What are the responsibilities and job description for the MID REVENUE CYCLE CODING EDUCATOR SR position at Moffitt Cancer Center?
Summary
Position Highlights:
The MID REVENUE CYCLE CODING EDUCATOR SR, serves as the subject-matter expert and educational resource for any medical record coding and patient charge related issues. This position provides education and training to clinical providers, nurses and Revenue Integrity (RI) and Health Information Management (HIM) staff.
The position is responsible for: designing, creating and implementing educational and training curriculum to initiate new processes.
Resulting from initiatives, coding related projects and general coding related matters driven by business needs.
Creating the audit and quality review schedule for the fiscal year, adding a contingency plan for unexpected reviews and business priorities driven by external matters; Reviewing and communicating the CMS changes and their impact on RI and HIM operations; Conducting monthly audits and quality reviews for providers, nurses and Revenue Integrity (RI) and Health Information Management (HIM) staff to identify compliance opportunities with clinical documentation and coding and charging guidelines.
Leading projects aimed to review and improve the quality of the clinical documentation in the patient record and final coding for both professional and technical billing. resulting in the creation of curriculum specific to clinical services and tailor to individual stakeholders.
Reviewing and approving the work completed by the Mid Revenue Cycle Coding Educators prior to distribution, implementation and educational venues update.
Reviewing and approving the education and training calendar to onboard RI and HIM new team members. Position ensures the sign off of the education program as documentation for the new team member 90 days introductory period.
Responsibilities
Any "one" of the following certifications is required:
products Radnet, Surginet, OPTUM Professional Computer Assisted Coding ("pCAC"), Patient Keeper,
3M encoder, Mosaiq, Soarian financial billing system, preferred.)
Position Highlights:
The MID REVENUE CYCLE CODING EDUCATOR SR, serves as the subject-matter expert and educational resource for any medical record coding and patient charge related issues. This position provides education and training to clinical providers, nurses and Revenue Integrity (RI) and Health Information Management (HIM) staff.
The position is responsible for: designing, creating and implementing educational and training curriculum to initiate new processes.
Resulting from initiatives, coding related projects and general coding related matters driven by business needs.
Creating the audit and quality review schedule for the fiscal year, adding a contingency plan for unexpected reviews and business priorities driven by external matters; Reviewing and communicating the CMS changes and their impact on RI and HIM operations; Conducting monthly audits and quality reviews for providers, nurses and Revenue Integrity (RI) and Health Information Management (HIM) staff to identify compliance opportunities with clinical documentation and coding and charging guidelines.
Leading projects aimed to review and improve the quality of the clinical documentation in the patient record and final coding for both professional and technical billing. resulting in the creation of curriculum specific to clinical services and tailor to individual stakeholders.
Reviewing and approving the work completed by the Mid Revenue Cycle Coding Educators prior to distribution, implementation and educational venues update.
Reviewing and approving the education and training calendar to onboard RI and HIM new team members. Position ensures the sign off of the education program as documentation for the new team member 90 days introductory period.
Responsibilities
- Quality Assurance
- Communication/Collaboration
- Analyze and Review
- Productivity/Time Management
- Knowledge of Query
- CEU Maintenance
- Working with Leadership
- Curriculum Creation and approval
- New Processes, Projects and Initiatives
- Bachelor's degree plus six (6) years of health care coding experience with ICD-10-CM, CPT and HCPCS classification systems; inclusive of minimum of two (2) years of professional practice medical coding auditing experience
- (OR)
- An Associate’s degree and an additional two (2) years of experience as stated above, may be considered (for a total of 8 years' experience).
- A High School Diploma/GED and ten (10) years of experience as stated above, may be considered.
Any "one" of the following certifications is required:
- (CPC-H) Cert Professional Coder-Hosp
- (CCS) Certified Coding Specialist
- (CPMA) Professional Certified Medical Auditor
- (CPC) Cert Professional Coder
- (COC) Certified Outpatient Coding
- (CCS-P) Certified Coding Spec-Phys
- (RHIT) Reg Health Info Technician
- (RHIA) Reg Health Info Administrator
- *Any relevant certification not listed above may be reviewed and considered by the business to satisfy this requirement.
- Ability to communicate in a professional manner to internal and external customers.
- Thorough understanding of the effect of data quality on prospective payment, utilization, and
- Excellent communication and interpersonal skills.
products Radnet, Surginet, OPTUM Professional Computer Assisted Coding ("pCAC"), Patient Keeper,
3M encoder, Mosaiq, Soarian financial billing system, preferred.)
- Competence with MS Office software (Word, Excel, PowerPoint, OneNote and Outlook).
- Experience with coding oncology related services.
- Experience conducting training through Zoom