Note: The job is a remote job and is open to candidates in USA. Novant Health is a healthcare organization seeking a Coding Education Specialist to support coding education, compliance, reimbursement, and quality initiatives. The role provides subject matter expertise in inpatient and outpatient coding, supports new-hire education, conducts audits, resolves coding and billing issues, and identifies process improvement opportunities.
Responsibilities
- Supports the facility coding education program to ensure that Novant Health receives appropriate reimbursement and complies with industry standards & guidelines
- Should be a subject matter expert in inpatient or outpatient patient types of hospital coding activities
- Should be a subject matter expert in resolving CCI, OCE, and Medical Necessity edits in the radiology, laboratory, and medicine areas, using CMS and payor-specific guidance
- Supports the Coding Education Lead by assisting with daily activities and oversight for educating all coding department new hires on facility inpatient or outpatient record types, per AHA Official Coding Guidelines, standards, and rules
- Assists in the evaluation and development of available coursework through our learning management system to ensure all coding colleagues are current with regulatory issues
- Supports the Coding Education Lead by proactively managing daily communications with the corporate coding team
- Works closely with team members in addressing issues related to accurate/timely coding, documentation, unbilled accounts management, and denials
- Will often work with multi-disciplinary teams in addressing issues related to coding and billing operations (as applicable)
- May also assist in areas of corporate coding, including production coding and auditing as needed
- Performing coding audits and providing constructive feedback
- Researching and interpreting coding guidelines and regulatory updates
- Responding to questions from vendors and internal stakeholders
- Developing and delivering education to coders of varying experience levels
- Identifying trends and opportunities for process and quality improvement
- Serving as a subject matter expert for complex inpatient coding scenarios
Skills
- RHIA, RHIT, CCS, CCS-P, CPC, COC, or CIRCC licensure
- High School Diploma or GED
- 5+ years of hospital coding experience (in one core area), i.e., Inpatient, Outpatient, Surgery, or Emergency Department
- Ability to work remotely and independently and resolve issues via IM, phone, email, text
- Ability to troubleshoot issues (including IT issues) in a remote environment
- Extensive knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding principles and guidelines
- Extensive knowledge of inpatient and outpatient reimbursement methodologies
- Extensive knowledge of federal, state, and payer-specific regulations and policies about documentation, coding, and billing
- Excellent verbal and written communication skills
- Excellent organizational, problem-solving, and critical thinking skills
- Must be able to interact with individuals of all cultures and levels of authority
- Knowledge of creation and presentation of materials for adult learners
- Mastery of Microsoft Office Suite, including using Word templates, creating PowerPoints, maneuvering Excel spreadsheets (creating pivot tables, trending large amounts of data, etc.)
- Ability to navigate CMS website for NCCI manual, NCD/LCD information, and Medicare Claims Processing Manuals
- Extensive knowledge of HCPCS and CPT coding related to charging
- Ability to apply coding principles for correct charging, including Infusion & Injection Hierarchy, E/M guidelines, Supervision & Interpretation of IVR procedures
Benefits
- Remote opportunity with a flexible work schedule after initial training, equipment provided.
- Comprehensive benefits include medical, dental, vision, life insurance, and generous PTO.
- Retirement fund with matching contributions.
- Reimbursement for AAPC or AHIMA membership fee.
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