Coding Educator

University Health; United States; On-site; USD 75,000 - 95,000; Full time

Job summary

University Health is seeking a skilled Coding Educator & Auditor in the United States to oversee coding education and audit processes. This role entails performing coding education for various services such as Emergency Room and Hospital Observation, along with the responsibility of training new staff.

Applicants should possess at least an Associate’s Degree, a minimum of five years of relevant coding experience, and a valid credential from recognized accrediting bodies. Knowledge of regulatory requirements and experience with 3M software is preferred.

Qualifications

• Completion of a coding program is required.
• At least five years of coding experience in professional and hospital services.
• Valid credential from AHIMA or AAPC is required.

Responsibilities

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

Skills

ICD-10-CM and CPT coding

Training new Coding Specialists

Knowledge of regulatory requirements

Proficient in Microsoft Office

Experience with 3M Encoding and Grouping software

Education

Associate’s Degree

Bachelor’s Degree in Health Information Management

Tools

Epic EMR

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.