Senior Coder - Validation Specialist

BMC Software

10d•Onsite

About The Position

The Coding Validation Specialist assists the Coding Managers with oversight and evaluation of coding functions including efficiency, accuracy, continuing education needs and overall coding quality. This individual determines individual education needs of coders and collaborates with department manager and CDCI Coding Trainer and Educator to develop appropriate training materials. This position would oversee the administration of the education plan/training necessary, evaluating the effectiveness of the education plan or performance improvement plans, providing feedback to Coding Manager. Recommends disciplinary action when warranted.

Requirements

Associates Degree in Health Information Management, Nursing or a Medical Coding or healthcare related field (or equivalent combination of formal education and experience).
CCS (certified Coding Specialist) OR CCS-P (Certified Coding Specialist-Professional) OR CPC (certified Professional Coder) OR CPC-H (Certified Professional Coder-Hospital Outpatient; RHIT, RHIA).
Minimum of five years of coding experience in either inpatient or outpatient coding in an acute hospital setting.
Critical thinking, analytical and problem solving skills.
Highly organized with strong project/task management skills.
Knowledge of federal, state and payer specific regulations, policies and guidelines pertaining to coding (inpatient or outpatient), documentation requirements and billing.

Nice To Haves

Bachelor’s Degree in Health Information Management, Nursing or related field.
Minimum of two certifications (CCS, CCS-P, CPC, CPC-H, RHIT, RHIA).
Coding experience in teaching, tertiary facility.
Experience as a coding validator.
Supervisory experience highly desirable.
Experience with EM Encoder/Grouper, SMART software.
Experience with coding denial management.

Responsibilities

Assists the Coding Managers with oversight and evaluation of coding functions including efficiency, accuracy, continuing education needs and overall coding quality.
Determines individual education needs of coders.
Collaborates with department manager and CDCI Coding Trainer and Educator to develop appropriate training materials.
Oversees the administration of the education plan/training necessary.
Evaluates the effectiveness of the education plan or performance improvement plans.
Provides feedback to Coding Manager.
Recommends disciplinary action when warranted.