About The Position

Under the direction of the Sr. Manager of PCN Coding Integrity, the Coding Quality Educator will assist with the day-to-day operations of the PCN Coding Integrity Team and regional coding teams. This position will assist with new employee training and ongoing department education as well as assist with the identification, development and delivery of new and ongoing provider education and training related to coding and clinical documentation. In addition, the role conducts independent and collaborative provider coding reviews according to the coding integrity work plan and develops appropriate documentation to support coding review work performed. Providence caregivers are not simply valued – they’re invaluable. Join our team at Health Services Integration and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Requirements

  • Bachelor’s Degree in Management, Health Information Technology, or related field or an equivalent combination of education and experience
  • Upon hire: National Certification from American Academy of Professional Coders, or Upon hire: National Certification from American Health Information Management Association
  • 4 years professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work.
  • 4 years experience conducting medical coding provider audits and quality performance measures; preparing audit reports with recommendations; and providing provider education and feedback to facilitate improvement in documentation and coding.
  • Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment.

Nice To Haves

  • 5 years professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work.
  • 5 years preferred.
  • 5 years experience conducting medical coding provider audits and quality performance measures; preparing audit reports with recommendations; and providing provider education and feedback to facilitate improvement in documentation and coding.
  • Associate's Degree in a Healthcare related field
  • 5 years experience in coding for multispecialty practice.
  • 2 years experience in professional fee billing methodologies.
  • Experience with IDX, Allscripts, Advanced Web, Meditech.
  • Experience with project management.

Responsibilities

  • Assist with new employee training and ongoing department education.
  • Assist with the identification, development and delivery of new and ongoing provider education and training related to coding and clinical documentation.
  • Conducts independent and collaborative provider coding reviews according to the coding integrity work plan.
  • Develops appropriate documentation to support coding review work performed.

Benefits

  • Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.
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