Position Status:
Full time
Shift:
First Shift (Days - Less than 12 hours per shift) (United States of America)
Hours per week:
40
Job Information
Exemption Status: Exempt
A Brief Overview
Coding Educator will provide ongoing coding compliance and education to HIM coding staff, perform chart reviews as outlined by management, work in collaboration with Clinical Documentation Improvement and Quality Teams with emphasis on mortality, risk adjustment and quality measures. Educator must have skillset to conduct training sessions with emphasis on coding guidelines, government regulations and third-party payor requirements.
Education Qualifications
- High School Diploma / GED Required
Experience Qualifications
- 5 years Hospital inpatient and ambulatory surgery coding experience (assignment of ICD-10-DX, ICD-10-PX and CPT codes). Required
Skills and Abilities
- Extensive understanding of medical terminology, anatomy, ICD-10-DX, ICD-10-PCS, CPT Coding.
- Experience with Solventum products and Epic.
- Experience with 360 Encompass workflows, CDI Program, Quality Measures, Revenue Cycle.
- Experience with coding and regulatory guidelines.
Licenses and Certifications
- Registered Health Information Administrator (RHIA) - AHIMA Required or
- Registered Health Information Technician (RHIT) - AHIMA Required and
- Certified Coding Specialist (CCS) - AHIMA
What you will do
- Maintain a working knowledge of ICD-10-DX, ICD-10-PCS and CPT-4 classifications and coding of diagnoses and procedures, governmental regulations, protocols and third-party requirements.
- Coordinate and conduct inpatient and outpatient coding chart reviews to ensure compliance with coding and documentation guidelines, including compliance of coding queries. Analyze results from reviews to identify areas of improvement and report findings to coding staff and coding manager.
- Create and deliver comprehensive training and education to coders, providers and clinical staff as appropriate. Provide continual coding, quality and payor updates to coding staff.
- Serve as a resource to coding, CDI and quality teams with regard to coding guidelines, rules and regulations to ensure compliant reimbursement.
- Assist with DRG, RAC and other payor denials on inpatient and outpatient service for identifying trends, providing education on coding issues identified. Responds to outside audit requests when requested by manager. Maintains audit schedules, findings and education for all hospital audits.
- Commitment to LEAN/Performance Excellence processes established within the coding department and ability to identify process improvements. Constantly contributes to a high level of customer satisfaction and process improvements by adhering to Stormont Vail Health Small Moments, 10 Tenets and Cultural Transformation Initiatives.
Travel Requirements
- 10% Travel to provide education to coding and clinical teams as appropriate.
Required for All Jobs
- Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
- Performs other duties as assigned
Patient Facing Options
- Position is Not Patient Facing
Remote Work Guidelines
- Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
- Stable access to electricity and a minimum of 25mb upload and internet speed.
- Dedicate full attention to the job duties and communication with others during working hours.
- Adhere to break and attendance schedules agreed upon with supervisor.
- Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.
Remote Work Capability
Scope
- No Supervisory Responsibility
- No Budget Responsibility No Budget Responsibility
Physical Demands
- Balancing: Occasionally 1-3 Hours
- Carrying: Rarely less than 1 hour
- Climbing (Stairs): Rarely less than 1 hour
- Crawling: Rarely less than 1 hour
- Crouching: Rarely less than 1 hour
- Driving (Automatic): Rarely less than 1 hour
- Eye/Hand/Foot Coordination: Continuously greater than 5 hours
- Feeling: Occasionally 1-3 Hours
- Grasping (Fine Motor): Frequently 3-5 Hours
- Grasping (Gross Hand): Frequently 3-5 Hours
- Handling: Frequently 3-5 Hours
- Hearing: Occasionally 1-3 Hours
- Kneeling: Rarely less than 1 hour
- Lifting: Rarely less than 1 hour
- Operate Foot Controls: Rarely less than 1 hour
- Pulling: Rarely less than 1 hour
- Pushing: Rarely less than 1 hour
- Reaching (Forward): Occasionally 1-3 Hours
- Reaching (Overhead): Rarely less than 1 hour
- Repetitive Motions: Frequently 3-5 Hours
- Sitting: Frequently 3-5 Hours
- Standing: Occasionally 1-3 Hours
- Stooping: Rarely less than 1 hour
- Talking: Occasionally 1-3 Hours
- Walking: Rarely less than 1 hour
Working Conditions
- Dusts: Rarely less than 1 hour
- Electrical: Rarely less than 1 hour
- Extreme Temperatures: Rarely less than 1 hour
- Noise/Sounds: Rarely less than 1 hour
Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.
Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.
