Coding Quality Education Specialist

Company: Sentara
Location: Virginia Beach
Posted on: January 24, 2023

Job Description:

City/StateVirginia Beach, VAOverviewWork ShiftFirst (Days) (United States of America)Job SummaryResponsible for coordinating staff development in collaboration with HIM Leadership to assure optimal, ethical reimbursement for Sentara's patients; and that coding practices fall within established compliance guidelines. Performs a number of functions including, but not limited to internal coding assessments, random and pre-bill quality assurance reviews, provides coder and physician education, and coding as needed. Will serve as a liaison with external auditors for corporate audits, as needed. Works with coding staff to develop quality, productivity and to ensure accurate/ ethical coding. Provides orientation to systems and software required for coding. Develops internal coding assessment plan(s) which includes coder assessments, follow-up to coders, management, and physicians. Identifies new problem areas, trends, educational opportunities and advises Coding Leadership. This role also serves as a coding resource for team members by providing feedback to coding questions. Both ICD-10 and CPT coding methodologies are utilized in the internal education activity. The Coding Quality Education Specialist must exhibit competence in APCs and/or MS-DRGs.

Minimum 4 years experience coding complex inpatient and/or outpatient cases in an acute care setting. Associates Degree preferred. Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) is required for inpatient auditors. Certified Professional Coder (CPC), Certified Outpatient Coder (COC) or CCS is required for outpatient auditors.Qualifications:HS - High School Grad or Equivalent (Required)Certified Coding Specialist (CCS) - Other/National, Certified Professional Coder (CPC) - Other/National, Registered Health Information Administrator (RHIA) - Other/National, Registered Health Information Technician (RHIT) - Other/NationalCodingSkillsCoding, Communication, Critical Thinking, InstructingSentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.
In support of our mission "to improve health every day," this is a tobacco-free environment.

Keywords: Sentara, Virginia Beach , Coding Quality Education Specialist, Education / Teaching , Virginia Beach, Virginia