Senior Coding Quality Educator

at  Providence

REQUIRED QUALIFICATIONS FOR THIS POSITION INCLUDE:

• High School Diploma or GED Equivalency
• National Certification from American Academy of Professional Coders -OR- National Certification from American Health Information Management Association -OR- National Certification from American Health Information Management Association
• 6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work
• 5+ years of experience conducting medical coding provider audits and quality performance measures
• 5+ years of experience preparing audit reports with recommendations
• 5+ years of experience providing provider education and feedback to facilitate improvement in documentation and coding
• Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment

PREFERRED QUALIFICATIONS FOR THIS POSITION INCLUDE:

• Associate Degree in Health Information Technology or another related field of study
• Bachelor’s Degree in Health Information Technology or another related field of study
• 5+ years of experience in coding for multispecialty practice
• 2+ years of experience in professional fee billing methodologies
• Experience with IDX, Allscripts, Advanced Web, Meditech
• Experience with project management

• Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams
• Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters
• Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise
• Serve as a resource and subject matter expert for all coding matters
• Provide coding support to regional coding teams as needed
• Maintain relevant documentation and data as required
• Review and update coding guidance annually or as necessary
• Maintain document control
• Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes
• Facilitates education to support Medicare Risk requirements & organization goals
• Review relevant patient details from the medical record based on coding and documentation guidelines
• Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details
• Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff
• Assists management in identifying and creating standardized workflows
• Reviews EMR templates and identifies areas of improvement for provider documentation
• Attends and presents at regional meetings as needed