Certified Medical Coder

DaMar Staffing; Irving (TX); On-site; USD 65,000 - 95,000; Full time

Job summary

Memorial Hermann is seeking a skilled educator to provide accurate coding education to physicians and staff, focusing on outpatient documentation and risk adjustment. You will deliver both individual and group trainings, update educational materials, and interpret regulatory coding changes to improve billing compliance.

The role requires a strong background in ICD-10, CPT, HCPCS, and adult learning principles, with prior experience delivering training in a multi-specialty outpatient setting.

Qualifications

• Associates degree required; Bachelor’s degree preferred.
• Two years in outpatient physician documentation and Risk Adjustment.
• Five years in outpatient documentation and Risk Adjustment in a multi-specialty setting.
• Advanced knowledge of ICD-10, CPT, HCPCS; familiarity with compliance and coding requirements.
• Experience in adult learning principles to deliver education and training.

Responsibilities

• Provides documentation and coding education to physicians and staff virtually or in clinics.
• Updates education materials for providers based on coding changes.
• Interprets changes in external regulatory environment and coding updates.
• Plans and conducts ongoing training with providers and support staff.
• Responds to questions as subject matter expert on procedural coding and ICD-10.
• Maintains project work list and meets deadlines.
• Mentors less experienced staff and supports department goals.
• Upholds Memorial Hermann policies, procedures and quality standards.

Skills

Medical coding education

Adult learning principles

Communication skills

Documentation review

Education

Associate's degree required

Bachelor's degree preferred

Certifications: CCS, CPC, CCS-P, CDEO, CRAC, CPMA, CCA

Tools

EMRs

Job description

Job Opportunity At Memorial HermannAt Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Description

Responsible for providing accurate, reliable and effective education to physicians and extenders regarding outpatient procedural and diagnosis coding. This position performs individual and group documentation reviews, identifies opportunities for improvement, assists with implementation of physician lead CME documentation and coding courses and coordinates with physician leadership and other resources to develop and deliver educational programming. The incumbent will provide their coding expertise to help better educate physicians and support staff in coding procedures that more accurately meet billing compliance requirements.

Minimum Qualifications

Education: Associates degree required; in lieu of degree, minimum of two (2) years of progressive experience in outpatient physician documentation and Risk Adjustment; Bachelor's degree preferred

Licenses/Certifications:

One of the following licenses is required:Certified Coding Specialist (CCS), orCertified Professional Coder (CPC), orCertified Coding Specialist-Physician Based (CCS-P), orClinical Documentation Expert (CDEO), orCertified Risk Adjustment Coder (CRAC), orCertified Professional Medical Auditor (CPMA), orCertified Coding Associate (CCA)

Experience / Knowledge / Skills:

Five (5) years of progressive experience in outpatient physician documentation and Risk Adjustment and a minimum of two (2) years specifically in a multi-specialty practice environment.Advanced working knowledge of ICD-10, CPT, HCPCs, compliance and coding requirement. HCC Risk Adjustment experience requiredExpertise in risk factor calculationsPossess computer skills, operating systems and EMRsDemonstrate a high level of organizational and planning skills with the ability to work independentlyRequires excellent observation skills, analytical thinking, problem solving and possess superior verbal and written communication skills with the ability to adapt style and tone according to situation and audienceExperience in adult learning principles to be able to provide adult education and training

Principal Accountabilities

• Provides documentation and coding education to physician and their support staffing virtually or in their designated clinics.
• Conducts research to update education materials for providers.
• Interprets changes in external regulatory environment and coding updates.
• Plans and conducts on-going training with providers and support staff.
• Provides coding expertise and serves as subject matter expert to respond questions from providers, office staff and others relating to procedural coding and ICD-10 coding, regulations and documentation requirements.
• Maintains project work list and meets deadlines.
• Seeks appropriate physician input if required information is missing or unclear.
• Maintains current knowledge of outpatient coding. Follows coding compliance guidelines, official coding guidelines, regulatory requirement and internal policies and procedures affecting the coding process.
• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
• Other duties as assigned.