[Hiring] Outpatient Coding Educator/Auditor @Yale New Haven Health

Role Description

The Outpatient Coding Educator/Auditor is an essential member of the Outpatient Coding Leadership structure. This role is responsible for:

• Developing an educational pathway for outpatient coders to grow and develop in their roles.
• Creating a robust outpatient coding education program covering all aspects of outpatient coding.
• Conducting audits based on areas of risk in the outpatient space.
• Providing training and education within the department.
• Acting as the subject matter expert in outpatient coding.
• Collaborating on policies and procedures for quality improvement.

Qualifications

• EDUCATION: Bachelor's degree in HIM or related field or equivalent preferred.
• EXPERIENCE:
  • Five (5)+ years progressively complex coding and/or auditing work experience required.
  • A certified AAPC Instructor credential can be substituted in lieu of 2 years of work-related experience.
  • Expert coding knowledge, including in-depth understanding of coding guidelines, conventions, CPT, and Evaluation & Management classification systems.
  • Experience with the electronic health record (EHR) and health care applications required; Epic experience preferred.
  • Must have past experience with training and education in large and small groups.
• LICENSURE:
  • Must be a certified coder through AAPC with a COC (certified outpatient coder) and either has or will have an instructor designation through the AAPC within six months.
  • Additional coding certifications in the field highly desired.
  • Must have or will have their CCC and CIRCC credential within the first year.
• SPECIAL SKILLS:
  • Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
  • Well-developed communication (written and verbal), analytical, and presentation skills.
  • High level of competency with Microsoft Office tools.
  • Advanced knowledge of disease processes, ICD-10, CPT, and HCPCS coding applications.
  • Ability to review, analyze, and interpret billing guidelines and state and federal regulations.
  • Ability to create training material and presentations.
  • Demonstrated ability to mentor, educate, and train others.
  • Ability to work with individuals at all organizational levels.
  • Advanced knowledge and understanding of anatomy, physiology, and medical terminology.

Requirements

• Coordinates activities with internal and external educational partners.
• Conducts and coordinates Quality Assurance reviews and compliance audits.
• Develops and provides individualized training based on audit findings.
• Tracks audits and education on an ongoing basis.
• Develops coding procedures and guides for coders.
• Surveys staff to determine areas for further instruction.
• Coordinates review and education of annual/regular ICD-10-CM and PCS/CPT code updates.
• Tracks educational presentations and staff certifications.
• Coordinates onboarding of new coders.
• Identifies inconsistencies that may impact department efficiency.
• Responds to inquiries from other departments regarding coding.
• Develops and maintains coding-related policies and training materials.
• Leads training sessions and presents high-level education on coding guidelines.
• Assesses coders' comprehension of training and tracks results.
• Promotes individual professional growth and development.
• Develops and performs audits to identify documentation and coding issues.
• Maintains current knowledge of coding and regulations.
• Performs coding functions as needed to maintain skills.

Company Description