| Employer: | Shriners Hospitals for Children |
| Type: | FULL TIME |
| Skills: | coding; training and education |
| Specialties: | pediatric, orthopedic, injury, E/M |
| Required Certifications: | CC,CCS |
| Required Experience: | 8 to 10 years |
| Location: | 2900 n rocky point drive tampa 33607, FL, US |
| Date Posted: | 1/7/2021 |
Under the direction of the Revenue Integrity Director, the Professional Coding Integrity Educator ensures that codes representing current International Classification of Diseases, 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy, physiology and medical terminology as well as compliant coding rules and regulations, including medical necessity and modifiers.
POSITION RESPONSIBILITIES:
- Focus on potential documentation improvement opportunities and issues by specialty for Evaluation & Management (E/M) and surgical providers
- Train providers and coding staff on E/M and Surgical documentation requirements
- Coordinates development of documentation improvement educational materials for providers; coders and other clinical and non-clinical staff
- Perform face-to-face presentations
- Develop curriculum and training handbook and create presentations
- Perform quality assurance reviews to assess comprehension of training efforts and assure coding quality and integrity for clinical staff
- Conduct training sessions on provider-based coding and billing guidelines
- Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations
- Identify trends in documentation deficiencies and communicates areas of improvement to leadership and/or providers
- Act as a key liaison for the clinical staff as it relates to coding and compliance
- Interacts with physicians and other clinical staff regarding documentation issues relating to coding data integrity
- Actively participate in problem identification and resolution and coordinates resolutions between appropriate parties
- Liaison between provider and Professional Coder
THE QUALIFIED CANDIDATE WILL HAVE EXPERIENCE IN THE FOLLOWING AREAS:
- 10 years of professional coding experience required
- Experience with Surgery Coding Guidelines, E/M Coding Guidelines, CPT coding, ICD-10, modifiers, HCPCS and Correct Coding Initiative (CCI) edits required
- Pediatric, orthopedic and/or injury coding experience required
- Experience with education and presentations to staff at all levels including Senior Leadership, providers and coding staff required
- Effective communication and interpersonal skills with ability to work with clinical and non-clinical staff regarding coding issues
- Strong Problem solving, collaboration and interpersonal skills required to facilitate adherence to education plans
MINIMUM EDUCATION REQUIRED/PREFERRED:
- High School Diploma or GED required
- Medical Coding Certificate (CCS through AHIMA or CPC through AAPC) required; meet state licensure requirements
- Associate’s Degree or higher preferred
KNOWLEDGE, SKILLS, AND COMPETENCIES:
- Effective communication and interpersonal skills with ability to work with clinical and non-clinical staff regarding coding issues
- Strong problem solving, collaboration and interpersonal skills required to facilitate adherence to education plans
- Functional knowledge of Microsoft computer applications; excel, word, PowerPoint, etc.
- •Functional knowledge of 3M system or other encoder programs
- Functional knowledge of Medical Terminology
- Functional knowledge of professional coding practice standards
- Proficient with E/M and surgical code assignment
- Proficient with ICD-10 diagnosis code assignment
- Proficient with CPT 4, HCPC and modifier codes
- Excellent written, verbal and presentation skills
- Participation in continuing education and learning experiences to enhance and maintain current knowledge and skills for continued competence
- Accurate and precise attention to detail
- Ability to multitask, prioritize and manage time efficiently