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.
REQUIRED KNOWLEDGE & SKILLS:
- 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.
- Education: Degree in Health Information Management or related field required; Master’s degree Preferred.
- 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
- 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
- Software/Hardware: MS Office Suite. Advance knowledge in Microsoft Applications, including but not limited to: Excel, Word, Powerpoint and Microsoft Teams.