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Renown Regional Medical Center Coding Educator in Reno, Nevada

POSITION: Coding Educator

SCHEDULE: Full Time

LOCATION: Reno, NV

SALARY: $32.76 - $45.87

TO APPLY:

Direct Link -https://pm.healthcaresource.com/cs/renownhealth/#/job/52519

Careers Page -https://www.renown.org/Careers

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SUMMARY:

This position is responsible and accountable for initial and ongoing education of providers and/or coding staff on key revenue cycle topics, including but not limited to coding, documentation, billing policies, and regulatory compliance in regard to professional (pro-fee) coding. As such, this position takes a significant role in developing the training and curricula necessary to ensure physicians and/or staff reach and maintain a desired level of coding and documentation proficiency. This position is also responsible for ensuring the accuracy of information in these processes is maintained through the conducting and analysis of periodic auditsand, if accuracy is not at the expected level, this individual is responsible for the reeducation and training of physicians and/or staff to ensure these departments are meeting their targets. Additionally, this position is responsible for serving as a figurehead of knowledge as it relates to all coding systems in use; CMS, federal, and state coding regulations; and third-party reimbursement requirements.

MINIMUM/PREFERRED REQUIREMENTS:

Education: High school diploma or equivalent required; bachelors degree in health information management, business administration, healthcare administration, or related field preferred. Experience: A minimum of 5-8 years of previous facility and/or pro-fee coding experience required. A minimum of 2 years of previous experience performing, analyzing, and providing feedback on physician documentation and coding audits required. Teaching experience for a variety of comprehension levels preferred. Certification:CCS, CCS-P, and/or CPC Coding credential required. CDIP and/or CCDS credential required. (Excludes apprenticeship classification). Computer/Typing: Must be proficient with Microsoft Office Suite, including Outlook, Power Point, Excel, and Word. Must have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

JOB RESPONSIBILITIES/DUTIES:

Investigate, evaluate, and identify opportunities for improvement and provide guidance and counsel to providers with face-to-face and/or virtual meetings.

Identify and audit areas requiring attention, performing special audits/investigations as requested, share this information with leadership and provide one-on-one education with the provider and in a timely manner.

Collect and analyze data, submit reports as assigned and monitor monthly audits to ensure that they are completed timely.

Report/record all documentation and coding issues that require follow-up reviews to coding manager.

Be aware of what is happening in clinic/department and the organization by attending clinic/department meetings, reading e-mails/in-basket messages and regularly checking information on the organizations intranet site.

Balance team and individual responsibilities; be open and objective to others views; give and welcome feedback; contribute to positive team goals; and put the success of the team above own interests.

Perform other duties at the request of various departmental leadership groups to facilitate the smooth and effective operations of the organization.

Clinical Coding Research and Education

Research coding inquires and be a resource for providers, clinical, billing and coding staff.

Investigate, evaluate, and identify opportunities for improvement and provide guidance and counsel to providers, clinical staff, coding staff, and/or billing staff by setting up small group meetings or training sessions.

Develop, update, and implem nt coding department newsletters, education, reference documents.

Proactively identify areas of opportunity to improve coding quality based on audit feedback, coder questions, physician escalations, denial meetings, and other platforms and plans coder education accordingly.

Demonstrate the attention to detail to minimize coding errors, legitimately optimize reimbursement and ensure accurate billing.

Serves as a liaison point of contact for clinical coding inquiries and communication for professional billing revenue cycle.

Seeks to establish collaborative relationships with physician leaders, clinical providers, Compliance, Revenue Cycle, and administrative leadership in the support of coding education and documentation adequacy.

Assists with claim denial reports to ensure optimal reimbursement.

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