Medical Coding Educator

SBHU•Commack, NY

About The Position

At Stony Brook Medicine, the Medical Coding Educator will develop and provide educational programs related to ICD-10 CM and ICD-10 PCS coding for new and existing staff. This role involves collaborating with department management to set goals for educational activities for all coders. Duties include evaluating, designing, coordinating, and delivering comprehensive training, assessing and providing feedback to coders, developing reinforcement training, and conducting educational sessions based on coder performance. The educator will also perform coding audits, compile and communicate audit results, prepare presentations on coding updates, research updated coding information, and ensure coding staff have ongoing access to updated resources. Additionally, this role provides education to the Clinical Documentation Integrity (CDI) staff on various coding-related topics, including book usage, identifying comorbidities, the Inpatient Prospective Payment System, Official Coding Guidelines, DRG reviews, and the use of coding software. The educator will also review and respond to coding questions, collaborate with Patient Financial Services on claim corrections, and undertake special projects related to coding, which may include coding, abstracting, and data entry.

Requirements

Bachelor's degree
At least 6 years of experience with ICD-10 CM and ICD-10 PCS coding
RHIA, RHIT, and/or CCS certification
Demonstrated proficiency in medical terminology
Strong organizational and written communication skills

Nice To Haves

Master’s Degree or higher in Health Information Management or another Healthcare related degree
10 years or more experience with ICD-10 CM, ICD-10 PCS, CPT & HCPCS coding
Experience with education, training, compliance and auditing
RHIA, RHIT, CCS, CCS-P, or CPC certification

Responsibilities

Evaluating, designing, coordinating, and delivering comprehensive training and education for new and existing staff.
Development of ICD-10-CM and ICD-10 PCS education training for new employees.
Assessing and providing feedback to each coder on their work performed.
Development of reinforcement training for existing staff in collaboration with department management.
Provide educational sessions to new and existing staff based on results of each coder's performance.
Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ICD-10 PCS coding.
Compile and communicate results of the audits to the appropriate managers.
Prepare training and presentations on various topics, such as the annual ICD-10 and ICD-10 PCS updates, and any other coding updates throughout the year including Quarterly Coding Clinic reviews.
Research updated coding information, rules, laws, and statutes for all payers and government entities.
Ensure the Coding Staff has updated resources on an ongoing basis.
Provide education to the Clinical Documentation Integrity (CDI) staff on a brief History of Coding.
Provide education to the CDI staff on ICD-10 CM & ICD-10 PCS book contents, organization, and how to use the books.
Provide education to the CDI staff on how to identify Major Comorbidities and Chronic Comorbidities in ICD-10 CM books.
Provide education to the CDI staff on the Inpatient Prospective Payment System.
Provide education to the CDI staff on the use of Official Coding guidelines by specific chapter.
Provide education to the CDI staff on DRG Expert reviews.
Identify surgical DRG’s versus Medicine DRG’s.
Provide education to the CDI staff on the use of all coding software, such as, Access HIM, 3M CRS and References and PwC SMART software.
Provide education to the CDI staff on coding guidance on an ongoing basis.
Review and respond to coding questions.
Work in collaboration with the Patient Financial Services Department on claim corrections.
Special projects assignments related to coding.
Code, abstract and data entry of records.