Coding Quality Education Specialist

City/State

Norfolk, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Health is seeking to hire a qualified individual to join our team as a Coding Quality Education Specialist

Position Status: Full-time, Day Shift

Position Location: This is a remote position

Standard Working Hours: 8:00AM to 5:00PM (ET).

Position Summary:

Responsible for coordinating staff development in collaboration with HIM Leadership to assure optimal, ethical reimbursement for Sentara's patients; and that coding practices fall within established compliance guidelines. Performs a number of functions including, but not limited to internal coding assessments, random and pre-bill quality assurance reviews, provides coder and physician education, and coding as needed.

Will serve as a liaison with external auditors for corporate audits, as needed.

Works with coding staff to develop quality, productivity and to ensure accurate/ ethical coding. Provides orientation to systems and software required for coding.

Develops internal coding assessment plan(s) which includes coder assessments, follow-up to coders, management, and physicians. Identifies new problem areas, trends, educational opportunities and advises Coding Leadership. This role also serves as a coding resource for team members by providing feedback to coding questions.

Both ICD-10 and CPT coding methodologies are utilized in the internal education activity. The Coding Quality Education Specialist must exhibit competence in APCs and/or MS-DRGs.

Required:

• Minimum 4 years experience coding complex inpatient and/or outpatient cases in an acute care setting.

• Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) is required for inpatient auditors.

• Certified Professional Coder (CPC), Certified Outpatient Coder (COC) or CCS is required for outpatient auditors.

Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming

For applicants within Washington State, the following hiring range will be applied: $36.14 to $49.88 / hour.

Diversity and Inclusion at Sentara

Our vision is that everyone brings the strengths that come with diversity to work with them every day. When we are achieving our vision, we have team members that feel they belong and can be their authentic selves, and our workforce is reflective of the communities we serve.

We are realizing this vision through our Diversity and Inclusion strategy, which has three pillars: A diverse and talented workforce, an inclusive and supportive workplace, and outreach and engagement with our community. We have made remarkable strides in these areas over the past several years and, as our world continues to evolve, we know our work is never done.

Our strategies focus on both structural inclusion, which looks at our organizational structures, processes, and practices; as well as behavioral inclusion, which evaluates our mindsets, skillsets, and relationships. Together, these strategies are moving our organization forward in an environment that fosters a culture of mutual respect and belonging for all.

Please visit the link below to learn more about Sentara's commitment to diversity and inclusion:

https://www.sentara.com/aboutus/mission-vision-and-values/diversity.aspx

Sentara Overview

For more than a decade, Modern Healthcare magazine has ranked Sentara Health as one of the nation's top integrated healthcare systems. That's because we are dedicated to growth, innovation, and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.

Sentara Benefits

As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:

• Medical, Dental, and Vision Insurance

• Paid Annual Leave, Sick Leave

• Flexible Spending Accounts

• Retirement funds with matching contribution

• Supplemental insurance policies, including legal, Life Insurance and AD&D among others

• Work Perks program including discounted movie and theme park tickets among other great deals

• Opportunities for further advancement within our organization

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace.

For information about our employee benefits, please visit: Benefits

• Sentara (sentaracareers.com)

Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!

Please Note: The yearly Flu Vaccination is required for employment.

Note: Sentara Health offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind.

Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.

Job Summary

Responsible for coordinating staff development in collaboration with HIM Leadership to assure optimal, ethical reimbursement for Sentara's patients; and that coding practices fall within established compliance guidelines. Performs a number of functions including, but not limited to internal coding assessments, random and pre-bill quality assurance reviews, provides coder and physician education, and coding as needed.

Will serve as a liaison with external auditors for corporate audits, as needed.

Works with coding staff to develop quality, productivity and to ensure accurate/ ethical coding. Provides orientation to systems and software required for coding.

Develops internal coding assessment plan(s) which includes coder assessments, follow-up to coders, management, and physicians. Identifies new problem areas, trends, educational opportunities and advises Coding Leadership. This role also serves as a coding resource for team members by providing feedback to coding questions.

Both ICD-10 and CPT coding methodologies are utilized in the internal education activity. The Coding Quality Education Specialist must exhibit competence in APCs and/or MS-DRGs.

Minimum 4 years experience coding complex inpatient and/or outpatient cases in an acute care setting. Associates Degree preferred.

Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) is required for inpatient auditors. Certified Professional Coder (CPC), Certified Outpatient Coder (COC) or CCS is required for outpatient auditors.

Qualifications:

HS - High School Grad or Equivalent (Required)

Certified Coding Specialist (CCS) - Certification

• American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - Certification

• American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - Certification

• Other/National, Registered Health Information Technician (RHIT) - Certification

• Other/National

Coding

Skills

Coding, Communication, Critical Thinking, Instructing

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission "to improve health every day," this is a tobacco-free environment.