Coding Operations Education Consultant WFH

HCA Healthcare•Nashville, TN

6d•Remote

About The Position

The Coding Operations Education Consultant assists with the design, development, and delivery of coding operations education for Physician Services – Clinical Service Group. The role supports coding and Health Information Management (HIM) initiatives, promotes Coding Operations as a service organization, and works to understand and exceed customer expectations. The consultant helps develop and implement the Quality Assessment program and ensures that education addresses review findings. Internal quality reviews are intended to support compliance with national coding guidelines and company policies, and to promote complete, accurate, and consistent coding, appropriate reimbursement, and data integrity. Working with stakeholders, the consultant helps improve patient-data accuracy and integrity, reduce variation in coding practices, and improve physician documentation supporting code assignments. In collaboration with the Regional Coding Operations Manager, the consultant provides targeted and broader coding education based on review findings and trends. The role contributes to cross-functional work with division staff, the Central Coding Unit (Parallon), practice leadership, business owners, project management, the Physician Service Center, IT&S, and other groups. It also provides coding subject-matter expertise for challenges and disputes, including effective provider appeals for selected inventory, and supports education strategies and project management to achieve desired results. The position reports to the Director, Coding Operations Education and Quality and the Manager, Coding Quality Review. Minimal travel is required (less than 10%), including practice-site visits. Other duties may be assigned.

Requirements

Five years of experience in Evaluation and Management and surgical coding, plus reimbursement activities.
Hold at least one AHIMA or AAPC certification: CCS, CCS-P, RHIT, RHIA, CPC, COC, CDEO, or CPMA.
Demonstrate knowledge of medical terminology, ICD, and CPT coding.
Maintain confidentiality and adhere to company conduct and values requirements.

Nice To Haves

Clinical background.
Previous chart abstraction experience.

Responsibilities

Participate in developing strategic coding and HIM communication and education plans, including target audiences, training needs and methods, implementation, and evaluation.
Participate in developing coding-specific, competency-based, and operational communication and education materials with business-unit resources and technical experts.
Deliver communication and coding training to leadership teams and end users through instructor-led, train-the-trainer, virtual classroom, webcast, or web-based methods.
Inform the Director of Education and the AVP about significant education-process, payer, vendor, or other issues.
Inform the Director of Education, the AVP, and cross-functional teams about unique coding documentation and payer requirements, significant changes, and developments.
Assist the Director with maintaining coding training administration records.
Analyze training course evaluations and recommend actions to incorporate feedback.
Identify and implement process improvements to lower costs and improve customer service.
Promote innovation, knowledge sharing, and improved coding operations workflows within the organization and peer groups.
Keep current with coding and billing regulatory requirements and company compliance policies, and ensure timely staff education.
Understand and communicate coding requirements for major payers, including Medicare, Medicaid, HMOs, PPOs, IPAs, and employers.
Apply and share knowledge of medical terminology, ICD, and CPT coding.
Provide coding guidance to customers and other departments to resolve issues.
Provide subject-matter expertise in developing, implementing, and monitoring coding-related standard master files, processes, and reporting.
Apply knowledge of education and organizational development principles and practices.
Help translate business reporting requirements for development staff.
Understand revenue cycle operations and technologies currently in place.
Maintain confidentiality of company and regulated information and adhere to the Code of Conduct philosophy and Mission and Value Statement.
Travel minimally (less than 10%), including practice-site visits.
Perform other duties as assigned.

Benefits

Medical, prescription drug, dental, vision, behavioral health, and telemedicine coverage.
Wellbeing support, including free counseling and referral services.
Paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
Employee Stock Purchase Plan.
Flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
Fertility and family-building benefits and adoption assistance.
Life insurance and supplemental health protection plans.
Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.