• Coding Education Specialist

    Novant Health (NC)


    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