This Coding Educator is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to ensure appropriate reimbursement for services across all practices/units (acute and ambulatory settings) to include review of accurate and timely assignment of ICD-10 CM/PCS, HCPCS/CPT codes. This role provides training and education to our physicians and mid-level providers of the Christiana Care Medical Group.

Preferred Skillsets of the Ideal Candidate:

• Physiciancoding and compliance experience with significant emphasis on Evaluation and Management services.

• Training and presentation experience with physicians and otherclinicians,both individually and in groups.

• Accomplished in the preparation of PowerPointpresentations and other supplemental training materials.

• Previous work experience in auditing professional clinical documentation services.

Work Schedule

• Monday - Friday: Day Shift

• Remote options available.

• This position will require on-site work at least once a month. This is ad hoc per the department's needs.

• Flexible Schedule

• No weekends/holidays

• Opportunities for work-life balance!

Benefits and Incentives

• Full Medical, Dental, Vision, Life Insurance, etc.

• Two retirement planning offerings, including 403(b) with company contributions.

• Opportunity for great work-life balance.

• Generous paid time off with annual roll-over and opportunities to cash out.

• 12 week paid parental leave.

• Tuition assistance

• Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care[redacted], retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets, insurance and much more!

***Remote Work Opportunities: Whether a position can be supported for remote work will be assessed based on whether ChristianaCare is able to meet the business requirements of the proposed remote location.***

Key Responsibilities

• Performs coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid Services (CMS) guidelines and provide ongoing feedback and analysis of the education needs for the providers and staff.

• Review and assess supporting documentation in patient medical records for appropriate ICD-10, CPT, HCPCS coding.

• Initiate follow-up activities verifying correction of errors.

• Identify coding and documentation error trends enabling targeted provider education.

• Assist with annual review of CPT/ICD - 10 updates and implementation of identified changes.

• Assist with annual CMS updates and implementation of identified changes, and maintain knowledge of Medicare and Medicaid billing practices, coding guidelines, laws, and regulations.

• Follows appropriate documentation and coding procedures based upon established guidelines.

• Lead contact for billing questions related to services within Service Line rendered within the practices/units.

• Facilitates education during time of on-boarding for all new clinicians regarding effective documentation, coding, and billing guidelines.

• Demonstrates understanding and application of CCHS Core values -- caring, excellence, leadership, pride, teamwork, integrity and standards for customer service.

• Performs related duties as required.

Position Qualifications

• High School diploma or equivalent and/or Associates degree

• A minimum of 4 years of coding experience.

• At least 2 years of physician auditing experience.

Special Requirements

• Certified Professional Coder (CPC) completed through American Academy of Professional Coder required.

• Certified Professional Medical Auditor (CPMA) completed through American Academy of Professional Coders preferred.

#Hybrid

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