Mid Revenue Cycle Coding Educator Senior

Moffitt Cancer Center • Tampa, FL

9d

About The Position

The Mid Revenue Cycle Coding Educator Senior serves as a subject matter expert and educational resource for medical record coding and patient charge matters. The role provides education and training to clinical providers, nurses, Revenue Integrity (RI) staff, and Health Information Management (HIM) staff. It develops and implements education and training in response to new processes, coding projects, and business needs; plans and conducts audits and quality reviews; communicates the operational impact of CMS changes; and leads initiatives to improve clinical documentation and coding quality for professional and technical billing. The role also reviews and approves work produced by Mid Revenue Cycle Coding Educators and oversees education and onboarding documentation for new RI and HIM team members.

Requirements

• Bachelor’s degree and six years of healthcare coding experience with ICD-10-CM, ICD-10-PCS, CPT, and HCPCS, including at least two years of professional-practice medical coding auditing or facility outpatient coding auditing experience.
• Alternatively, an associate’s degree and eight total years of the specified experience may be considered.
• Alternatively, a high school diploma or GED and ten years of the specified experience may be considered.
• At least one certification is required: CCS, CPMA, CPC, COC, CCS-P, RHIT, RHIA, CIC, or another certification issued by one of the listed governing bodies and accepted by the business.
• Expert knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, AHA Coding Clinic guidelines, MS-DRGs, APR-DRGs, CMS guidelines, NCHS guidance, radiation oncology coding guidance, and AHIMA and AAPC codes of ethics.
• Ability to communicate professionally with internal and external customers.
• Thorough understanding of how data quality affects prospective payment, utilization, and reimbursement across multiple medical specialties.
• Excellent communication and interpersonal skills.
• Experience with automated patient care and coding systems.
• Competence with Microsoft Office software, including Word, Excel, PowerPoint, OneNote, and Outlook.

Nice To Haves

• Experience with Cerner Electronic Health Record and related products, including Radnet and Surginet; OPTUM Professional Computer Assisted Coding (pCAC); Patient Keeper; 3M encoder; Mosaiq; and Soarian financial billing system.
• Experience with coding oncology-related services.
• Experience conducting training through Zoom.
• Four years of experience coding oncology-related services.

Responsibilities

• Design, create, and implement educational and training curricula for new processes, coding-related projects, and general coding matters driven by business needs.
• Create the fiscal-year audit and quality-review schedule, including a contingency plan for unexpected reviews and external business priorities.
• Review and communicate CMS changes and their impact on RI and HIM operations.
• Conduct monthly audits and quality reviews for providers, nurses, RI staff, and HIM staff to identify compliance opportunities involving clinical documentation, coding, and charging guidelines.
• Lead projects to review and improve clinical documentation and final coding for professional and technical billing, creating curricula tailored to clinical services and individual stakeholders.
• Review and approve work completed by Mid Revenue Cycle Coding Educators before distribution, implementation, or use in educational venues.
• Review and approve the education and training calendar for onboarding new RI and HIM team members.
• Ensure completion and sign-off of the education program as documentation for a new team member’s 90-day introductory period.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior