Remote Senior Mid Revenue Cycle Coding Educator

Remote Senior Mid Revenue Cycle Coding Educator

The Senior Mid Revenue Cycle Coding Educator serves as the subject-matter expert and educational resource for any medical record coding and patient charge related issues. This position provides education and training to clinical providers, nurses and Revenue Integrity (RI) and Health Information Management (HIM) staff.

The position is responsible for designing, creating and implementing educational and training curriculum to initiate new processes. Resulting from initiatives, coding related projects and general coding related matters driven by business needs.

Creating the audit and quality review schedule for the fiscal year, adding a contingency plan for unexpected reviews and business priorities driven by external matters; reviewing and communicating the CMS changes and their impact on RI and HIM operations; conducting monthly audits and quality reviews for providers, nurses and Revenue Integrity (RI) and Health Information Management (HIM) staff to identify compliance opportunities with clinical documentation and coding and charging guidelines.

Leading projects aimed to review and improve the quality of the clinical documentation in the patient record and final coding for both professional and technical billing resulting in the creation of curriculum specific to clinical services and tailor to individual stakeholders.

Reviewing and approving the work completed by the Mid Revenue Cycle Coding Educators prior to distribution, implementation and educational venues update. Reviewing and approving the education and training calendar to onboard RI and HIM new team members. Position ensures the sign off of the education program as documentation for the new team member 90 days introductory period.

Position Duties:

• Quality Assurance
• Communication/Collaboration
• Analyze and Review
• Productivity/Time Management
• Knowledge of Query
• CEU Maintenance
• Working with Leadership
• Curriculum Creation and approval

Minimum Education & Credentials Required:

• Must have a Bachelor's Degree plus six (6) years of health care coding experience with ICD-10-CM, CPT and HCPCS classification systems; inclusive of minimum of two (2) years of professional practice medical coding auditing experience.
• Must have a Associate's Degree plus eight (8) years of health care coding experience with ICD-10-CM, CPT and HCPCS classification systems; inclusive of minimum of two (2) years of professional practice medical coding auditing experience.
• Any "one" of the following certifications is required: CPC-H, CCS, CPMA, CPC, COC, CCS-P, RHIT, RHIA OR any relevant certification not listed here may be reviewed and considered by the business to satisfy this requirement.

Minimum Skills & Specialized Training Required:

• Expert ICD10CM and ICD10PCS, CPT, HCPCS, AHA, MSDRG.
• CMS guidelines, National Center for Healthcare Statistics, Radiation Concology Coding Guidance (Coding Strategies, American Society for Radiation Oncology (ASTRO). American College of Radiation Oncology (ACRO), AHIMA, AAPC code of ethics.
• Must work M-F business hours Eastern Time Zone.
• Strong communication (written/verbal) with experience in writing queries.
• Experience with automated patient care and coding systems Cerner EHR, OPTUM CAC, 3M encoder and Mosaiq, Soarian financial billing system.
• Competence with MS Office Software.
• Experience with coding Oncology related services and conducting training through Zoom.

Working Hours Needed:

• M F 8hrs per day, 40hrs a week, during standard business hours Easter Time Zone Business Hours Only

Compensation & Benefits:

• Pay Range: Paid weekly a very competitive hourly rate.
• Health & Dental.
• PTO, Sick Time, 6 paid holidays.
• 401K, Weekly Pay.