Coding Education Specialist

What We Offer

• Remote opportunity with a flexible work schedule after initial training
• Equipment provided
• Comprehensive benefits including medical, dental, vision, life insurance, and generous PTO
• Roth retirement fund with matching contributions
• Reimbursement for AAPC or AHIMA membership fee

What You'll Do

• Supports the facility coding education program to ensure appropriate reimbursement and compliance with industry standards & guidelines
• Resolves CCI, OCE, and Medical Necessity edits in radiology, laboratory, and medicine areas using CMS and payor-specific guidance
• Assists the Coding Education Lead in educating new hires on facility record types, AHA Official Coding Guidelines, standards, and rules
• Evaluates and develops available coursework to ensure coding colleagues are current with regulatory issues
• Manages daily communications with the corporate coding team
• Works with multi-disciplinary teams to address issues related to accurate/timely coding, documentation, unbilled accounts management, and denials
• May assist in areas of corporate coding, including production coding and auditing as needed

Required What We're Looking For

• RHIA, RHIT, CCS, CCS-P, CPC, COC, or CIRCC licensure
• High School Diploma or GED
• 5+ years of hospital coding experience in one core area (Inpatient, Outpatient, Surgery, or Emergency Department)
• Ability to work remotely and independently, resolve issues via IM, phone, email, text, and troubleshoot IT issues
• Extensive knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding principles and guidelines
• Extensive knowledge of inpatient and outpatient reimbursement methodologies
• Extensive knowledge of federal, state, and payer-specific regulations and policies about documentation, coding, and billing
• Excellent verbal and written communication skills
• Excellent organizational, problem-solving, and critical thinking skills
• Ability to interact with individuals of all cultures and levels of authority
• Knowledge of creation and presentation of materials for adult learners
• Mastery of Microsoft Office Suite, including using Word templates, creating PowerPoints, and maneuvering Excel spreadsheets (creating pivot tables, trending large amounts of data, etc.)
• Ability to navigate CMS website for NCCI manual, NCD/LCD information, and Medicare Claims Processing Manuals

PREFERRED

• Extensive knowledge of HCPCS and CPT coding related to charging
• Ability to apply coding principles for correct charging, including Infusion & Injection Hierarchy, E/M guidelines, Supervision & Interpretation of IVR procedures