Coding Consultant Educator- Remote

Ochsner Health•New Orleans, LA

2d•Remote

About The Position

This job leads, manages and participates in coding integrity related projects, including but not limited to specialty specific coding education, audits, research, education, and financial analysis; manages all related aspects of the project and provides education to the executive leadership team and physicians; and ensures that project related training and quality assurance requirements are assessed and implemented by either performing or overseeing activities. Additionally, this job assists the physicians, coders, and leadership team with accurate code assignment develops methods to provide oversight and ongoing compliance, educates physicians on policy changes or coding/documentation opportunities, educates billing staff across all regions on policy changes, and assists HIM/Coding Management team in all functions in relation to coding compliance. Also responsible for oversight of all coding consulting projects such that results provide timely and accurate recommendations consistent with the management decisions under consideration. This job serves in conjunction with coding leadership and supervises, coaches, evaluates and counsels employees to ensure competency in all aspects of job duties, including regulatory compliance with CMS or other coding guidelines.

Requirements

High School diploma or equivalent
5 years related clinical experience (nursing or allied health) OR coding experience with Medicare and Managed Care Reimbursement, Managed Care contractual arrangements and patient accounting/billing background OR 3 years with a Bachelor's degree
Certification in Coding (CCS-P, CCS), Certified Professional Coder (CPC), Certified Professional Coder- Hospital (CPC-H), Certified Coding Specialist- Physician based (CCS-P), or Certified Coding Specialist (CCS)
Must have computer skills and dexterity required for data entry and retrieval of information.
Effective verbal and written communication skills and the ability to present information clearly and professionally.
Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
Strong interpersonal skills.
Strong leadership skills.
Ability to and experience preparing and presenting findings and results to diverse audiences including Physicians, Vice Presidents, Compliance Officer, Attorneys, Directors, Managers and staff.
Ability to and experience planning, coordinating and reviewing projects involving complex business and technical matters.
Analytical and operational problem solving skills.
Time management skills, including the ability to prioritize, organize and coordinate multiple work areas and assignments under fast paced and changing conditions to meet deadlines.
Ability to and experience resolving issues at lowest level and understanding when to escalate or change priorities
Experience balancing technical and practical needs.
Competency in applying accounting principles and/or federal and state regulations to daily decision- making process.
Positive attitude and the ability to promote a cooperative and pleasant work environment since all responsibilities are team oriented.
Ability to move throughout the department, Clinic and other organizational locations.
Must be able to work a flexible work schedule (e.g. 24/7, weekend, holiday).

Nice To Haves

Bachelor's degree
Additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications.

Responsibilities

Audits and educates coders to ensure coding consistency across all regions.
Interprets CMS/Coding policies and provides education to physicians/Coding and Education staff.
Trains new hires and interns.
Develops measures to track and monitor coding improvement initiatives.
Consults for physicians.
Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
Supervises, coaches, evaluates and counsels employees to ensure competency in all aspects of job duties, including regulatory compliance with CMS or other coding guidelines.

Benefits

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.
Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.
Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or [email protected].
This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
Ochsner Health is the leading not-for-profit healthcare provider in the Gulf South, delivering expert care at its 46 hospitals and more than 370 health and urgent care centers.
For 12 consecutive years, U.S. News & World Report has recognized Ochsner as the No. 1 hospital in Louisiana.
Additionally, Ochsner Children’s has been recognized as the No. 1 hospital for kids in Louisiana for three consecutive years.
Ochsner inspires healthier lives and stronger communities through a combination of standard-setting expertise, quality and connection not found anywhere else in the region.
In 2023, Ochsner Health cared for more than 1.5 million people from every state in the nation and 65 countries.
Ochsner’s workforce includes more than 38,000 dedicated team members and over 4,700 employed and affiliated physicians.
To learn more about how Ochsner empowers people to get well and stay well, visit https://www.ochsner.org/.
Ochsner Health is proud to be an Employer of Choice.
Ranked one of Newsweek's list of America's Greatest Workplaces for Diversity of 2024
Becker's Healthcare listed Ochsner Health as 150 Top Places to Work in Healthcare
Awarded Culture Awards for Purpose and Values and Healthcare Industry by Top Workplace
Ranked as a 2023 Top Workplace in the USA!
The Top Workplaces USA award is based entirely on feedback from an employee engagement survey completed by the employees of participating workplaces.
Awarded Top Work Places 2023 for six consecutive years by The Times-Picayune
Earned 2022-2023 Great Place to Work Certification™
Ochsner Health named to Newsweek's America's Greatest Workplaces for Parents and Families 2023
Opportunities listed here represent open positions at Ochsner Health and Ochsner Health managed entities.