Medical Coding Educator

Lake Success, NY 11042

Posted: 08/16/2019 Employment Type: Direct Hire Job Category: Accounting Job Number: 6544

HumanHire is looking for a Coding Educator to work with a large Multi-Specialty Medical Facility located in Mineola NY.  You will be responsible for managing and training the Coding staff to ensure guidelines are met for reimbursement.

 

Job Requirements:

• Develop relationships with clinical providers and communicate coding and documentation guidelines and requirements of the Risk Adjustment program to ensure correct coding and documentation

• Evaluate documentation to ensure that diagnosis coding is supported and meets specificity requirement to support clinical indicators.

• Query providers regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the heath record

• Analyze data to prioritize provider educational reviews.

Implement education, where necessary, and provide formal training to providers and staff regarding coding and documentation standards

• Assists with research, analysis and response to inquiries regarding compliance, coding, and inappropriate coding

• Compile data and present solutions regarding trends or patterns noticed in provider coding

• Create Policy and Procedures to be used within the department to support Best Practices

• Perform the minimum number of coding quality reviews consistent with established departmental goals

• Maintain strictest confidentiality based on HIPAA privacy policy

• Maintain current knowledge of coding guidelines and relevant federal regulations through the use of current ICD-10-CM book, and other pertinent materials

 

Requirements:

• Undergraduate degree or equivalent experience

• 3-5 years of ICD-10 coding assignments in a professional setting

• Completion of coding certification course, AAPC/AHIMA and possess a CCS-P or similar certification

• Knowledge of, and adherence to ICD-10/outpatient coding guidelines

• Strong computer skills
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