[Hiring] Coding Operations Education Consultant @HCA Healthcare

Role Description

The Coding Operations Education Consultant is responsible for assisting in the efficient and effective design, development, and delivery of all coding operations education components for Physician Services - Clinical Service Group. The education program components include coding and Health Information Management (HIM) initiatives. This person serves as a key promoter of Coding Operations and is responsible for setting the tone of Coding Operations as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs.

The Education Consultant is responsible for assisting in the development and implementation of the Quality Assessment program and ensuring the education program addresses the findings of Quality Assessment reviews.

The Coding Quality Assessment Program must include internal reviews to ensure compliance with national coding guidelines, coding policies, and the Company coding policies for complete, accurate, and consistent coding which result in appropriate reimbursement and data integrity.

The Education Consultant works with stakeholders to improve the accuracy, integrity, and quality of patient data, to ensure minimal variation in coding practices and improve the quality of physician documentation within the body of the medical record to support code assignments. The Education Consultant, in collaboration with the Regional Coding Operations Manager, provides specific and global coding education based on the quality monitoring review findings and trends.

This individual is a contributing member of a cross-functional team, which includes division staff, Central Coding Unit (Parallon), practice leadership, business owners, project management, the Physician Service Center, IT&S, and others as needed. Additionally, the Education Consultant provides subject matter expertise related to coding, coding challenges/disputes, including effective provider appeals for select inventory. This individual will work closely with these various groups to develop and deploy education strategies that are needed to achieve desired results. As a subject matter expert and department representative, this individual consistently demonstrates solid project management skills and behaviors, in addition to continually striving to meet and exceed customer expectations.

SUPERVISOR: Director, Coding Operations Education and Quality and Manager, Coding Quality Review

Duties Include But Not Limited To:

• Participate in the development of strategic coding and HIM communication and education plans which outline the targeted audience, training needs and methods, implementation, and evaluation.
• Participate in the development of coding content-specific, competency-based, and operational-based communication and education deliverables in conjunction with specific business unit resources and technical experts from the field.
• Participate in the delivery of communication and coding training to various groups, including leadership teams and end-users. Delivery methods may include instructor-led, train-the-trainer, virtual classroom, web-cast, or web-based methodologies.
• Inform the Director of Education and the AVP of any significant issues (e.g., education process issues, payer issues, vendor issues, etc.).
• Inform the Director of Education and the AVP and cross-functional teams regarding unique coding documentation payer requirements, significant changes, and developments.
• Assist the Director in the maintenance of coding training administration records.
• Analyze training course evaluations, and recommend appropriate action to incorporate feedback.
• Identify and implement process improvements to lower costs and improve service to customers.
• Champion ideas for innovation, knowledge sharing, and coding operations workflow in the organization and among peer groups.
• Stay abreast of coding/billing regulatory requirements and company compliance policies, ensuring timely staff education.
• Understand and communicate nuances of unique coding requirements for major payers such as Medicare, Medicaid, HMO’s, PPO’s, IPA’s, employers, etc.
• Demonstrate and share knowledge of medical terminology, International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding.
• Provide relevant coding guidance for customers and other departments to resolve issues.
• Provide subject matter expertise in the development, implementation, and monitoring of coding related standard master files, processes, and reporting.
• Demonstrate and apply knowledge of principles and practices of Education and Organizational Development.
• Assist in translating business reporting requirements to development staff.
• Understand Revenue Cycle operations and technologies currently in place.
• Maintain confidentiality with all company and regulated information.
• Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement".
• Minimal travel required (less than 10%), including practice site visits.
• Perform other duties as assigned.

Qualifications

• Five years of experience in Evaluation and Management and surgical coding plus reimbursement activities is required.
• A clinical background and previous chart abstraction experience is preferred.

Requirements

• Must hold one of the following AHIMA (American Health Information Management Association) or AAPC (American Academy of Professional Coders) Certifications:
• Certified Coding Specialist (CCS)
• Certified Coding Specialist – Physician (CCS-P)
• RHIT (Registered Health Information Technician)
• RHIA (Registered Health Information Administrator)
• Certified Professional Coder (CPC®)
• Certified Outpatient Coder (COC®)
• Certified Documentation Expert Outpatient (CDEO®)
• Certified Professional Medical Auditor (CPMA®)

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services.
• Wellbeing support, including free counseling and referral services.
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence.
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling.
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing.
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts.