Coding Consultant, Educator

Role Overview

• Leads, manages and participates in coding integrity related projects, including but not limited to specialty specific coding education, audits, research, education, and financial analysis.
• Manages all related aspects of the project and provides education to the executive leadership team and physicians.
• Ensures that project related training and quality assurance requirements are assessed and implemented by either performing or overseeing activities.
• Assists the physicians, coders, and leadership team with accurate code assignment.
• Develops methods to provide oversight and ongoing compliance.
• Educates physicians on policy changes or coding/documentation opportunities.
• Educates billing staff across all regions on policy changes.
• Assists HIM/Coding Management team in all functions in relation to coding compliance.
• Responsible for oversight of all coding consulting projects such that results provide timely and accurate recommendations consistent with the management decisions under consideration.
• Supervises, coaches, evaluates and counsels employees to ensure competency in all aspects of job duties, including regulatory compliance with CMS or other coding guidelines.
• Audits and educates coders to ensure coding consistency across all regions.
• Interprets CMS/Coding policies and provides education to physicians/Coding and Education staff.
• Trains new hires and interns.
• Develops measures to track and monitor coding improvement initiatives.
• Consults for physicians.
• Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
• Other related duties as required.

Requirements

• 5 years related clinical experience (nursing or allied health) OR coding experience with Medicare and Managed Care Reimbursement, Managed Care contractual arrangements and patient accounting/billing background OR 3 years with a Bachelor's degree
• Certification in Coding (CCS-P, CCS), Certified Professional Coder (CPC), Certified Professional Coder
• Hospital (CPC-H), Certified Coding Specialist
• Physician based (CCS-P), or Certified Coding Specialist (CCS)
• Must have computer skills and dexterity required for data entry and retrieval of information
• Effective verbal and written communication skills and the ability to present information clearly and professionally
• Must be proficient with Windows-style applications, various software packages specific to role and keyboard
• Strong interpersonal skills
• Strong leadership skills
• Ability to and experience preparing and presenting findings and results to diverse audiences including Physicians, Vice Presidents, Compliance Officer, Attorneys, Directors, Managers and staff
• Ability to and experience planning, coordinating and reviewing projects involving complex business and technical matters
• Analytical and operational problem solving skills
• Time management skills, including the ability to prioritize, organize and coordinate multiple work areas and assignments under fast paced and changing conditions to meet deadlines
• Ability to and experience resolving issues at the lowest level and understanding when to escalate or change priorities
• Experience balancing technical and practical needs.
• Competency in applying accounting principles and/or federal and state regulations to daily decision
• making process
• Positive attitude and the ability to promote a cooperative and pleasant work environment since all responsibilities are team oriented.
• Ability to move throughout the department, Clinic and other organizational locations
• Ability to work 8-10 hour days, may require evening, weekend and holiday work during peak periods, depending on department needs
• Long distance travel may be required to complete continuing education and site visits to satellite locations.

Benefits

• Health insurance
• 401(k) matching
• Flexible work hours
• Paid time off