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Provider Coding Educator - REMOTE

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Job ID: 46286
Location: Vancouver, WA
Work Type: Full Time
Shift: Day
Shift Length: 8 Hours
FTE: 1.00
Benefit Eligibility: Full-time benefits

Job Description

Description

Full Time, 1.00 FTE, Day position.  Hourly compensation starts at $31.18, more depending on experience.

This position will be performed fully remote. If telecommuting, PeaceHealth will provide the caregiver with necessary computer equipment. It is the responsibility of the caregiver to provide Internet access.

***Must reside in Washington, Oregon, Texas or Alaska.***

This position is responsible for the evaluation of provider documentation for completeness and validates correct assignment of ICD-10, CPT-4, HCPCS and modifiers, in accordance with, official coding guidelines and company policies for professional fee coding in the inpatient and outpatient setting.

DETAILS OF THE POSITION:

  • Performs chart/ coding audits as required by coding system regulatory policies and procedures and according to established internal coding audit plan. Participates in development of action plans to include follow up education on identified issues with subsequent audit and reassessment.
  • Utilizes auditing software and tools to complete provider reviews.
  • Develops training materials and curriculum for coding and providers.
  • Serves as an expert resource for ICD-10/CPT-4 as it affects coding, billing, compliance, charge capture and reimbursement. Assists with re-training efforts as a result of coding errors found. Delivers training and standards as directed.
  • Conducts new provider orientation and provides coding feedback during their orientation period.
  • Delivers coding compliance outcomes and education in approved format (ie virtual or face to face)
  • Identifies high risk providers and develop education plan
  • May work in tandem with PHMG Coding team to identify aberrant coding patterns and trends.
  • Conducts coding quality reviews on implemented coding tools that utilize artificial intelligence (AI)
  • Provides coding support to PeaceHealth entities as required.

WHAT YOU BRING:

  • Graduate of formal coding program or combination of education and experience that provides the caregiver with the requisite knowledge, skills and abilities to perform the job required.
  • Minimum of three years acute or professional coding and/or auditing experience required.
  • Knowledge including, as appropriate, ICD-10, and HCPCS/CPT coding, regulatory Medicare, Medicaid and third party regulations. .
  • CCS-P (Certified Coding Specialist-Physician Based) or Certified Professional Coder (CPC) or other HIM recognized, related credential required.

OTHER SKILLS:

  • Excellent verbal and written communication skills including sensitivity to other cultures and ethnicities.
  • Strong analytical skills.
  • Previous training experience and curriculum design a plus.
  • Excellent ability for conceptual thinking, good listening, problem resolution and planning skills.
  • Excellent organizational skills.
  • Public speaking/presentation skills
  • Computer skills in Outlook and Microsoft Office, and other graphic design tools. Knowledge of PeaceHealth EHR and /3M software preferred.
  • Ability to lift objects weighing 30 lbs. or less.

Must be fully vaccinated for COVID-19 including 2 doses of a 2-dose series or 1 dose of a 1-dose series plus 14 days beyond the final dose prior to start date.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

For full consideration of your skills and abilities, please attach a current resume with your application.  EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.  

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