Coding Educator - Revenue Cycle

  • Sutter Health
  • Sacramento, CA
  • Jul 02, 2020
Full time Health Care Information Technology

Job Description

**Position Overview:** Ensures accurate and appropriate outpatient medical coding and documentation through coaching, training, and monitoring of Sutter clinicians. Monitors training success through encounter audits and ensures corrective action plans are implemented and adhered to.Serves as the local expert on Official Coding and Documentation Guidelines and other internal and external regulatory requirements (e.g. Centers for Medicare & Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), etc. Daily travel across the Central Valley Region required throughout Solano, Yolo, Sacramento, Amador, Placer, Yuba, Stanislaus, San Joaquin and Merced counties. **Qualifications:** **MINIMUM POSITION QUALIFICATIONS:** + High School Diploma required. + Certified Coding Specialist- Physician Based (CCS-P certification from AHIMA) or Certified Professional Coder (CPC certification from AAPC) or other specialty credentials required. + A minimum of 3 years experience of outpatient coding with extensive knowledge in Primary Care outpatient coding AND at least one year experience in outpatient specialty coding required. + Demonstrated knowledge ofand skill in verbal communication, written communication, problem solving, dataanalysis, systems thinking, group presentation, group process facilitation, andcustomer service. + Must possess a proficientunderstanding of the National Correct Coding Initiatives edits (NCCI) andICD-CM Official Guidelines for coding and reporting. + Advanced knowledge of theICD-10-CM and CPT-4 Classification systems, HCPCS, and Evaluation andManagement coding guidelines and thorough understanding of the effect of dataquality on prospective payment, utilization, and reimbursement for multiplemedical professional service specialties. + Excellent ability toconduct coding audits and using the findings to create written reports withrecommendations; and present education and feedback to facilitate improvementof documentation and coding. + Thorough working knowledgeof outpatient coding in multiple medical specialties. + Working knowledge ofrelevant federal and state regulations, Medicare and Medicaid guidelines andcompliance issues. + Ability to independentlymanage a significant workload and to work efficiently under pressure, meetingestablished deadlines. + Excellent time managementand project management skills. + Abides by the Standards ofEthical Coding as set forth by AHIMA and AAPC. + Strong working knowledge ofMicrosoft Office applications including Word, Excel, and PowerPoint. **PREFERRED QUALIFICATIONS:** + Associate's degree in Healthcare Administration, Business, Administration, Public Health, Finance, or related field or equivalent education/experience preferred. + Specialty Coding certifications within any specialty preferred. + Experience developing and conducting training/education sessions for diverse audiences preferred. + Experience conducting medical coding audits and quality performance measures preferred. + Experience preparing audit report with recommendations; and providing education and feedback to facilitate improvement in documentation and coding. **Organization:** Sutter Medical Foundation - Central **Employee Status:** Regular **Employee Referral Bonus:** No **Benefits:** Yes **Position Status:** Exempt **Union:** No **Job Shift:** Day **Shift Hours:** 8 Hour Shift **Days of the Week Scheduled:** Monday-Friday **Weekend Requirements:** None **Schedule:** Full Time **Hrs Per 2wk Pay Period:** 80 All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.