Job Description

Location: Steward Health Care
Posted Date: 8/12/2021


Reporting to the Manager, of Coding Audit and Education, this position provides system wide education and training to Inpatient, Outpatient and Audit coding staff members across Steward.


  • Responsible for researching and creating educational materials regarding current coding concepts for the Steward Health.
  • Responsible for training all new and existing coders and developing educational resources, covering coding guidance for Outpatient and Inpatient coding.
  • Responsible for delivering education sessions within the coder education program, including the remote onboarding program and ongoing coder education.
  • Coordinate’s training and orientation of new staff, lead training sessions and present high-level education on coding guidelines/information to coders and trainees, which includes presenting PowerPoint presentations and webinar-type meetings
  • Per the direction of the Manager, Coding Audit/Education, work with the Coding leadership to identify promotional and cross-training opportunities for coders depending on their skill level and performance.
  • Assesses coders' comprehension of training, and track and reports coding education results to coding leadership.
  • Identifies need for one-on-one coding sessions and develops follow-up educational plans as needed.
  • Collaborates with coding leadership to ensure coders receive sufficient and focused education. Independently develops and maintains coding educational tools/resources, including training curriculum and training handbook, presentations, web-based coding education programs, learning and training materials.
  • Research coding guidelines and updated coding information as published in ICD-10-CM/PCS, CPT and HCPCS coding systems, and communicates any changes and new findings to coding staff.
  • Maintains knowledge and provides educational content and direction with AHA Coding Clinic and AMA CPT Assistant.
  • Maintain knowledge of ICD-10 and CPT and MS-DRG classifications and coding of diagnoses and procedures.
  • Clarifies changes in coding guidance or coding educational materials.
  • Assist in maintaining the Steward Coding SharePoint website ensuring updated coding guidance is published.
  • Responsible for identifying and publicizing external continuing education opportunities for hospital coding team.
  • Participate in the clinical documentation improvement (CDI) and coding team DRG alignment process by identifying areas of opportunity.
  • Recommend educational topics for coders and clinical documentation integrity based on chart review findings.
  • Stays abreast of Agency Healthcare Research and Quality (AHRQ) core measures, as well as severity and risk of mortality and other indicators affecting benchmarking and reimbursement for the organization. A
  • Attends and participates in team meetings as required.
  • Performs other duties as requested by the Coding Manager, Audit/Education and/or VP HIM/CDI Operations.


  • Position requires self-directed, independent decision-making, analytical teaching, and articulate communication skills, both verbal and written.
  • Demonstrates knowledge of National Council on Compensation Insurance, Inc. (NCCI) edits, and local and national coverage decisions.
  • Expert knowledge and experience in ICD-10-CM/PCS and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis related groups)
  • Demonstrated enhanced knowledge of anatomy and pathophysiology to facilitate the increased need for granularity and specificity within the clinical documentation with the transition to new coding systems.
  • Ability to accurately utilize and provide instruction related to coding guidelines, software systems and resource material.
  • Excellent communication and reading comprehension skills.
  • Demonstrated aptitude, with high attention to detail and accuracy.
  • Ability to take initiative and work collaboratively with others.
  • Experience with remote work force operations required.
  • Strong sense of ethics.


  1. Education: Degree in Health Information Management or related field required; Master’s degree Preferred.
  2. Experience: Typically requires 5 -7 years of experience in hospital coding for a large complex health care system, which includes hospital coding, denial review and/or coding education functions. Knowledge, Skills & Abilities
  3. Certification: Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA), or • Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or • Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or Degrees
  4. Software/Hardware: MS Office Suite. Advance knowledge in Microsoft Applications, including but not limited to: Excel, Word, Powerpoint and Microsoft Teams.

Application Instructions

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