Reid Health Supv-Coding Educator in Richmond, Indiana
This position is responsible for creating strong working relationships with providers that will ensure accurate quality documentation. This will include the initial and ongoing education of all care providers on ICD-10, CPT/HCPCS, documentation, billing and regulatory compliance. This position will serve as the first point of contact for questions related to the education and training of providers in the professional office setting.
Serves as the coding subject matter expert for Epic charge capture as it relates to provider documentation.
Works with Epic certified trainers on system updates and creates/coordinates ongoing training to providers and staff as required.
Responsible for serving as subject matter expert as it relates to all professional fee coding such as ICD-10 and CPT/HCPCS, CMS, Federal and state coding regulations and any third party reimbursement requirements.
Implements QA and validation process to ensure code assignments by the Coder is accurate, complete and thorough.
Develops training and education materials as needed to address documentation and coding deficiencies.
Analyzes and trends data to identify areas of opportunity related to documentation and coding.
Consults with providers and office staff as needed on documentation issues and other regulatory issues as they arise.
Assists Coding Manager with duties to maintain continued work flow within the department.
Assist providers with appropriate diagnosis determination as needed.
Researches competent websites to obtain answers to coding questions/issues.
Refers complex coding and system questions to RHPA Coding Manager in a timely manner.
Attends practice operating council meetings as requested by RHPA Coding Manager to address coding questions or issues.
Investigates and communicates findings in response to compliance audits to the RHPA Coding Manager in an effort to assist with the leadership response plan.
Troubleshoots system issues as they relate to coding functions and resolves complexities in training workflow.
Maintains communication with Patient Financial Services and Audit Services as it relates to coding/billing and documentation issues.
Keeps current with coding guidelines, rules and regulations and new codes.
Assists with abstraction and retrieval of data for special studies.
Assists with policy and procedure development.
Assists with coding accuracy reporting requirements.
Actively participates in coding and payer meetings and/or seminars and disseminates the information to providers and coders relating to coding guidelines, payer rules and denial trends.
Participates in regular meetings to communicate new findings, deficiencies and coding changes with staff, management and providers.
Follows compliance with all laws, regulations, and guidelines of federal and state programs with an emphasis on prevention of fraud, waste and abuse.
Position includes other duties and projects as assigned to support goals and outcomes consistent with department expectations.
Education Required: High School graduate.
Education Preferred: Associates Degree
2-5 years of experience in coding with ICD-10, CPT/HCPCS, required.
Experience with Microsoft Office.
Previous training experience highly preferred.
2 years supervisory experience, preferred.
Certifications: Certified Professional Coder
Must maintain a professional appearance and demeanor while working with providers.
Ability to work well under little supervision.
Objective and detailed approach to problem solving.
Good investigative and organizational skills.
Ability to work successfully with changing priorities and deadlines.
Establishes strategies to accomplish specific results and produces desired results.
Ability to create and update training material and reference tools.
Knowledge of Epic.
Extensive attention to detail.
Proficient in public speaking, presentations, and educational activities.
Ability to communicate in a positive/professional manner both orally and written.
Demonstrated ability to explain complicated coding and compliance concepts.
Ability to provide constructive feedback with a focus on improved quality.
Ability to interact and communicate in a professional manner with providers, coding staff and other organizational leaders.
Ability to perform job functions and make independent decisions as appropriate.
Day Shift. 40 hours weekly.
Requisition ID: 2020-6667
Street: 1100 Reid Parkway