MID REVENUE CYCLE CODING EDUCATOR SR

Summary

The Mid Revenue Cycle Coding Educator Sr serves as the subject matter expert and educational resource for medical record coding and patient charge related issues. This position provides education and training to clinical providers, nurses, Revenue Integrity (RI) and Health Information Management (HIM) staff.

Key Responsibilities

• Designing, creating and implementing educational and training curriculum to initiate new processes resulting from initiatives, coding related projects and general coding related matters driven by business needs.
• Creating the audit and quality reviews schedule for the fiscal year adding a contingency plan for unexpected reviews and business priorities driven by external matters.
• Reviewing and communicating the CMS changes and their impact to RI and HIM operations.
• Conducting monthly audits and quality reviews for providers, nurses, Revenue Integrity (RI) and Health Information Management (HIM) staff to identify compliance opportunities with clinical documentation and coding and charging guidelines.
• Leading projects aimed to review and improve the quality of the clinical documentation in the patient record and final coding for both professional and technical billing, resulting in the creation of curriculum specific to clinical services and tailored to individual stakeholders.
• Reviewing and approving the work completed by the Mid Revenue Cycle Coding Educators prior to distribution, implementation and educational venues update.
• Reviewing and approving the education and training calendar to onboard RI and HIM new team members. Ensures the sign off of the education program as documentation for the new team member 90-day introductory period.

Minimum Experience

• Bachelor's degree plus six (6) years health care coding experience with ICD-10-CM, ICD-10-PCS, CPT and HCPCS classification systems; inclusive of minimum two (2) years of professional practice medical coding auditing experience OR facility Outpatient coding auditing experience.
• An Associate's degree and additional two (2) years of experience as stated above may be considered (for a total of 8 years' experience).
• A High School Diploma/GED and ten (10) years of experience as stated above may be considered.

Required Licensure

Any one of the following certifications is required: (CCS) Certified Coding Specialist, (CPMA) Professional Certified Medical Auditor, (CPC) Cert Professional Coder, (COC) Certified Outpatient Coding, (CCS-P) Certified Coding Spec-Phys, (RHIT) Reg Health Info Technician, (RHIA) Reg Health Info Administrator, (CIC) Certified Inpatient Coder. Any certification not listed but issued by one of the Governing Bodies will be reviewed and considered by the business as satisfying this requirement.

Required Skills

• Expert knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, AHA coding clinic guidelines, MSDRG, APRDRG, CMS guidelines, NCHS, Radiation Oncology Coding Guidance (Coding Strategies, ASTRO, ACRO), AHIMA and AAPC code of ethics.
• Ability to communicate in a professional manner to internal and external customers.
• Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties.
• Excellent communication and interpersonal skills.
• Experience with automated patient care and coding systems (Cerner Electronic Health Record, Cerner products Radnet, Surginet, OPTUM Professional Computer Assisted Coding ("pCAC"), Patient Keeper, 3M encoder, Mosaiq, Soarian financial billing system preferred).
• Competence with MS Office software (Word, Excel, PowerPoint, OneNote and Outlook).
• Experience with coding oncology related services.
• Experience conducting training through Zoom.

Preferred Experience

Four years' experience with coding oncology related services.

Pay

$77,022.40 - $117,582.40

Schedule

Full-time position. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions.