Coding Auditor/Trainer (Coding Coordinator)

Oregon Health & Science University•Portland, OR

15d

About The Position

The Coding Trainer is responsible for constructing and implementing coding training programs for coding specialists. Creates presentations, develops learning material, handbooks and other training materials as needed. Conducts regular audits to ensure understanding and retention of basic and advanced coding concepts. Represents Enterprise Coding as coding expert in specialty projects.

Requirements

Associates degree in Healthcare, Business or related field plus 5 years of production coding experience OR equivalent combination of education and experience
Detailed knowledge of medical coding systems, procedures, and documentation requirements
Knowledge of auditing concepts and principles
Certification in CPC, CPC-H, RHIT, or RHIA
Ability to analyze and solve problems
Ability to develop and implement a training plan
Excellent oral, written, communication, and analytical skills
Ability to use independent judgment and to manage and impart confidential information.
Ability to set priorities and meet deadlines
Strong communication and interpersonal skills
Knowledge of legal, regulatory, and policy compliance issues related to medical coding procedures and documentation
Knowledge of current and developing issues and trends in medical coding procedures requirements
Must be able to sit for extended periods of time; must be able to lead small or large training sessions with composure.

Nice To Haves

Completed coding education and certification from an accredited institution such as AHIMA or AAPC (CPC, CPC-H, RHIT, RHIA)
Solid understanding of 2023 E/M guidelines
Specialty coding experience in a variety of specialties including but not limited to, OB/GYN, GI, ENT, Pulmonary, Endocrinology, Pediatric Medicine, Hospitalists and Telemedicine

Responsibilities

Trains and instructs coders on CPT, Diagnosis, modifiers, CCI edits and documentation requirements as appropriate regarding all industry standards for each clinical department across OHSU
Reviews, develops, modifies, and/or adapts relevant training materials, presentations and curriculum
Audits medical record documentation to identify under-coded and up- coded services; prepares reports of findings and meets with coders and leadership to provide education and training on accurate coding practices and compliance issues both for coders currently in training and ongoing audits for all coders
Leads cross training efforts for coders learning new subspecialties
Review and respond in a timely manner to trainee questions and offer support
Regularly communicates status of ongoing training projects as well as outcomes and challenges to leadership
Provides second-level review of documentation and coding for difficult/advanced services to ensure accurate and compliant charge submission
Participates in process improvement through identification of provider or coder trends (documentation and coding) as well as workflow evaluations
Provides coding audits and detailed assessments for annual performance appraisals
Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations and presents findings and material to the coding department to ensure ongoing education and compliance of all coders in Enterprise Coding
Meets/communicates with Provider Educators to ensure that education is uniform and consistent for both providers and coders for any given area.
Assists Leads with coding e-mail queries for difficult scenarios
Researches, analyzes, and responds to inquiries for challenging coding scenarios regarding compliance, inappropriate coding, denials, and billable services
Participates in recruitment process including evaluation of resumes, interviews and correction/analysis of coding assessment test
Meets with the Coding & Compliance department as needed to discuss concerns, make plans for processes/procedures
Participates in required huddles with leadership team to communicate ongoing training needs
Participates in advisory team meetings to discuss coding guidelines and best practices for consistent coding across Depts/Service Areas.
Other job-related duties as assigned