Coding Validator & Educator — ICD-10 / CPT Expert

Cape Cod Healthcare; Hyannis (MA); On-site; USD 85,000 - 110,000; Full time

Job summary

Cape Cod Healthcare in Hyannis, MA seeks an experienced ICD-9/ICD-10 coder with educator responsibilities to audit inpatient and outpatient records and train coding staff. The role emphasizes accuracy, compliance with AHIMA standards, and ongoing education for CDS and physicians.

Responsibilities include developing training materials, reviewing third-party audits, answering coding questions for Patient Financial Services, and staying current with reimbursement rules.

Qualifications

• Minimum of 5 years inpatient coding experience in an acute care facility.
• AHIMA CCS credential and AHIMA approved ICD-10 Trainer required.
• AHIMA RHIT or RHIA preferred.
• Experience performing outpatient coding preferred.
• Must possess excellent communication skills.
• Siemens Soarian and 3M experience preferred.
• Working knowledge of Microsoft Word and Microsoft Excel required.

Responsibilities

• Audit inpatient and outpatient medical records to validate diagnoses and procedures.
• Provide guidance and education to coders on validation findings.
• Develop curriculum and training materials for staff learning ICD-9-CM / ICD-10-CM and CPT coding.
• Revise and provide recommendations of best practice standards for coding policies and procedures.
• Assess physician documentation and provide recommendations for coding strategies and physician queries.
• Assist in review and assessment of audit findings from third parties and educate coders when required.
• Provide coding support and answer coding questions for Patient Financial Services and other departments.
• Maintain up-to-date working knowledge of all coding and reimbursement rules and regulations.

Skills

Inpatient coding

Auditing

Educator/Training

Communication skills

Education

AHIMA CCS credential

AHIMA ICD-10 Trainer

RHIT or RHIA preferred

Tools

Microsoft Word

Microsoft Excel

Siemens Soarian

3M Coding

Job description

Cape Cod Healthcare in Hyannis, MA seeks an experienced ICD-9/ICD-10 coder with educator responsibilities to audit inpatient and outpatient records and train coding staff. The role emphasizes accuracy, compliance with AHIMA standards, and ongoing education for CDS and physicians.

Responsibilities include developing training materials, reviewing third-party audits, answering coding questions for Patient Financial Services, and staying current with reimbursement rules.