National Association of Latino Healthcare Executives · 4 hours ago
Documentation Education Specialist IV
Pasadena, CA
Full-time
Onsite
Senior LevelThe National Association of Latino Healthcare Executives is seeking a Documentation Education Specialist IV to enhance coding education and compliance. The role involves assessing training needs, developing and delivering educational programs, and ensuring adherence to coding guidelines and standards.
Health CareHospitalMedical
Responsibilities
Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome
Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions
Contributes to audit analysis and report writing by: comparing coding and documentation across the enterprise to identify potential risks and remedies independently; conducting trend analyses to identify patterns and variations in coding practices, key compliance drivers, liabilities, and performance indicators (e.g., adherence to standards, incorporation of new regulations), and beginning to coordinate team members to do the same; and preparing written and/or generated audit reports using standardized language detailing all noted opportunities, and providing education as needed
Contributes to coding quality audits by: conducting special projects, audits, reviews, and/or monitoring of assigned lines of business or scope independently to monitor the accuracy and quality of coding and documentation; using processes to assess accuracy and completeness of coded documentation integrity; and following guidelines and procedures to ensure special projects, audits, reviews, and/or monitoring align with state and federal regulatory and reimbursement requirements, current documentation, and coding guidelines, and guiding team members to do the same
Ensures compliance by: following national, state, and KP-specific coding, billing, and documentation guidelines/guidance for KPs leadership, attorneys, physicians, coders, compliance, and billers to help coordinate consistent and accurate implementation and compliance with external regulations; attending national committees; and participating in National Compliance programs to assure maximum utilization of coding resources when conducting special projects, monitoring, reviews, and/or audits
Contributes to enhancing coding integrity by: assisting with the identification of coding/documentation trends and opportunities; leveraging expert knowledge to aid teams in their assigned lines of business or scope in developing, implementing, and monitoring new processes and workflows that support regulatory needs and requirements, organizational goals, and business objectives; and leading the process of communicating up-to-date and accurate regulation, policy, and guideline changes impacting coding and documentation to all impacted employees
Qualification
Required
Experience in performing needs assessments to determine training needs
Ability to implement an appropriate curriculum to meet documentation and coding education program goals
Experience in delivering training development, including dress rehearsals, review process, curriculum testing, and final quality assurance of training deliverables
Experience in designing, developing, and implementing evaluation instruments to measure training outcomes
Ability to guide others in reviewing internal and external educational materials for content and appropriateness
Experience in delivering follow-up trainings to maintain competency levels
Knowledge of changes in laws, regulations, and coding/documentation standards as they apply to Coding Education
Ability to create and provide trainings in response to system upgrades or process changes
Experience providing subject matter expert guidance to market teams/groups
Ability to assist with training and mentoring external vendors or contractors
Ability to promote learning in others and build relationships with stakeholders
Experience in completing work assignments autonomously and supporting business-specific projects
Ability to collaborate cross-functionally and externally to achieve effective business decisions
Experience in contributing to audit analysis and report writing
Ability to conduct trend analyses to identify patterns and variations in coding practices
Experience in preparing written and/or generated audit reports
Ability to conduct special projects, audits, reviews, and/or monitoring of assigned lines of business
Knowledge of national, state, and KP-specific coding, billing, and documentation guidelines
Experience in enhancing coding integrity and developing new processes and workflows
Company
National Association of Latino Healthcare Executives
The National Association of Latino Healthcare Executives is a hospital and healthcare organization.
Founded in 2005
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Jackie Sifuentes, MBA, LSSYB
Co-Founder La Mesa Emerging Leaders Mentorship Program for Early Careerists
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