Offer summary

Qualifications:

Associates Degree in Health Information Management, Nursing, or a related field; Bachelor's preferred., At least one coding certification (CCS, CCS-P, CPC, CPC-H, RHIT, RHIA) is required; two preferred., Minimum of five years of coding experience in an acute hospital setting, with teaching facility experience preferred., Strong critical thinking, analytical, and project management skills are essential..

Key responsabilities:

Assist Coding Managers in evaluating coding functions for efficiency and accuracy.

Determine education needs of coders and collaborate on training materials.

Oversee the administration and effectiveness of education plans and performance improvement plans.

Provide feedback to the Coding Manager and recommend disciplinary actions when necessary.

Boston Medical Center (BMC) is a 511-bed, equity-led academic medical center and a proud member of the Boston Medical Center Health System. BMC delivers a model of healthcare where innovative and equitable care empowers all patients to thrive. As a premier academic medical center in Boston, a national leader in clinical care, and the largest essential hospital in New England, BMC’s world-class clinicians provide comprehensive care in more than 70 specialties and subspecialties. BMC understands that health equity is foundational to community wellbeing, and it requires transformative thinking, rewriting policies that have historically underserved communities, creating access to cutting-edge care for all, and co-creating programs with community partners that serve as national models for improving patient outcomes and experiences. We are invested in going above and beyond what is traditionally considered medicine to meet the needs of our communities and address disparities in clinical care and beyond. By pioneering cutting-edge research and advancing scientific discovery, we are fostering a culture of innovation where novel treatments and therapies are not only effective but also accessible. Boston Medical Center Health System is an integrated academic healthcare system that models a new kind of excellence in healthcare where clinical and operational innovation meets health equity and access. With more than 15,000 dedicated employees, BMC Health System is committed to advancing scientific discovery and access to care, partnering with our communities, and developing scalable approaches to restore and maintain health. Visit jobs.bmc.org for career opportunities.

Job description

POSITION SUMMARY:

The Coding Validation Specialist assists the Coding Managers with oversight and evaluation of coding functions including efficiency, accuracy, continuing education needs and overall coding quality. This individual determines individual education needs of coders and collaborates with department manager and CDCI Coding Trainer and Educator to develop appropriate training materials. This position would oversee the administration of the education plan/training necessary, evaluating the effectiveness of the education plan or performance improvement plans, providing feedback to Coding Manager. Recommends disciplinary action when warranted.

Position: Coding Validator

Department: Clinical Documentation

Schedule: Full Time

JOB REQUIREMENTS

EDUCATION:

Associates Degree in Health Information Management, Nursing or a Medical Coding or healthcare related field (or equivalent combination of formal education and experience).

Bachelor’s Degree in Health Information Management, Nursing or related field preferred.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

A minimum of at least one of the following: CCS (certified Coding Specialist), CCS-P (Certified Coding Specialist-Professional), CPC (certified Professional Coder); CPC-H (Certified Professional

Coder-Hospital Outpatient; RHIT, RHIA; minimum of two preferred.

EXPERIENCE:

Minimum of five years of coding experience in either inpatient or outpatient coding in an acute hospital setting. Coding experience in teaching, tertiary facility preferred. Experience as a coding validator preferred

Supervisory experience highly desirable.

KNOWLEDGE AND SKILLS:

Critical thinking, analytical and problem solving skills
Highly organized with strong project/task management skills
Knowledge of federal, state and payer specific regulations, policies and guidelines pertaining to coding (inpatient or outpatient), documentation requirements and billing
Experience with EM Encoder/Grouper, SMART software preferred

Equal Opportunity Employer/Disabled/Veterans

Required profile