Coding Quality Review Educator
About The Position
As a work from home CQR Educator, you will be responsible for assisting in the efficient and effective design, development, and delivery of all CQR education components to the Central Coding Unit team, including strategic partners and other stakeholders as applicable. The CQR Educator is also responsible for thorough understanding of the CQR Quality Workplan and will ensure all education efforts promote compliance and awareness of the plan. Additionally, this individual will be a subject matter expert (SME) in ensuring compliance with national coding guidelines, CCU and company coding policies, and monitor governmental and commercial payer information for complete, accurate and consistent code assignments. The CQR Educator, in collaboration with CQR leadership, will work to identify opportunities for coder education via coder reviews, stakeholder feedback, and review of data analytics that identify educational opportunities, trends, etc. The CQR Educator will also collaborate with other external departments as needed to provide input on coding education opportunities and assist with creation of education materials to improve the accuracy, consistency, and efficiency of code assignment for reimbursement and reporting purposes. This individual will assist in training and support of medical coding staff through education forums, written coding resources, creation and maintenance of coding training materials and other duties as assigned. The CQR Educator will support the CCU team to achieve goals and objectives, continually looking for process improvements, and reporting operational results. This individual will foster an environment of teamwork and work excellence within the coding team and also be responsible for setting the tone of the Parallon HSC Central Coding Unit as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs.
Requirements
- 4+ years of coding and/or reimbursement experience required. (Relevant education may substitute experience requirement).
- Inpatient/outpatient professional fee coding experience required. Experience in multi-specialty coding strongly preferred
- Coding certification through AHIMA or AAPC required. Extensive experience may be accepted in lieu of coding certification.
Nice To Haves
- Knowledge of medical terminology, pathophysiology and anatomy and physiology is preferred
- Previous audit experience preferred.
Responsibilities
- Assist in the design, development, and delivery of CQR education components.
- Ensure education efforts promote compliance and awareness of the CQR Quality Workplan.
- Serve as a subject matter expert (SME) in coding compliance.
- Identify opportunities for coder education.
- Collaborate with external departments to improve coding accuracy and efficiency.
- Assist in training and support of medical coding staff.
- Support the CCU team to achieve goals and objectives.
- Foster an environment of teamwork and work excellence.
Benefits
- Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
- Free counseling services and resources for emotional, physical and financial wellbeing
- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock
- Family support through fertility and family building benefits with Progyny and adoption assistance.
- Referral services for child, elder and pet care, home and auto repair, event planning and more
- Consumer discounts through Abenity and Consumer Discounts
- Retirement readiness, rollover assistance services and preferred banking partnerships
- Education assistance (tuition, student loan, certification support, dependent scholarships)
- Colleague recognition program
- Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
- Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Hospitals
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
