Coding Educator Job Description

Coding Educator Job Description

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Coding educator provides risk adjustment subject matter expertise, leads continuous evolution and innovation in coding processes, computer assisted coding and computer/software applications.

Coding Educator Duties & Responsibilities

To write an effective coding educator job description, begin by listing detailed duties, responsibilities and expectations. We have included coding educator job description templates that you can modify and use.

Sample responsibilities for this position include:

Knowledge of medical and insurance reimbursement, ICD 9, and CPT coding, and medical terminology
Proficient in PC skills including Microsoft Excel, Power Point and Word
Build organizational capability to achieve business strategies by enhancing the organizations effectiveness and performance
Support and participate in process and quality improvement initiatives
Work independently and rely on professional discretion and judgment
Implement appropriate actions to control trends
Ensure the providers documentation and code selection are appropriate and to the highest specificity
Continually assess the knowledge and appropriate application of ICD-10
Adhere to the MRA Compliance and Ethical Standards Policy
Active participation in field/remote coding educator activities for HEDIS and Risk Adjustment documentation and coding which may include chart reviews, audits, provider engagement activities

Coding Educator Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Coding Educator

List any licenses or certifications required by the position: CPC, RHIT, RHIA, CCS, AAPC, AHIMA, CPMA, EM, E/M, ACS

Education for Coding Educator

Typically a job would require a certain level of education.

Employers hiring for the coding educator job most commonly would prefer for their future employee to have a relevant degree such as Associate and Bachelor's Degree in Education, Health Information Management, Healthcare, Business, Associates, Health, Medical, Health Care, Health Information Technology, Auditing

Skills for Coding Educator

Desired skills for coding educator include:

Excel and PowerPoint
MS Word
Excel
Microsoft Office applications
PowerPoint
Access and PowerPoint
Epic Resolute and Ambulatory
Medical terminology
CMS Risk Adjustment and HCC Coding Process
Pertinent materials

Desired experience for coding educator includes:

Minimum four (4) years combined experience assigning and auditing AMA CPT and CMS HCPCS codes, ICD-10- CM/PCS and ICD-9-CM diagnoses and procedure codes in an acute care setting required
Extensive inpatient coding experience in an acute care facility required
Must possess a proficient understanding of the Inpatient and Outpatient Prospective Payment Systems (IPPS/OPPS), Medical Severity Diagnosis-Related Groups (MS-DRG), National Correct Coding Initiative Edits (NCCI), ICD-9-CM Official Guidelines for Coding and Reporting, and Coding Clinic
Must be able to develop and present training curricula for coders and healthcare providers based on analysis of audit data
Knowledge of laws and regulations pertaining to Health Information Management (e.g., TJC, HIPAA, CMS, OSHPD, DHS, Uniform Health Care Information Act) required
Ability to demonstrate knowledge of and utilize health information management professional practice standards, principles, techniques and methodologies

Coding Educator Examples

1

Coding Educator Job Description

Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of coding educator. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for coding educator
  • Analyzes data, identifies trends/conclusions
  • Under the general supervision of PMI Coding and Compliance Director, the Coding Compliance Auditor position will be responsible for maintaining completeness of medical record documentation and coding accuracy by conducting informal concurrent as well the formal Quarterly Provider
  • Documentation and Coding audits
  • In addition, the Coding Compliance auditor will provide compliance, documentation and coding guidance support to operational departments
  • Coordinate hospital coder training
  • Develop content and material for the education of coders
  • Develop and maintain coding operations workflow training manuals
  • Monitor and report the progress of coders in the training and orientation process
  • Stay up to date on coding changes and incorporate those changes into all trainings
  • Analyze and interpret trends in coding and make necessary recommendation to align education materials with those changes
Qualifications for coding educator
  • Advanced coding knowledge for professional services to include ICD-9 and 10, CPT-4 , HCPCS and 1500 billing
  • A minimum of 5 years experience in professional fee coding required
  • Experience with the electronic health record (EHR) and health care applications required
  • Demonstrate excellent interpersonal, organizational and communication/writing skills
  • CPC or CCS-P and CPMA/CHCA required
  • Additional specialty credentials preferred
2

Coding Educator Job Description

Job Description Example
Our innovative and growing company is looking for a coding educator. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for coding educator
  • Ability to demonstrate critical thinking by summarizing issues researched and presenting issues and their solutions to management
  • Ability to use research skills to gain info on complex coding/billing issues
  • RHIT, CPC, or CCS~P
  • Ability to add, subtract and divide in all units of measure, using whole numbers, fractions, and decimals
  • Successfully perform consistent coding quality reviews to validate correct coding of both the Risk Adjustment Coding Team vendors providing coding support to BCBSMA
  • Develop and maintain coding reference tools for the Risk Adjustment Coding Team BCBSMA providers
  • Researches coding and compliance issues related to Practices' new service development (e.g., intensivists, acupuncture, social workers)
  • Provides guidance to system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC
  • Association and Corporate Compliance Coding Guidelines
  • Be responsible for maintaining completeness of medical record documentation and coding accuracy by conducting informal concurrent as well the formal Quarterly Provider Documentation and Coding audits
Qualifications for coding educator
  • Comprehensive knowledge of claims submission and medical billing software
  • Ability to demonstrate knowledge of and utilize, apply, interpret and train on current coding classifications systems and documentation guidelines
  • INDM1
  • Acceptable coding or HIM certification
  • Bachelor’s degree in a related healthcare field OR equivalent combination of education and experience
  • At least 5 years of experience in healthcare professional billing and coding or clinical field
3

Coding Educator Job Description

Job Description Example
Our innovative and growing company is hiring for a coding educator. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for coding educator
  • Performs monthly quality reviews of coding personnel and verifies accuracy ratios supplied or competency assessment validation
  • Assures new employees flow through the sequence of learning structure in a timely and effective manner
  • Assists in innovative training developments and maintains coding consistency in all types of records through continuing education
  • Codes/abstracts inpatient records and outpatient surgery records as necessary, concurrently performing analysis
  • Educate and mentors new CDI Staff
  • Performs coding quality audits of records for ICD-10-CM and PCS, MSDRG/APR assignment to ensure functions of the CDI and coding team are performed with a high degree of accuracy
  • Identify trends and patterns in coding and documentation variances, CDI metrics and query data, monitor quality and provide education to ensure compliance with pertinent regulations and guidelines
  • Research coding updates, new procedures, disease pathophysiology and clinical documentation requirements
  • Develops meeting agendas with CDI/HIM management to encourage staff CDI/Coder presentations
  • Implement coding/CDI improvement initiatives, goals and objectives for all facilities
Qualifications for coding educator
  • At least 5 years of certified coding experience or clinical experience
  • At least 2 years of experience in education and training of coders and physicians regarding coding and documentation guidelines preferred
  • Ability to have flexible work hours to facilitate face-to-face meetings with physicians at their clinics
  • Proven success with developing and maintaining statistics, metrics, and performance improvement activities
  • Consistently meets productivity standards established for Coder III position for 6 months
  • Must be professional in appearance, speech and conduct
4

Coding Educator Job Description

Job Description Example
Our growing company is hiring for a coding educator. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for coding educator
  • Works under direction of DRG appeals lead to assist in DRG and RAC appeals
  • Provides feedback to HIM management staff and CDI leadership regarding opportunities for documentation improvement
  • Responsible for evaluating and conducting coding education in compliance with industry coding standards to physicians, non-physician practitioners and ancillary staff
  • Responsible for promoting improvements in documentation practices for assigned specialties through frequent interaction with providers
  • Assists in the development and maintenance of coding education materials and process improvement plans
  • Required to foster positive interactions with the providers and staff during the educational process
  • Involved with health system quality and core measure initiatives as they relate to documentation
  • Available at all times to investigate and respond to coding staff questions
  • Collaborates with physicians to assist in making sure documentation is complete, accurate and timely allowing accurate coding of the diagnoses and services performed
  • Oversees and regularly reports to department management on the status of departmental financial objectives and physician productivity as they relate to coding
Qualifications for coding educator
  • 2 years coding, training or auditing experience
  • 1 certification from the acceptable options as defined by Coding Department, within 1 year of hire
  • External candidates must have a minimum of 5 years experience in hospital coding and/or auditing, , education techniques and methods are required
  • Must be proficient in DRG/APC structure, National Correct Coding Initiatives, ICD CM/PCS Official Guidelines, Outpatient Prospective Payment System and Coding Clinic References
  • Minimum of 3 years experience with claims processing and data management preferred
  • Past auditing and strong education/training background in coding and reimbursement preferred
5

Coding Educator Job Description

Job Description Example
Our growing company is looking for a coding educator. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for coding educator
  • Responds to inquiries and concerns expressed by physicians and ancillary departments regarding coding
  • Assists management in preparations for coding validation audits as needed
  • Assists in preparation and oversight for coding related third party payor appeals
  • Responsible to maintain current knowledge of applicable Federal, State and local laws and regulations, the Organizational Integrity Program, Standards of Conduct, other coding policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior
  • Perform medical chart audits meeting minimum productivity standards and ensures proper chart documentation
  • Schedule offsite audits and organize special project audits
  • Draft educational coding articles that will be posted on the Coding News intranet site
  • Submit weekly audit totals to management
  • Coordinate Physician Office Coder training and departmental orientation
  • Conduct focused training of coding staff as needed
Qualifications for coding educator
  • Extenive local and overnight travel (up to 75%), must have reliable transportation and valid drivers license
  • Internal transfer and promotion candidates may have a minimum of three years' of experience in the above along with the required knowledge
  • In addition they must be able to demonstrate efficiency and competencies in these areas as observed and monitored by coding management
  • Associate’s degree in healthcare or business related field and 2 years of related coding/auditing experience, or actively pursuing and able to complete within three years
  • Bachelor’s or Associate Degree in Business/Healthcare preferred, clinical experience/clinical licensure (LPN, RN) a plus
  • Certification licensure CCDS, CCS, preferred

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