Medical Coding Educator
About The Position
At Stony Brook Medicine, the Medical Coding Educator develops and provides educational programs related to ICD-10-CM and ICD-10-PCS coding for new and existing staff, and collaborates with department management to set goals for coder education. The position evaluates, designs, coordinates, and delivers comprehensive training; assesses coder work and provides feedback; conducts coding audits and validation; researches coding updates, regulations, and reimbursement laws; and maintains current coding resources. The educator also provides extensive coding education to Clinical Documentation Integrity (CDI) staff, responds to coding questions, collaborates with Patient Financial Services on claim corrections, and performs coding, abstraction, and data entry. Special coding-related projects may also be assigned. This position may be designated as essential during an institutional emergency and may require respiratory protection. Hospital positions may be subject to changes in pass days and shifts as necessary. Candidates must complete required pre-employment screening, including a physical examination and medical clearance, reference checks, a drug screen, regulatory screenings, and submission of required New York State licenses or certificates before starting.
Requirements
- Bachelor’s degree; verification of degree is required, and documentation must be uploaded with the application.
- 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.
- Resume/CV must be included with the online application.
- Before the start date, successfully complete a pre-employment physical examination and obtain medical clearance, complete electronic reference checks with at least three professional references, pass a 4-panel drug screen, meet regulatory pre-employment screening requirements, and provide copies of required New York State licenses or certificates.
Nice To Haves
- Master’s degree or higher in Health Information Management or another healthcare-related field.
- 10 years or more of experience with ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding.
- Experience with education, training, compliance, and auditing.
- RHIA, RHIT, CCS, CCS-P, or CPC certification.
Responsibilities
- Evaluate, design, coordinate, and deliver comprehensive training and education for new and existing staff.
- Develop ICD-10-CM and ICD-10-PCS training for new employees and reinforcement training for existing staff in collaboration with department management.
- Assess each coder’s work and provide feedback and education based on performance results.
- Conduct coding audits and validation by reviewing medical records for correct ICD-10-CM and ICD-10-PCS coding; compile and communicate audit results to appropriate managers.
- Prepare training and presentations on annual ICD-10 and ICD-10-PCS updates, other coding updates, and Quarterly Coding Clinic reviews.
- Research updated coding information, rules, laws, and statutes for payers and government entities, and maintain knowledge of applicable government regulations and reimbursement laws.
- Ensure coding staff have updated resources on an ongoing basis.
- Educate CDI staff on coding history; ICD-10-CM and ICD-10-PCS book contents, organization, and use; major and chronic comorbidities; the Inpatient Prospective Payment System; official coding guidelines by chapter; and DRG Expert reviews, including distinguishing surgical from medicine DRGs.
- Educate CDI staff on coding software, including Access HIM, 3M CRS and References, and PwC SMART, and provide ongoing coding guidance.
- Review and respond to coding questions.
- Collaborate with Patient Financial Services on claim corrections.
- Complete special projects related to coding.
- Code, abstract, and enter data from records.
Benefits
- Generous leave.
- Health insurance and health plans.
- Participation in the state pension system.
- Potential annual location pay of $4,000 for eligible full-time UUP, CSEA, and PEF positions.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
