OP Coding Educator and Quality Auditor

The CodingEducator is responsible for creating and delivering education to the CodingTeam (including vendors), Clinical Documentation Nurses, Physicians, and otherlicensed providers to improve the quality of documentation to assure bestquality performance and representation of care provided. In addition, the educatorcollaborates with the CMOs to ensure the integrity of the Health Record isestablished through best practices in Clinical Documentation and Coding.Monthly monitoring of the clinical dashboarddemonstrating improvement in statistical targets.

TheCoding Quality Auditor is responsible for assuring coding guidelines andregulations are not compromised during the decision-making process for codeassignment that is representative of the care provided.The Coding Quality Auditor is responsible forcollaborating with Operational Coordinators and Coding Educators to identifytargets for coding quality improvement and to ensure that coding education iseffective.

This position is 100% remote

Coding Educator:

§Communicateswith Leadership across the regions to develop educational programs that addressthe identified opportunities to improve clinical dashboard results

§Identifiesstrategic plans that will positively impact the clinical dashboard

§Throughrelationship development across the regions identifies and securesinterdepartmental support and other resources necessary for successfulorigination and implementation of education strategy initiatives in order toachieve overall strategic targets

§Analyzesdashboard and audit data to derive conclusions and construct action plans

§Collaborateswith the Pre-bill team to identify areas of opportunity for education

§Onboards new staff on coding protocols

§Developsteaching tools to promote quality outcomes

Coding Quality Auditor:

§Performsmonthly, quarterly, and/or yearly audits of coding and vendor support staff asdetermined by coding leadership

§Performsother audits as requested by coding leadership or other departments

§Analyzesdashboard and audit data to derive conclusions and recommends action plans

§Attendsmeetings as requested by coding leadership

Requirements

Required:

• RHIT or RHIA or CCS
  
• Associates Degree – Healthcare related
  
• Five years of coding experience and/or two years in auditing in area of expertise
  
• Awareness of the financial impact of denials
  
• Knowledge of APC reimbursement (Outpatient)
  
• Strong personal computer skills (Word, Excel, PowerPoint, Visio)
  
• Proficiency in using coding software and electronic health records (HER) systems
  
• Excellent verbal, written, and presentation skills
  
• Demonstrates critical thinking skills
  
• Excellent interpersonal skills
  
• Planning and time management skills
  
• Educational/training experience
  
• Audit experience
  

Preferred:

• Bachelors’ Degree in related field or currently enrolled in AHIMA RHIT – HIM Program
  

Population Served:

• Physicians/Licensed Providers
  
• Clinical Documentation Specialists
  
• Coders (inpatient, outpatient, internal & external)
  

Benefits