Coding Educator

Business Center 1; San Antonio (TX); On-site; USD 65,000 - 85,000; Full time

Job summary

Business Center 1 in San Antonio, Texas, is seeking a Coding Educator & Auditor to supervise coding education and audits for various services, including Emergency Room and Hospital Observation. The candidate must have a minimum of 5 years coding experience and an Associate's Degree in Health Information Management.

The role involves training new specialists and ensuring compliance with healthcare regulations. Valid licensure from recognized accrediting bodies is preferred, along with experience in Microsoft Office and Epic EMR.

Qualifications

• Associate’s Degree is required; Bachelor's degree preferred.
• Completion of a coding program is required.
• At least five years of coding experience required.

Responsibilities

• Perform coding education and audits for various services.
• Train new Coding Specialists and Technicians.
• Ensure compliance with regulations and protocols.

Skills

ICD-10-CM coding

CPT coding

3M Encoding and Grouping software

Microsoft Office

Epic EMR

Education

Associate’s Degree in Health Information Management

Bachelor’s degree

Job description

POSITION SUMMARY/RESPONSIBILITIES

Works under the direct supervision of the Coding Education & Audit Manager. Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding classification systems and ensures proper assignment and completion of Diagnosis and Procedure Coding on all cases. Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System’s guest relations’ policy. Complies with all Federal, State, local and accrediting bodies’ regulations and protocols. Accrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC).

EDUCATION AND EXPERIENCE

Associate’s Degree is required; Associate’s degree in Health Information Management and/or Bachelor’s degree is preferred. Completion of a coding program is required. [Note: Completion of a coding program from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPCS) will be accepted. Completion of a coding program from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding.] At least five (5) years of coding experience in professional services, hospital services, or a combination of both is required for external applicants. At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software is required. Preference will be given to applicants with experience and knowledge of regulatory requirements, Microsoft Office products, and Epic EMR.

LICENSURE/CERTIFICATION

The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies mentioned above (AHIMA and AAPC). [Note: Valid credential(s) from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPC) will be accepted. Credential(s) from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding]. Licensure as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), and/or Registered Nurse(s) (RN) are highly preferred.