Professional Coding Education Specialist

Seattle Children's • Seattle, WA

1d

About The Position

Support activities related to educating billing providers i.e., physicians, PhDs & APPs on complete and accurate professional coding and coding-related processes, in collaboration with professional coding and charge capture, professional billing, professional compliance, and CUMG leadership teams. Develop educational materials and standard procedures. Communicate coding and billing updates to clinical leaders and providers. Build and maintain strong relationships with stakeholder groups. Partner with billing teams in researching professional coding-related error patterns, denial issues, and trends relating to coding accuracy opportunities for providers. Serve as a subject matter expert on professional coding and payment methodologies as it relates to coded data and reimbursement outcomes. Lead professional coding improvement work, including development and tracking of metrics.

Requirements

• Associate's degree in Health Information Management or related field or equivalent relevant work experience.
• Minimum of five years of experience in professional coding in an acute care hospital setting or clinic setting appropriate equivalent.
• Proficient knowledge base and experience in interpreting and applying federal/government regulations to ensure coding and documentation compliance.
• Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician Based (CCS-P) certification by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC).

Nice To Haves

• Bachelor’s degree in Health Information, Health Care Administration, or related field.
• Experience in an Academic setting.
• Experience in a Pediatric acute care setting.
• Experience with Epic.
• Experience with teaching of adult learners, including creation of educational materials.
• Experience in revenue cycle functions, including coding denial management and appeals process.
• Experience in research of payer policy and coding guidelines.
• Experience with decision support systems.

Responsibilities

• Educating billing providers on complete and accurate professional coding and coding-related processes.
• Developing educational materials and standard procedures.
• Communicating coding and billing updates to clinical leaders and providers.
• Building and maintaining strong relationships with stakeholder groups.
• Partnering with billing teams in researching professional coding-related error patterns, denial issues, and trends relating to coding accuracy opportunities for providers.
• Serving as a subject matter expert on professional coding and payment methodologies as it relates to coded data and reimbursement outcomes.
• Leading professional coding improvement work, including development and tracking of metrics.

Benefits

• Seattle Children’s offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more.
• Additional details on our benefits can be found on our website www.seattlechildrens.org/careers/benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree