DRG Senior Educator, Coding
About The Position
The DRG Senior Coding Educator is a subject matter expert who educates and trains staff and healthcare professionals and coordinates with leadership to develop and revise processes. The role supports accurate and complete documentation for coding, capture of severity, acuity, and risk of mortality, and accurate Diagnosis Related Group (DRG) assignments. This remote position may require travel to and work onsite at client, temporary, or corporate office locations as business needs require. Minimal travel may be required. The educator develops onboarding and training for new Clinical Documentation Specialists (CDSs), creates customized individual and group education for a range of healthcare professionals, and supports CDI policies, procedures, and program objectives. The role performs medical record reviews and audits, provides individual mentoring, and helps ensure ethical, accurate, and compliant documentation and coding.
Requirements
- At least 3 years of related clinical documentation and/or coding experience.
- Bachelor’s degree or equivalent experience.
- MD (Doctor of Medicine) or RN (Registered Nurse) licensure.
- Maintain at least one of the following professional certifications: CCS, CPC, CPMA, RHIA, or RHIT. CPC, CPMA, or CCS are preferred.
- Complete Certified Revenue Cycle Representative (CRCR) certification within 9 months of hire.
- Detail-oriented and self-motivated.
- Strong organizational skills.
- Excellent speaking and presentation skills.
- Working knowledge of Microsoft applications, including creating PowerPoint presentations.
- Must be inquisitive and open to innovation, including AI, to explore improved processes and ways to reduce friction and improve patient and client experiences.
- Must reside and be authorized to work in the United States.
- Willingness and ability to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
Nice To Haves
- Experience with multiple EMRs, such as Epic, Meditech, and Cerner.
- CPC, CPMA, or CCS certification is preferred.
- Minimal travel may be required.
Responsibilities
- Develop and continuously improve onboarding, mentoring, and education for new Clinical Documentation Specialists; lead and coordinate training for new CDI staff.
- Collaborate with CDI leadership and clinicians to keep department orientation content, educational materials, and training resources relevant.
- Develop and deliver customized individual and group education to CDSs, coders, providers, mid-level practitioners, nursing, dietary, Quality, and other healthcare professionals; interact with medical staff, directors, and senior hospital leadership as needed.
- Recommend documentation improvements and queries that capture care and intensity of services supported by the medical record.
- Educate CDI team members and providers on CDI program review functions, enterprise goals and objectives, regulatory compliance, policies, procedures, and standard operating procedures.
- Assist with developing and maintaining system CDI policies and procedures, and remain current on CDI guidelines and practices.
- Follow coding guidelines and coding clinics, and maintain current coding knowledge to help ensure codes are accurately assigned based on documentation.
- Serve as a resource for accurate and ethical documentation standards and regulatory requirements; draft compliant queries as endorsed by AHIMA and ACDIS.
- Review medical records for completeness and accuracy in capturing severity of illness, risk of mortality, and clinical validation.
- Determine whether professionally recognized standards of quality care are met.
- Audit CDSs as needed, develop individual educational plans based on Quality Audit outcomes, and provide one-to-one mentoring as needed.
- Oversee and coordinate SMART-related education, meetings, and departmental requirements as instructed by the SMART department.
Benefits
- Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
- Tuition reimbursement.
- Paid certifications and professional development opportunities.
- Quarterly and annual incentive programs; the opportunity description also lists bonus incentives.
- Career advancement opportunities.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
