Coding Education Specialist

Job Location US-NC-Winston-Salem
Job Opening ID
2022-144777
Facility
Hanes Mill
Department
Corporate Coding
Work Schedule
8:00am-5:00pm
PRN Details
M-F
Category
Medical Records
Job Status
Full-Time

Overview

This position is remote but may require travel at the discretion of leadership.

 

The Coding Education Specialist position supports the facility coding education program to ensure that Novant Health receives appropriate reimbursement and complies with industry standards & guidelines. Additionally, this position should be a subject matter expert in inpatient or outpatient patient types of hospital coding activities.

 

The Coding Education Specialist position should be a subject matter expert in resolving CCI, OCE, and Medical Necessity edits in the radiology, laboratory, and medicine areas, using CMS and payor-specific guidance.

 

The Coding Education Specialist supports the Coding Education Lead by assisting with daily activities and oversight for educating all coding department new hires on facility inpatient or outpatient record types, per AHA Official Coding Guidelines, standards, and rules. In addition, this position will assist in the evaluation and development of available coursework through our learning management system to ensure all coding colleagues are current with regulatory issues.

 

The Coding Education Specialist supports the Coding Education Lead by proactively managing daily communications with the corporate coding team. The Coding Education Specialist will work closely with team members in addressing issues related to accurate/timely coding, documentation, unbilled accounts management, and denials. In addition, this position will often work with multi-disciplinary teams in addressing issues related to coding and billing operations (as applicable). The Coding Education Specialist may also assist in areas of corporate coding, including production coding and auditing as needed.

 

At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.

Qualifications

  • Education: High School or GED required. 2 Year / Associate Degree preferred. 4 Year / Bachelors Degree preferred. 
  • Experience: Five years of hospital coding experience (in one core area) required. Minimum of one year experience as a coding educator preferred. 
  • Licensure/Certification: RHIA, RHIT, CCS, CCS-P, CPC, COC or CIRCC required. CRC, CPMA preferred. 
  • Additional skills required:
    • Ability to work remotely and independently and resolve issues via IM, phone, email, text
    • Ability to troubleshoot issues (including IT issues) in a remote environment
    • Extensive knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding principles and guidelines
    • Extensive knowledge of inpatient and outpatient reimbursement methodologies
    • Extensive knowledge of federal, state, and payer-specific regulations and policies about documentation, coding, and billing
    • Excellent verbal and written communication skills
    • Requires excellent organizational, problem-solving, and critical thinking skills
    • Must be able to interact with individuals of all cultures and levels of authority
    • Knowledge of creation and presentation of materials for adult learners
    • Mastery of Microsoft Office Suite, including using Word templates, creating PowerPoints, maneuvering Excel spreadsheets (creating pivot tables, trending large amounts of data, etc.)
    • Ability to navigate CMS website for NCCI manual, NCD/LCD information, and Medicare Claims Processing Manuals 
  • Additional skills preferred:
    • Extensive knowledge of HCPCS and CPT coding related to charging
    • Ability to apply coding principles for correct charging, including Infusion & Injection Hierarchy, E/M guidelines, Supervision & Interpretation of IVR procedures 

Responsibilities

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

  • Our team members are part of an environment that fosters team work, team member engagement and community involvement.
  • The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
  • All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".

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