Coding Quality Reviewer and Educator

Summary

Under the direction of the Manager of Coding Policy and Education, this position researches coding and documentation guidelines, develops training materials, performs audits, and educates coders and providers.

Responsibilities

• Consistently apply corporate values of respect, honesty, and fairness while improving patient health through high-value services.
• Research and compile coding and documentation guidelines from reliable sources into a user-friendly manual.
• Record and publish training materials on the Brown University Health Intranet and conduct education sessions.
• Review and coordinate feedback from external audits, track audits, and report on key coding metrics.
• Stay updated on coding updates and notify the Manager of any pertinent changes.
• Create and assist with educational processes, including lesson planning and materials.
• Monitor validators for violations and report to appropriate managers.
• Maintain confidentiality of sensitive information.
• Participate in various committees and task forces.

Qualifications

• Bachelor’s degree or equivalent experience in medical coding/validating.
• Certification required: CCS, CPC, RHIA, or RHIT; specialty certification a plus.
• Excellent verbal and written communication skills with proficiency in Microsoft Excel, PowerPoint, and Teams.
• Three to five years progressively responsible experience in outpatient coding, preferably in a large, multispecialty physician group or complex academic medical center.
• Experience with Epic and a high level of knowledge in ICD-10-CM and CPT-4 coding methodologies.
• Independent action within departmental policies and procedures.