Description
Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Providence is calling a Senior Coding Quality Educator who will:
Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team
Assist with research and developing coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable
Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams
Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters
We welcome 100% remote work for residents in the United States with the exception of the following States:
Colorado
Hawaii
Massachusetts
New York
Ohio
Pennsylvania
Essential Functions:
Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams
Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters
Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise
Serve as a resource and subject matter expert for all coding matters
Provide coding support to regional coding teams as needed
Maintain relevant documentation and data as required
Review and update coding guidance annually or as necessary
Maintain document control
Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes
Facilitates education to support Medicare Risk requirements & organization goals
Review relevant patient details from the medical record based on coding and documentation guidelines
Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details
Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff
Assists management in identifying and creating standardized workflows
Reviews EMR templates and identifies areas of improvement for provider documentation
Attends and presents at regional meetings as needed
Required qualifications for this position include:
High School Diploma or GED Equivalency
National Certification from American Academy of Professional Coders -OR- National Certification from American Health Information Management Association -OR- National Certification from American Health Information Management Association
6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work
5+ years of experience conducting medical coding provider audits and quality performance measures
5+ years of experience preparing audit reports with recommendations
5+ years of experience providing provider education and feedback to facilitate improvement in documentation and coding
Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment
Preferred qualifications for this position include:
Associate Degree in Health Information Technology or another related field of study
Bachelor's Degree in Health Information Technology or another related field of study
5+ yea