Mid Revenue Cycle Coding Educator Senior

Moffitt Cancer Center; Oregon; Hybrid; USD 77,000 - 118,000; Full time

Job summary

Moffitt Cancer Center is seeking a Senior Revenue Cycle Coding Educator to act as the subject matter expert for medical record coding and patient charges. You will design and implement curricula, lead audits, and ensure coding quality across RI and HIM teams.

The role requires extensive knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, CMS guidelines, and experience delivering training via platforms like Zoom. Strong audit and leadership skills are essential.

Qualifications

• Expertise in ICD-10-CM, ICD-10-PCS, CPT and HCPCS coding rules.
• Knowledge of CMS guidelines, MS-DRG/APR-DRG logic and related coding ethics.
• Ability to develop curricula and deliver training to multiple stakeholder groups.

Responsibilities

• Design, create and implement training curricula for new coding processes.
• Create audit and quality review schedules for the fiscal year with contingencies.
• Review CMS changes and communicate impact to RI and HIM operations.
• Lead projects to improve clinical documentation quality and final coding for billing.
• Approve education plans and onboard RI/HIM new team members.

Skills

ICD-10-CM

ICD-10-PCS

CPT

HCPCS

CMS guidelines

Education

Bachelor's degree plus 6 years healthcare coding experience

Associate's degree plus 8 years experience

High School Diploma/GED plus 10 years experience

Tools

Cerner EHR

Cerner RadNet

Surginet

OPTUM PCAC

3M encoder

Mosaiq

Soarian

Job description

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer.

As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times' Top Workplaces.

Summary The MID REVENUE CYCLE CODING EDUCATOR SR, serves as the subject matter expert and educational resource for any medical record coding and patient charge related issues. This position provides education and training to clinical providers, nurses and Revenue Integrity (RI) and Health Information Mangement (HIM) staff.The position is responsible for:Designing, creating and implementing educational and training curriculum to initiate new processes resulting from initiatives, coding related projects and general coding related matters driven by business needs.Creating the audit and quality reviews schedule for the fiscal year adding a contingency plan for unexpected reviews and business priorities driven by external mattersReviewing and communicating the CMS changes and their impact to RI and HIM operationsConducting monthly audits and quality reviews for providers, nurses and Revenue Integrity (RI) and Health Information Mangement (HIM) staff to identify compliance opportunities with clinical documentation and coding and charging guidelines.Leading projects aimed to review and improve the quality of the clinical documentation in the patient record and final coding for both professional and technical billing. resulting in the creation of curriculum specific to clinical services and tailor to individual stakeholders.Reviewing and approving the work completed by the Mid Revenue Cycle Coding Educators prior to distribution, implementation and educational venues update.Reviewing and approving the education and training calendar to onboard RI and HIM new team members. Position ensures the sign off of the education program as documentation for the new team member 90 days introductory period.

Minimum Experience Required

• Bachelor's degree plus six (6) years health care coding experience with ICD-10-CM, ICD-10-PCS. CPT and HCPCS classification systems; inclusive of minimum two (2) years of professional practice medical coding auditing experience OR facility Outpatient coding auditing experience,
• (OR)
• An Associate's degree and additional two (2) years of experience as stated above, may be considered (for a total of 8 years' experience). required.
• (OR)
• A High School Diploma/GED and ten (10) years of experience as stated above, may be considered.

Minimum Licensure:Any "one" of the following certifications is required:

• (CCS) Certified Coding Specialist
• (CPMA) Professional Certified Medical Auditor
• (CPC) Cert Professional Coder
• (COC) Certified Outpatient Coding
• (CCS-P) Certified Coding Spec-Phys
• (RHIT) Reg Health Info Technician
• (RHIA) Reg Health Info Administrator
• (CIC) Certified Inpatient Coder
• any certification not listed above but issued by one of the Governing Bodies (see below) will be reviewed and considered by the business as satisfying this requirement.

Minimum Skills/Specialized Training Required

• Expert of International Classification of Diseases, Tenth Revision, Clinical Modification ("ICD-10-CM"), International Classification, Tenth Revision, Procedure Coding System ("ICD-10-PCS"), Current Procedural Terminology ("CPT"), Healthcare Common Procedure Coding System ("HCPCS"), American Hospital Association ("AHA") coding clinic guidelines, Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related Groupers ("APRDRG"), Center for Medicare & Medicaid Services ("CMS") guidelines, National Center for Healthcare Statistics ("NCHS"), Radiation Oncology Coding Guidance (Coding Strategies, American Society for Radiation Oncology ("ASTRO"), American College of Radiation Oncology ("ACRO"), American Health Information Management Association ("AHIMA") and American Academy of Professional Coders ("AAPC") code of ethics.
• Ability to communicate in a professional manner to internal and external customers.
• Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties.
• Excellent communication and interpersonal skills.
• Experience with automated patient care and coding systems. (Cerner Electronic Health Record, Cerner products Radnet, Surginet, OPTUM Professional Computer Assisted Coding ("pCAC"), Patient Keeper, 3M encoder, Mosaiq, Soarian financial billing system, preferred.)
• Competence with MS Office software (Word, Excel, PowerPoint, OneNote and Outlook).
• Experience with coding oncology related services.
• Experience conducting training through Zoom.

Preferred ExperienceFour years' experience with coding oncology related services.Governing Body Website:

• American Health Information Mgmt Assoc (AHIMA)
• American Academy of Professional Coders

Salary Range $77,022.40 - $117,582.40Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions.We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce.Moffitt Career Site

If you have the vision, passion, and dedication to contribute to our mission,

then we have a place for you!

1. Equal Employment OpportunityMoffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.

2. Reasonable AccommodationFederal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. Moffitt endeavors to make moffitt.org/careers accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact one of the Human Resources receptionists by phone at or by email at . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.Read more information about your EEO rights under the law .Transparency in Coverage Rule