[Hiring] Inpatient Coding Educator @University Hospitals

Role Description

Responsible for assuring coding is being performed accurately. Is responsible for assessing coding accuracy and completeness of Revenue Cycle coding process/policy and workflows for inpatient and outpatient medical record documentation by conducting random and focused coding reviews; documenting, preparation and timely presentation of results. Educates individuals on the rules/regulations associated with coding. Functions as lead coding adviser to Coding Specialists and answers all educational questions timely. Functions as Lead Coding Adviser to assigned HIS Coding Specialists.

• Performs training and quality monitoring of new, established employees and students.
• Responsible for providing timely feedback to the team on the application of coding guidelines, practices, and proper documentation techniques and data quality improvements.
• Performs random coding quality review on monthly basis and provides timely feedback, additional training and education as needed.
• Identifies and trends areas of opportunity for performance improvement for all coders and provides appropriate feedback to management.
• Demonstrates comprehensive understanding of CCs/MCCs, impact on quality reporting, UHDDS guidelines, HACs and PSIs.
• Assists with the analysis of case mix reports and other statistical reports.
• Demonstrates comprehensive understanding of APG, EAPG and LCDNCD and CCI regulatory edits.
• Responsible for researching errors related to coding or missed documentation from the medical record to provide accurate coding guidance to support established processes.
• Responsible for designing, implementing, and managing ongoing departmental improvement initiatives by monitoring activities and educational programs to ensure proper coding and compliance with all regulatory statutes.
• Performs targeted second level reviews.
• Maintains up to date credentials and knowledge of regulatory guidelines and regulations affecting the coding field.

Qualifications

• Associate's Degree preferably in HIM (Required)
• Bachelor's Degree in HIM (Preferred)

Requirements

• 5+ years ICD-10 coding experience, preferably in a large academic medical center. (Required)

Knowledge, Skills, & Abilities

• Thorough, up-to-date clinical skills, current working knowledge of pathology, pharmacology, surgical procedures, etc. (Required proficiency)
• Excellent written and verbal communication skills. (Required proficiency)
• Ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
• Detail-oriented and organized, with good problem-solving ability. (Required proficiency)
• Notable client service, communication, and relationship building skills. (Required proficiency)
• Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). (Required proficiency)

Licenses and Certifications

• Registered Health Information Technologist (RHIT) (Required)
• Registered Health Information Administration (RHIA) (Required)
• Certified Professional Coder (CPC) (Required)
• Certified Coding Specialist (CCS) (Required)
• Certified Inpatient Coder (CIC) (Required)
• Radiology Certified Coder (RCC) (Required)
• Radiation Oncology Certified Coder (ROCC) (Required)

Physical Demands

• Standing Occasionally
• Walking Occasionally
• Sitting Constantly
• Lifting Rarely up to 20 lbs
• Carrying Rarely up to 20 lbs
• Pushing Rarely up to 20 lbs
• Pulling Rarely up to 20 lbs
• Climbing Rarely up to 20 lbs
• Balancing Rarely
• Stooping Rarely
• Kneeling Rarely
• Crouching Rarely
• Crawling Rarely
• Reaching Rarely
• Handling Occasionally
• Grasping Occasionally
• Feeling Rarely
• Talking Constantly
• Hearing Constantly
• Repetitive Motions Frequently
• Eye/Hand/Foot Coordination Frequently

Travel Requirements

• 10%25