Coding Quality Education Coordinator

Cleveland Clinic•Cleveland, OH

28d•Remote

About The Position

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As a Coding Quality Education Coordinator, you will provide one-on-one and classroom-based clinical documentation and coding education to medical staff, Advanced Practice Providers and other key stakeholders. In this role, you will serve as a subject matter expert for Cleveland Clinic on documentation standards, reimbursement methodology and data interpretation as they relate to hospital records. You will conduct quality reviews of inpatient CDI cases, queries, assigned codes and working DRGs. You will also contribute to process improvement initiatives informed by audit findings and hospital or institute performance improvement priorities impacted by documentation quality. Areas of focus will include surgical and operative techniques, ICD-10-CM and CPT/HCPCS coding conventions and guidelines, modifier application and Medicare regulatory updates. A caregiver in this role works remotely from 8:00 a.m. - 5:00 p.m.

Requirements

Must meet one of the following education requirements: An Associate's Degree in Health Information Management from a CAHIM accredited program or related field AND must be a Registered Health Information Technician (RHIT) OR a Bachelor's Degree in Health Information Management from a Commission on Accreditation for Health Informatics and Information Management (CAHIIM) accredited program or related field AND must be a Registered Health Information Administrator (RHIA) OR a graduate from an accredited school of nursing (Licensed Practical Nurse or Registered Nurse) AND an active State of Ohio Licensed Practical Nurse (LPN) or Registered Nurse (RN) licensure OR a graduate of a medical college
Three years of experience in clinical documentation improvement in hospital settings
(Bachelor's Degree in Nursing or medical degree may substitute for up to two years of experience)
In-depth knowledge of ICD-10-CM, CPT-4 coding principles and DRG assignment
Formal coursework in anatomy, physiology and medical terminology in order to accurately interpret the medical record.
Expert knowledge of CDIS applications
Working knowledge of both personal computer applications and mainframe computer systems
Excellent verbal and written communication skills and are detail-oriented with strong analytical abilities

Nice To Haves

Certified Interventional Radiology Cardiovascular Coder (CIRCC)
Certified Professional Coder (CPC)
Certified Documentation Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS) or Certified Coding Specialist (CCS)

Responsibilities

Provide one-on-one and classroom-based clinical documentation and coding education to medical staff, Advanced Practice Providers and other key stakeholders.
Serve as a subject matter expert for Cleveland Clinic on documentation standards, reimbursement methodology and data interpretation as they relate to hospital records.
Conduct quality reviews of inpatient CDI cases, queries, assigned codes and working DRGs.
Educate and mentor new employees through the on-boarding process.
Train caregivers on initial CDI process, concept training and on-going education related to new topics in CDI, coding and reimbursement.
Support CDS with new technology and technology updates. Assists with and provides suggestions for continuing education topics and issues.
Monitor CDI compliance through quality audits and data analysis.
Provide feedback to the management team and staff regarding ICD 10 CM/PCS, CPT-4 coding, DRG assignment and related clinical documentation issues or concerns.
Analyze and evaluate clinical and operational systems and processes relative to reimbursement and quality statistics through chart review and other special study methods.
Recommend data quality improvements and revenue enhancements.
Develop and maintain CCHS facilities policies and guidelines in accordance with AHIMA Practice Briefs, Official Coding Guidelines, ACDIS standards and Coding Clinic.
Educate groups and individuals within and external to HIM regarding documentation, coding, DRG, ICD-10, CPT-4 code assignment and the reimbursement process
Interact with and educate physicians,APPs, and caregivers individually and in groups.
Assist with the analysis of statistical and other reports.
Support CDI and HIM program initiatives.
Anticipate and respond to changing skills requirements.
Seek opportunities to learn new skills and actively coach and encourage team members to do the same.
Successfully integrates team into the CDI and HIM process to promote their development.
Comply with CCHS and departmental policies and procedures consistently.