Remote Coding Quality and Education Specialist- HIM ED Charging

Sentara Health

4d•Remote

About The Position

Overview Remote Coding Quality and Education Specialist- HIM ED Charging This position is Part time- day shift and Fully remote position Responsible for coordinating staff development in collaboration with HIM Leadership to assure optimal, ethical reimbursement for Sentara's patients; and that coding practices fall within established compliance guidelines. Performs a number of functions including, but not limited to internal coding assessments, random and pre-bill quality assurance reviews, provides coder and physician education, and coding as needed. Will serve as a liaison with external auditors for corporate audits, as needed. Provides orientation to systems and software required for coding. Develops internal coding assessment plan(s), which includes coder assessments, follow-up to coders, management and physicians. Identifies new problem areas, trends, educations opportunities and advise Coding Leadership. This role also serves as a coding resource for team members by providing feedback to coding question. Both ICD-10 and CPT coding methodologies are utilized in the internal education activity. The Coding Quality Education Specialist must exhibit competence in APCs and/or MS-DRGs Education Associates Degree preferred. Certification/Licensure Certified Professional Coder (CPC), Certified Outpatient Coder (COC) or CCS is required for outpatient auditors. Registered Health Information Administrator (RHIA) - Certification or Registered Health Information Technician (RHIT) - Certification accepted. Experience Minimum 4 years experience coding complex inpatient and/or outpatient cases in an acute care setting. ED charging experience is strongly preferred Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

Requirements

Certified Professional Coder (CPC), Certified Outpatient Coder (COC) or CCS is required for outpatient auditors.
Registered Health Information Administrator (RHIA) - Certification or Registered Health Information Technician (RHIT) - Certification accepted.
Minimum 4 years experience coding complex inpatient and/or outpatient cases in an acute care setting.

Nice To Haves

Associates Degree preferred.
ED charging experience is strongly preferred

Responsibilities

Responsible for coordinating staff development in collaboration with HIM Leadership to assure optimal, ethical reimbursement for Sentara's patients; and that coding practices fall within established compliance guidelines.
Performs a number of functions including, but not limited to internal coding assessments, random and pre-bill quality assurance reviews, provides coder and physician education, and coding as needed.
Will serve as a liaison with external auditors for corporate audits, as needed.
Provides orientation to systems and software required for coding.
Develops internal coding assessment plan(s), which includes coder assessments, follow-up to coders, management and physicians.
Identifies new problem areas, trends, educations opportunities and advise Coding Leadership.
This role also serves as a coding resource for team members by providing feedback to coding question.
Both ICD-10 and CPT coding methodologies are utilized in the internal education activity.
The Coding Quality Education Specialist must exhibit competence in APCs and/or MS-DRGs Education

Benefits

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.