Physician Coding Educator - Coding

Description

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Summary :

The Coding Educator (CE) is a key point of contact that supports coding and documentation initiatives across CHRISTUS. They are a subject matter expert for coding including validating documentation requirements, analyzing coding trends / benchmarks, providing education to operational leaders, physicians, advanced practice providers (APPs), and senior leadership. They also implement training and education plans needed for the overall success and improvement of the coding team. Assists with new services and revenue opportunities.

Provides oversight of education and training on the application of CPT, ICD-10-CM, HCC, and modifier coding, documentation guidelines, medical policies, medical terminology and disease process. Additionally, the CE provides support and is the subject matter expertise for the PB Coding Integrity audit team, ensuring a uniform understanding and application of CDI and coding guidelines across each department. The CE works collaboratively with Coding Operations, Compliance, PB Revenue Cycle, providers, clinic leadership and management. This position is responsible for supporting adherence to CHRISTUS standards and directives and other regulatory requirements including Centers for Medicare and Medicaid Services (CMS) and HIPAA standards related to HIM.

Responsibilities :

Meets expectations of the applicable OneCHRISTUS Competencies : Leader of Self, Leader of Others, or Leader of Leaders.

Acts as the liaison between coding services and operational leadership, Medical Professionals, and departments.

Provides support (new physician / APP orientations, departmental meetings, one-on-one education sessions, etc.) for physicians / APPs, regarding clinical documentation integrity, compliance, coding guidelines and other complex coding concepts including risk areas.

Collaborates and provides guidance and education on coding concepts related to E / M, CPT, ICD-10, and HCC diagnoses both virtually and in person with clinical and coding staff.

Proactively identifies opportunities and develops recommendations through data analysis and leads projects with moderate to high complexity, risk, and scope.

Develops curriculum and materials for documentation training programs.

Research, review, and responds to complex coding questions.

Communicates updates on coding or documentation issues.

Has familiarity with Electronic Health Records documentation methodologies.

Has demonstrated achievement with change management and quality improvement initiatives.

Has proven success in building relationships and establishing credibility with doctors, nurses, and other clinical staff.

Has exceptional communication skills.

Has High level of emotional intelligence.

Has the ability to navigate resistance to change and solve problems effectively.

Has strong managerial, leadership, interpersonal skills; excellent written and oral communication and analytical skills are required.

May perform other duties as assigned.

Job Requirements : Education / Skills

High School diploma or equivalent experience required.

Bachelor’s degree preferred.

Experience

5 years of experience in advanced professional coding preferred.

3 years of experience in coding training and / or education preferred.

Experience conducting training / educational sessions for professional staff including preparations of instructional materials is required.

Physician documentation audit experience is preferred.

Experience evaluating coding audits & quality performance preferred.

Experience in a large, independent clinic organization or the ambulatory environment of a hospital or integrated delivery system required.

Experience in Multispecialty Practice highly preferred.

Licenses, Registrations, or Certifications

Must be certified through American Academy of Professional Coders (AAPC) OR must be certified though the American Health Information Management Association (AHIMA).

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS) certification required.

Dual specialty certification is required; CPMA or CDEO preferred.

Work Schedule :

8AM - 5PM Monday-Friday

Work Type : Full Time