Professional Coding Integrity Educator in Tampa, FL at Shriners Hospitals for Children

Date Posted: 11/18/2020

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    2900 North Rocky Point Drive
    Tampa, FL
  • Job Type:
  • Experience:
    At least 10 year(s)
  • Date Posted:
    11/18/2020

Job Description


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

Job Requirements

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

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