Apply on Employer Site

Brown University Health · 3 months ago

Coding Quality Reviewer and Educator

Providence, RI

Full-time

Onsite

Mid Level

$66K/yr - $110K/yr

3+ years exp

Brown University Health is a comprehensive integrated academic health system, and they are seeking a Coding Quality Reviewer and Educator to research coding and documentation guidelines, develop training materials, and conduct education sessions. This role involves auditing, tracking metrics, and ensuring compliance with coding standards while providing essential education to staff.

EducationHealth CareMedicalUniversities

Responsibilities

Consistently apply the corporate values of respect, honesty and fairness with the constant pursuit of excellence in improving the health status of the people of the region through the provision of customer-friendly, geographically accessible and high-value services within the environment of a comprehensive integrated academic health system

Assume responsibility for knowing and acting in accordance with the principles of the Brown University Health Corporate Compliance Program and Code of Conduct

Research coding and documentation guidelines from reliable sources, collects relevant information and compiles that information into a user-friendly manual

Records various training materials for coders and providers and works with Manager to publish recorded materials on the Brown University Health Intranet

Prepares for and conducts education sessions which include specialty specific coding and documentation guidelines, examples of relevant medical records, resource materials, etc

Works with Manager to review findings from external audits and coordinates related feedback sessions with coders, validators and providers

Tracks internal and external audits and records on detailed log

Adheres to audit schedule

Performs analysis of reports on key coding auditing metrics

Identifies trends and reports those trends to the Manager

Assists Manager with ROI analyses

Stays abreast of all coding updates, including new/deleted ICD-10 codes, new/ deleted CPT codes, new/ deleted HCPCS codes and any coding guideline changes

Reviews payer updates and notifies Manager of any pertinent changes impacting coding/documentation

Creates all components of a successful education process, including lesson planning and materials used for educational purposes (i.e. audiovisual aids, Epic Tips sheets, knowledge retention exams, etc.)

Assists with educating validators/coders as requested

Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and the American Association of Professional Coders

Monitors validators for violations and reports to PFS Manager or Director when areas of concern are identified

Maintains confidentiality of sensitive information at all times

Participates in various committees, task forces and quality improvement teams as needed

Performs other duties as necessary

Qualification

ICD-10 codingCPT codingMedical coding certificationEpic softwareMicrosoft ExcelMicrosoft PowerPointVerbal communicationWritten communicationTeam collaboration