HIS Coding Educator

University Hospitals; Cleveland (OH); Vor Ort; USD 70.000 - 90.000; Vollzeit

Zusammenfassung

University Hospitals is seeking a HIS Coding Educator to ensure accurate coding across inpatient and outpatient documentation. The role leads education, conducts random reviews, and guides coders on guidelines, data quality, and compliance within a large academic medical center setting.

Responsibilities include training staff, providing timely feedback, identifying improvement opportunities, and staying current with regulatory changes affecting the UHHS Coding Department.

Qualifikationen

• 5+ years ICD-10 coding experience, preferably in a large academic medical center.

Aufgaben

• Performs training and quality monitoring of new, established employees and students.
• Provides timely feedback on coding guidelines, practices, and documentation techniques to improve data quality.
• Performs random coding quality reviews and delivers feedback and education as needed.
• Identifies opportunities for performance improvement for coders and communicates to management.
• Demonstrates understanding of CCs/MCCs, UHDDS guidelines, HACs and PSIs.
• Assists with analysis of case mix and statistical reports.
• Understands APG, EAPG, LCD CD and CCI regulatory edits.
• Researches coding errors to provide accurate guidance and support processes.
• Designs and manages ongoing departmental improvement initiatives optimizing coding and compliance.
• Performs second level reviews and keeps up-to-date with regulatory guidelines.

Kenntnisse

Clinical skills

Communication skills

Independent and team work

Detail-oriented

Client service & relationship building

PCs & MS Office proficiency

Pathology knowledge

Pharmacology knowledge

Surgical knowledge

Verbal/written communication

Ausbildung

Associate's Degree in HIM

Bachelor's Degree in HIM

Tools

MS Office

Jobbeschreibung

Job Description - HIS Coding Educator (260008YJ)

HIS Coding Educator - (260008YJ)

A Brief Overview

Responsible for assuring coding is being performed accurately. Is responsible for assessing coding accuracy and completeness of Revenue Cycle coding process/policy and workflows for inpatient and outpatient medical record documentation by conducting random and focused coding reviews; documenting, preparation and timely presentation of results. Educates individuals on the rules/regulations associated with coding. Functions as lead coding adviser to Coding Specialists and answers all educational questions timely. Functions as Lead Coding Adviser to assigned HIS Coding Specialists.

What You Will Do

• Performs, training and quality monitoring of new, established employees and students.
• Responsible for providing timely feedback to the team on the application of coding guidelines, practices, and proper documentation techniques and data quality improvements.
• Performs random coding quality review on monthly basis and provides timely feedback, additional training and education as needed.
• Identifies and trends areas of opportunity for performance improvement for all coders and provides appropriate feedback to management.
• Demonstrates comprehensive understanding of CCs/MCCs, impact on quality reporting, UHDDS guidelines, HACs and PSIs.
• Assists with the analysis of case mix reports and other statistical reports.
• Demonstrates comprehensive understanding of APG, EAPG and LCD CD and CCI regulatory edits.
• In support of continual improvement of the HIS Coding and CDI Teams, responsible for researching errors related to coding or missed documentation from the medical record in order to provide accurate coding guidance to support established processes.
• Responsible for designing, implementing, and managing ongoing departmental improvement imitative by monitoring activities and educational programs to ensure proper coding and compliance with all regulatory statutes.
• Performs targeted second level reviews.
• Maintains up to date credentials. Maintains updated knowledge of regulatory guidelines and regulations affecting the coding field. Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department.

Additional Responsibilities

• Assists when needed, with abstracting Medical Records to identify, sequence, and code diagnostic and procedural information timely and accurately.
• Partners with the Internal Audit and the Compliance & Ethics Department on internal and external audits.
• Participates in educational and informational activities.
• Participates in student mentorship programs.
• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.

Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Education Qualifications

• Associate's Degree preferably in HIM (Required) or
• Bachelor's Degree in HIM (Preferred)

Experience Qualifications

• 5+ years ICD-10 coding experience, preferably in a large academic medical center. (Required)

Skills and Abilities

• Thorough, up-to-date clinical skills, current working knowledge of pathology, pharmacology, surgical procedures, etc. (Required proficiency)
• Excellent written and verbal communication skills. (Required proficiency)
• Ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
• Detail-oriented and organized, with good problem solving ability. (Required proficiency)
• Notable client service, communication, and relationship building skills. (Required proficiency)
• Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). (Required proficiency)

Licenses and Certifications

• Registered Health Information Technologist (RHIT) (Required) or
• Registered Health Information Administration (RHIA) (Required) or
• Certified Professional Coder (CPC) (Required) or
• Certified Coding Specialist (CCS) (Required) or
• Certified Inpatient Coder (CIC) (Required) or
• Radiology Certified Coder (RCC) (Required) or
• Radiation Oncology Certified Coder (ROCC) (Required)