HIM - Professional Coding Educator - 40hrs

Responsibilities

• Provides annual coding education and ad-hoc education and reference materials to CCMC and CCSG providers and departments related to chart documentation, coding guidelines, CPT charges, ICD diagnoses, and payer policy.
• Responsible for HIM Department internal monitoring reviews and Compliance Department audits. Maintains reports documenting findings, action plans and results.
• Aids in developing coding procedures, job aids and guidance documents for Providers and Professional Coders.
• Codifies and distributes CPT and ICD-10-CM code updates, coding guidelines, and any reimbursement/regulatory changes.
• Develops and maintains provider and Coder education presentations.
• Schedules education sessions. Assists on-boarding of new providers and Coders, tracking progress and improvement opportunities.
• Responds to inquiries from other departments regarding documentation and/or coding, including but not limited to patient complaints, Billing, Revenue Integrity.
• Assists in reviewing and mitigating denial trends by service and/or provider.
• Promotes individual professional development by identifying education opportunities, tracking staff certifications, and taking an active role as preceptor, mentor and resource to less experienced staff as needed.
• Performs coding functions and a comprehensive understanding of the coding workflows to retain coding expertise.
• Maintains current knowledge of coding, federal and local regulations.

Qualifications

• Education and/or Experience Required: High School Diploma or equivalent. 5+ years Professional Coding Experience, 2+ years with one or more of the following: delivering presentations, conducting one on one education with providers, teaching a coding class, speaking at coding seminars, or related activity.
• Education and/or Experience Preferred: Bachelor’s Degree or higher in a healthcare related field.
• Licenses and/or Certifications Required: Certified Professional Coder License and/or Certification.
• Licenses and/or Certifications Preferred: In addition to CPC, one or more related Coding Certificate.
• Knowledge, Skills, and Abilities: Proficient in ICD, CPT, Coding Edits, Medical Terminology, Payer Guidelines, Revenue Cycle practices, EMR (Epic Preferred), Microsoft Office. Strong Communication Skills, Excellent Interpersonal Skills, Organizational Skills.