Coding Compliance Educator
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Coding Compliance Educator (Job Opening 456432) - The Coding Compliance and CDI Education Coordinator assures accuracy and compliance of coding, MS DRG (Medicare Severity Diagnosis Related Group), APR DRG Assignment and APC (Ambulatory Payment Classification) assignments; conducts and coordinates ongoing educational programs and training for the Coding Unit and incoming clinical staff regarding MS DRG/ICD (International Classification of Diseases)/CPT (Current Procedural Terminology)/APC updates. Responsible for communicating regulation, policy, and guideline changes to affected personnel.
Serves as a resource for department managers, staff, physicians, and administration on accurate and ethical coding and documentation standards, guidelines and regulatory requirements and assists in the development of structural documentation tools. Evaluates the adequacy and effectiveness of internal and operational controls designed to ensure that coding processes and practices lead to appropriate execution of regulatory requirements and guidelines related to facility coding including federal and state regulations and guidelines, CMS (Centers for Medicare and Medicaid Services) and OIG (Office of Inspector General) compliance standards. Applies standardized scoring methodology to consistently evaluate coding accuracy and standardizes review findings and methodology to report monitoring results.
Communicates review results to department management, coders and other appropriate staff. Makes recommendations to management for corrective action. Serves as a subject matter expert and authoritative resource on interpretation and application of coding rules and regulations and conducts risk assessments of potential and detected compliance deficiencies.
Ohio State University Wexner Medical Center