Job Description - Outpatient Coding Educator (Remote within Ohio) (24000DEA)
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.
What You Will Do
- Performs training and quality monitoring of new, established employees and students.
- Responsible for providing timely feedback on the application of coding guidelines, practices, and proper documentation techniques and data quality improvements.
- Performs random coding quality review on a 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 LCDNCD and CCI regulatory edits.
- 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.
- Assists with the facilitation of scheduled external audits.
- Responsible for designing, implementing, and managing ongoing Departmental 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 and knowledge of regulatory guidelines and regulations affecting the coding field.
Additional Responsibilities
- Assists when needed with abstracting Medical Records to identify, sequence, and code diagnostic and procedural information timely and accurately.
- Participates in educational and informational activities.
- Participates in student mentorship programs.
- Performs other duties as assigned.
- Complies with all policies and standards.
- Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients.
Education
- Associate's Degree preferably in HIM (Required) or
- Bachelor's Degree in HIM (Preferred)
Work Experience
- 5+ years ICD-10 coding experience, preferably in a large academic medical center. (Required)
Knowledge, Skills, & 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)
- Certified Coding Specialist (CCS) (Preferred)
Physical Demands
- Standing Occasionally
- Walking Occasionally
- Sitting Constantly
- Lifting Rarely 20 lbs
- Carrying Rarely 20 lbs
- Pushing Rarely 20 lbs
- Pulling Rarely 20 lbs
- Climbing Rarely 20 lbs
- Stooping Rarely
- Kneeling Rarely
- Crouching Rarely
- Reaching Rarely
- Handling Occasionally
- Grasping Occasionally
- Feeling Rarely
- Talking Constantly
- Hearing Constantly
- Repetitive Motions Frequently
- Eye/Hand/Foot Coordination Frequently
Primary Location
United States-Ohio-Shaker Heights