Remote Coding Quality and Education Specialist- HIM ED Charging
Overview
Remote Coding Quality and Education Specialist- HIM ED Charging
This position is Part time- day shift and Fully remote position
Responsible for coordinating staff development in collaboration with HIM Leadership to assure optimal, ethical reimbursement for Sentara's patients; and that coding practices fall within established compliance guidelines. Performs a number of functions including, but not limited to internal coding assessments, random and pre-bill quality assurance reviews, provides coder and physician education, and coding as needed. Will serve as a liaison with external auditors for corporate audits, as needed. Provides orientation to systems and software required for coding. Develops internal coding assessment plan(s), which includes coder assessments, follow-up to coders, management and physicians. Identifies new problem areas, trends, educations opportunities and advise Coding Leadership. This role also serves as a coding resource for team members by providing feedback to coding question. Both ICD-10 and CPT coding methodologies are utilized in the internal education activity. The Coding Quality Education Specialist must exhibit competence in APCs and/or MS-DRGs
Education
• Associates Degree preferred.
Certification/Licensure
• Certified Professional Coder (CPC), Certified Outpatient Coder (COC) or CCS is required for outpatient auditors.
• Registered Health Information Administrator (RHIA) - Certification or Registered Health Information Technician (RHIT) - Certification accepted.
Experience
• Minimum 4 years experience coding complex inpatient and/or outpatient cases in an acute care setting.
• ED charging experience is strongly preferred
Remote Coding Quality and Education Specialist- HIM ED Charging
This position is Part time- day shift and Fully remote position
Responsible for coordinating staff development in collaboration with HIM Leadership to assure optimal, ethical reimbursement for Sentara's patients; and that coding practices fall within established compliance guidelines. Performs a number of functions including, but not limited to internal coding assessments, random and pre-bill quality assurance reviews, provides coder and physician education, and coding as needed. Will serve as a liaison with external auditors for corporate audits, as needed. Provides orientation to systems and software required for coding. Develops internal coding assessment plan(s), which includes coder assessments, follow-up to coders, management and physicians. Identifies new problem areas, trends, educations opportunities and advise Coding Leadership. This role also serves as a coding resource for team members by providing feedback to coding question. Both ICD-10 and CPT coding methodologies are utilized in the internal education activity. The Coding Quality Education Specialist must exhibit competence in APCs and/or MS-DRGs
Education
• Associates Degree preferred.
Certification/Licensure
• Certified Professional Coder (CPC), Certified Outpatient Coder (COC) or CCS is required for outpatient auditors.
• Registered Health Information Administrator (RHIA) - Certification or Registered Health Information Technician (RHIT) - Certification accepted.
Experience
• Minimum 4 years experience coding complex inpatient and/or outpatient cases in an acute care setting.
• ED charging experience is strongly preferred