation on documentation, and the E&M assignments. Provides annual training to all clinicians who provide billable services.
• Performs coding, privacy and compliance audits at all DIS sites; BPH, WSHPI, BPH Forensics, Morris Village, Patrick Harris and CM Tucker Nursing Care Center. Informs Compliance Officer of non-compliance and recommends corrective actions. Enters "no bills" into spreadsheet and creates a quarterly report for non-billable services.
• Serves as back-up to the DIS Compliance Officer and Privacy Coordinator in matters of patients' complaints, investigations and mitigations.
• Establishes and provides consultation of coding research to management, medical staff, nursing and other departments as requested.
• Organizes new information and coordinates a monthly Coding Roundtable for all DIS Coders and HIS Directors. Provides training to ensure correct dissemination of information.
• Collaborates with HIS Directors based on facility specific payment methodologies; maintains contact with HIS Directors regarding coding of principal diagnosis and sequencing of co-morbidities on medical records of discharged patients.
• Serves as resource person for applicable rules, regulations and policies relative to coding; maintains coding certification requirements; attends training/educational workshops when requested.
• Serves on the DIS Information Management (IM) Committee and the SCDMH Inpatient Compliance Committee.
• Abides by AHIMA's Standards of Ethical Coding and adheres to official national coding guidelines; complies with all SCDMH and DIS policies and procedure.
• Conducts all work activities in accordance with confidentiality and privacy rules set forth by HIPAA.

Minimum and Additional Requirements
State Minimum Requirement: A high school diploma and work experience that is directly related to the area of employment. A bachelor's degree may be substituted for the related work experience.
Agency Minimum Requirement: A high school diploma and relevant experience in business management, public administration or administrative services or a bachelor's degree may be substituted for the required work experience.
Note: If any Agency Requirements are listed above, applicants must also meet those requirements to be considered for the position.
Preferred Qualifications
A Coding Certification (CCS, CCS-P,CCA, CPC, CPC-H) from either AHIMA or AAPC.
Additional Comments
The selected candidate must have the physical ability to access patient care areas on all DIS campuses and work related locations. Ability to walk, stand, climb stairs, reach, pull, push, bend, stoop, and lift up to 25 pounds.
The South Carolina Department of Mental Health is an Equal Employment Opportunity Agency. We provide affirmative action and equal opportunity in employment for all qualified persons regardless of race, color, sex - including the basis of pregnancy, childbirth, or related medical conditions, national origin, age, religion, or disability.
South Carolina is making our Veterans a priority for employment in state agencies and institutions.
Supplemental questions are considered part of your official application. Any misrepresentation will result in your disqualification from employment. Please complete the state application to include all current and previous work history and education. Please account for any and all gaps of employment in your application. A resume will not be accepted in lieu of application completion nor reviewed to determine if an applicant has met the qualifications for the position.
The South Carolina Department of Mental Health offers an exceptional benefits package for FTE positions that includes:

• Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children
• 15 days annual (vacation) leave accrual per year
• 15 days sick leave per year
• 13 paid holidays
• State Retirement Plan and Deferred Compensation Programs

Benefits for State Employees
The state of South Carolina offers eligible employees generous benefits, including health and dental insurance; retirement and savings plan options; and paid vacation and sick leave. Plus, work-life balance programs such as telecommuting and flexible work schedules are available to employees of some state agencies.
Insurance Benefits
Eligible employees may enroll in health insurance, which includes prescription coverage and wellness benefits. Other available insurance benefits include dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.
Retirement Benefits
State employees are also offered retirement plan options, including defined benefit and defined contribution plans. Additionally, eligible employees may elect to participate in the South Carolina Deferred Compensation Program, which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.
Workplace Benefits
State employees may also be eligible for other benefits, including tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.
Note: The benefits above are available to most state employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some or none of these benefits as benefits are associated with each position type. For these positions, contact the hiring agency to determine what benefits may be available.
01
Have you ever been employed by the SC Department of Mental Health?

• Yes
• No

02
If you have ever been convicted of a misdemeanor or felony criminal offense (other than in a Juvenile Court), you MUST list this information (unless you have taken steps to expunge your record.) This includes fraudulent checks, driving under suspension, disorderly conduct, shoplifting, etc. *Please note that conviction of a criminal offense does not bar you from employment in all cases; each conviction is evaluated individually. However, failure to list convictions is considered falsification of the application and WILL BE grounds for termination, if hired. It is your responsibility to know what is on your criminal record. If you have charges on your record that appear without a court disposition (result) you may be asked to provide that information if selected for employment. If you have questions, please inquire before you complete your application.PLEASE NOTE THAT NOT ANSWERING THIS QUESTION WILL DEEM YOUR APPLICATION AS INCOMPLETE AND IT WILL NOT BE CONSIDERED.Please indicate your understanding to this statement by checking the box below.

• Checking this box indicates my understanding to the above referenced statement.

03
Do you have a high school diploma & relevant experience in business management, public admin. or administrative services or a bachelor's degree of science or master's degree in Medical Records Management or related area?

• Yes
• No

04
Do you have a Coding Certification (CCS, CCS-P, CCA, CPC, CPC-H) from either AHIMA or AAPC with experience in coding, auditing and HIPPA issues?

• Yes
• No

05
Are you proficient in Microsoft Office software applications?

• Yes
• No

06
Do you have the ability to communicate effectively, both orally and in writing?

• Yes
• No

07
Are you able to work with limited supervision?

• Yes
• No

08
Have you ever held a permanent (full-time equivalent) position with a SC state agency and/or been an employee of a SC school district?

• Yes
• No

09
How did you hear about our vacancy?

• SC State jobs portal/careers.sc.gov
• Simply Hired
• Indeed
• College Career Services Center
• Friend/Relative
• Referral from current DMH Employee
• Other (commercials, billboards, etc.) - Please specify.

10
If you answered "Referral from current DMH Employee" for question above, please list name below:
11
If you answered "Other" for question #9 please indicate from where below:
12
Please indicate your salary requirements (please be specific and not put "negotiable" or "open").
13
Have you reviewed the work history section of your application to ensure that there are no visible gaps of employment on your application?

• Yes
• No

Required Question