Outpatient Coding Educator (Remote within Ohio)

University Hospitals Pain Management; Shaker Heights (OH); Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated Coding Advisor to lead and educate coding specialists. This role is crucial for ensuring coding accuracy and compliance with regulations while providing training and feedback to enhance the skills of the coding team. The ideal candidate will demonstrate a comprehensive understanding of coding practices and guidelines, ensuring high-quality documentation and data integrity. Join a supportive environment where your expertise will contribute to improving patient care and operational excellence.

Qualifications

• Expertise in coding accuracy and compliance with regulations.
• Strong background in training and mentoring coding specialists.

Responsibilities

• Conduct coding audits and provide feedback for improvement.
• Educate staff on coding rules and documentation techniques.
• Manage departmental monitoring activities and educational programs.

Skills

Coding Accuracy

Quality Monitoring

Regulatory Guidelines Knowledge

Training and Education

Data Quality Improvement

Education

Certification in Medical Coding

Bachelor's Degree in Health Information Management

Job description

Description

A Brief Overview

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

What You Will Do

1. Performs training and quality monitoring of new, established employees and students.
2. Responsible for providing timely feedback on the application of coding guidelines, practices, and proper documentation techniques and data quality improvements.
3. Performs random coding quality review on a monthly basis and provides timely feedback, additional training, and education as needed.
4. Identifies and trends areas of opportunity for performance improvement for all coders and provides appropriate feedback to management.
5. Demonstrates comprehensive understanding of CCs/MCCs, impact on quality reporting, UHDDS guidelines, HACs, and PSIs.
6. Assists with the analysis of case mix reports and other statistical reports.
7. Demonstrates comprehensive understanding of APG, EAPG, and LCDNCD and CCI regulatory edits.
8. 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.
9. Assists with the facilitation of scheduled external audits.
10. Responsible for designing, implementing, and managing ongoing Departmental monitoring activities and educational programs to ensure proper coding and compliance with all regulatory statutes.
11. Performs targeted second level reviews.
12. 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

1. Assists when needed, with abstracting Medical Records to identify, sequence, and code diagnostic and procedural information timely and accurately.
2. Participates in educational and informational activities.
3. Participates in student mentorship programs.
4. Performs other duties as assigned.
5. Complies with all policies and standards.
6. For specific duties and responsibilities, refer to documentation provided by the department during orientation.
7. 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.