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What We Offer

• Why This Role Matters

As a Coding Education Specialist, you will have the ability to be an educational resource to a dynamic team of coders, while supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations.

What You’ll Do:

+ Support the facility coding education program to ensure that Novant Health receives appropriate reimbursement and complies with industry standards & guidelines.

+ Perform as the Subject Matter Expert (SME) in inpatient or outpatient patient types of hospital coding activities.

+ Perform as the Subject Matter Expert (SME) in resolving CCI, OCE, and Medical Necessity edits in the radiology, laboratory, and medicine areas, using CMS and payor-specific guidance.

+ Assist with daily activities and oversight for educating all coding department new hires on facility inpatient or outpatient record types, per AHA Official Coding Guidelines, standards, and rules.

+ Participate in the evaluation and development of available coursework through Novant’s learning management system to ensure all coding colleagues are current with regulatory issues.

+ Collaborate with team members and multi-disciplinary teams in addressing issues related to accurate/timely coding, documentation, unbilled accounts management, and denials.

+ May participate in production coding and auditing as needed.

What You’ll Need

Required:

+ RHIA, RHIT, CCS, CCS-P, CPC, COC, or CIRCC licensure.

+ High School Diploma or GED.

+ 5+ years of hospital coding experience (in one core area).

+ Ability to work remotely and independently and resolve issues via IM, phone, email, text.

+ Extensive knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding principles and guidelines

+ Extensive knowledge of inpatient and outpatient reimbursement methodologies

+ Extensive knowledge of federal, state, and payer-specific regulations and policies about documentation, coding, and billing

+ Excellent organizational, problem solving, critical thinking and verbal and written communication skills.

+ Must be able to interact with individuals of all cultures and levels of authority.

+ Knowledge of creation and presentation of materials for adult learners

+ Mastery of Microsoft Office Suite, including using Word templates, creating PowerPoints, maneuvering Excel spreadsheets (creating pivot tables, trending large amounts of data, etc.)

+ Ability to navigate CMS website for NCCI manual, NCD/LCD information, and Medicare Claims Processing Manuals

Preferred:

+ Associate or Bachelor Degree.

+ CRC or CPMA licensure.

+ Extensive knowledge of HCPCS and CPT coding related to charging.

+ Ability to apply coding principles for correct charging, including Infusion & Injection Hierarchy, E/M guidelines, Supervision & Interpretation of IVR procedures.

What’s In It for You:

+ Remote work opportunity with equipment provided.

+ A flexible work schedule following initial on the job training.

+ Comprehensive benefits include health, dental, vision, and life insurance.

+ Retirement fund with matching contributions.

+ Tuition assistance for qualifying team members.

+ Complete CEU requirements during work hours.

+ Employee assistance programs and discounts.

Job Opening ID

122762