Medical Coding Educator

About the role

The Medical Coding Educator at Stony Brook Medicine is responsible for developing and providing educational programs related to ICD-10 CM and ICD-10 PCS coding for new and existing staff. They also collaborate with department management to set educational activity goals for all coders.

Responsibilities

• Evaluate, design, coordinate, and deliver comprehensive training and education for new and existing staff.
• Develop ICD-10-CM and ICD-10 PCS education training for new employees.
• Assess and provide feedback to each coder on their work performed.
• Develop reinforcement training for existing staff in collaboration with department management.
• Provide educational sessions to new and existing staff based on results of each coder's performance.
• Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ICD-10 PCS coding.
• Compile and communicate results of the audits to the appropriate managers.
• Prepare training and presentations on various topics, such as the annual ICD-10 and ICD-10 PCS updates, any other coding updates throughout the year including Quarterly Coding Clinic reviews.
• Research updated coding information, rules, laws and statutes for all payers and government entities.
• Ensure the Coding Staff has updated resources on an ongoing basis.
• Provide education to the Clinical Documentation Integrity (CDI) staff on a brief History of Coding.
• Provide education to the CDI staff on ICD-10 CM & ICD-10 PCS book contents, organization and how to use the books.
• Provide education to the CDI staff on how to identify Major Comorbidities and Chronic Comorbidities in ICD-10 CM books.
• Provide education to the CDI staff on the Inpatient Prospective Payment System.
• Provide education to the CDI staff on the use of Official Coding guidelines by specific chapter.
• Provide education to the CDI staff on DRG Expert reviews. Identify surgical DRG’s versus Medicine DRG’s.
• Provide education to the CDI staff on the use of all coding software, such as, Access HIM, 3M CRS and References and PwC SMART software.
• Provide education to the CDI staff on coding guidance on an ongoing basis.
• Review and respond to coding questions.
• Work in collaboration with the Patient Financial Services Department on claim corrections.
• Special projects assignments related to coding.
• Code, abstract and data entry of records.

Qualifications

• Bachelor's degree
• At least 6 years of experience with ICD-10 CM and ICD-10 PCS coding
• RHIA, RHIT, and/or CCS certification
• Demonstrated proficiency in medical terminology
• Strong organizational and written communication skills