Titus Regional Medical Center · 2 months ago
HB Coding Analyst and Educator - Full Time
Mount Pleasant, TX
Full-time
Onsite
Mid Level
3+ years expTitus Regional Medical Center is seeking an HB Coding Analyst and Educator to ensure compliant and accurate coding practices. The role involves reviewing coded hospital accounts, conducting education and training sessions, and collaborating with clinical staff to improve coding accuracy and compliance.
Health CarePharmaceutical
Responsibilities
Conducts comprehensive reviews of hospital billing (HB) coded accounts (inpatient/outpatient) to evaluate the accuracy and completeness of assigned ICD-10-CM, CPT/HCPCS, and modifiers based on physician documentation and medical records
Audits medical records to evaluate provider and coder performance. Additionally, identify errors, inconsistencies, and missed opportunities for capturing additional diagnoses and procedures
Analyzes trends in coding practices and identify areas needing improvement or further education. Partners with coders, departments and providers to make improvements in overall performance, quality, and accuracy
Collaborates with clinicians and coders to resolve discrepancies and ensure accurate code application
Identifies knowledge gaps and specific training needs through charging and coding analysis findings and by pulling information from industry resources such as AAPC, AHIMA, and CMS guidelines
Designs curriculum materials addressing current coding guidelines, industry best practices, and emerging trends in healthcare coding and documentation. Determine which resources are needed to apply knowledge (tip sheets, workflows, policies, work queues, process documents, etc)
Utilizes a variety of teaching methods, including in-person and online sessions, interactive workshops, and e-learning modules, catering to different learning styles and professional levels
Delivers engaging and informative training sessions aimed at enhancing coding accuracy, efficiency, and compliance
Monitors industry publications, websites, and participate in relevant coding associations to stay informed of updates in coding regulations and guidelines
Analyzes the impact of new hospital coding rules and regulations on internal practices and incorporate these changes into training and coding procedures by ensuring quarterly and annual code updates are implemented and educated on
Ensures that both coding systems and staff remain updated on coding changes, promoting compliance with CMS, other governing bodies, and payers
Stays abreast of regulatory updates and industry standards to ensure all practices are in line with federal and state guidelines, including adherence to CMS mandates
Analyzes internal and external data to identify trends, potential issues, and areas for improvement
Collaborates with TRMC IT and revenue cycle management teams to optimize coding, documentation, and CDM management systems
Manages technical upgrades, ensuring seamless implementation of new modules or system enhancements including provider templates
Must follow and adhere to TRMC’s vaccine policy(s) as mandated by the Centers for Medicare & Medicaid Services (CMS)
Qualification
Required
Strong knowledge of medical terminology, disease classification, and healthcare coding systems (ICD-10-CM, ICD-10-PCS, DRG, CPT, HCPCS)
Proficiency with healthcare coding software, including CAC and EPIC
Strong analytical and problem-solving skills
Excellent communication and interpersonal skills to foster collaboration across teams
Knowledge of CMS regulations and industry-based standards
Strong presentation and facilitation skills
Minimum 3 years of experience in coding in a hospital setting, with experience in coding analysis or auditing preferred
Extensive knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines and conventions
Demonstrated experience in developing and delivering educational programs for healthcare professionals
Knowledge of 3M and EPIC systems
Experience conducting audits and implementing quality assurance initiatives
Associate's degree in Health Information Management, medical coding, or a related field
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Outpatient Coder (COC), Certified Coding Specialist (CCS), or equivalent certification (required)
Preferred
Bachelor's/Master's degree
Additional coding certifications from AHIMA or AAPC are a plus including CIC
EPIC Certification such as Resolute HB Charging (including CDM) is a plus
Company
Titus Regional Medical Center
Our Beginning. Titus Regional Medical Center was born as Titus County Memorial Hospital by an official act of the Texas Legislature in 1953.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Andy Fortenberry
Chief Financial Officer
Terry Scoggin
CFO
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