Note: The job is a remote job and is open to candidates in USA. Ochsner Health is a healthcare organization committed to serving, healing, leading, educating, and innovating. The Professional Coding Consultant Educator leads coding integrity projects, including coding education, audits, research, and financial analysis, while supporting physicians, coders, leadership, and billing staff with coding compliance and accurate code assignment. The role also oversees consulting projects and supervises, coaches, evaluates, and counsels employees.
Responsibilities
- This job leads, manages and participates in coding integrity related projects, including but not limited to specialty specific coding education, audits, research, education, and financial analysis; manages all related aspects of the project and provides education to the executive leadership team and physicians; and ensures that project related training and quality assurance requirements are assessed and implemented by either performing or overseeing activities
- Additionally, this job assists the physicians, coders, and leadership team with accurate code assignment develops methods to provide oversight and ongoing compliance, educates physicians on policy changes or coding/documentation opportunities, educates billing staff across all regions on policy changes, and assists HIM/Coding Management team in all functions in relation to coding compliance
- Also responsible for oversight of all coding consulting projects such that results provide timely and accurate recommendations consistent with the management decisions under consideration
- This job serves in conjunction with coding leadership and supervises, coaches, evaluates and counsels employees to ensure competency in all aspects of job duties, including regulatory compliance with CMS or other coding guidelines
- Audits and educates coders to ensure coding consistency across all regions
- Interprets CMS/Coding policies and provides education to physicians/Coding and Education staff
- Trains new hires and interns
- Develops measures to track and monitor coding improvement initiatives
- Consults for physicians
- Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style
- Other related duties as required
- Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards
- This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns
Skills
- Required - High School diploma or equivalent
- Required - 5 years related clinical experience (nursing or allied health) OR coding experience with Medicare and Managed Care Reimbursement, Managed Care contractual arrangements and patient accounting/billing background OR 3 years with a Bachelor's degree
- Required - Certification in Coding (CCS-P, CCS), Certified Professional Coder (CPC), Certified Professional Coder- Hospital (CPC-H), Certified Coding Specialist- Physician based (CCS-P), or Certified Coding Specialist (CCS)
- Must have computer skills and dexterity required for data entry and retrieval of information
- Effective verbal and written communication skills and the ability to present information clearly and professionally
- Must be proficient with Windows-style applications, various software packages specific to role and keyboard
- Strong interpersonal skills
- Strong leadership skills
- Ability to and experience preparing and presenting findings and results to diverse audiences including Physicians, Vice Presidents, Compliance Officer, Attorneys, Directors, Managers and staff
- Ability to and experience planning, coordinating and reviewing projects involving complex business and technical matters
- Analytical and operational problem solving skills
- Time management skills, including the ability to prioritize, organize and coordinate multiple work areas and assignments under fast paced and changing conditions to meet deadlines
- Ability to and experience resolving issues at lowest level and understanding when to escalate or change priorities Experience balancing technical and practical needs
- Competency in applying accounting principles and/or federal and state regulations to daily decision- making process
- Positive attitude and the ability to promote a cooperative and pleasant work environment since all responsibilities are team oriented
- Ability to move throughout the department, Clinic and other organizational locations
- Ability to work 8-10 hour days, may require evening, weekend and holiday work during peak periods, depending on department needs
- Long distance travel may be required to complete continuing education and site visits to satellite locations
- Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met
- Must be able to travel throughout and between facilities
- Must be able to work a flexible work schedule (e.g. 24/7, weekend, holiday)
- Preferred - Bachelor's degree
- Preferred - Additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications
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