Population Health Coding Educator

Sentara
Norfolk, VA Full Time
POSTED ON 12/23/2022 CLOSED ON 5/31/2023

What are the responsibilities and job description for the Population Health Coding Educator position at Sentara?

Codes Outpatient Diagnostics, Recurring and/or Emergency Department accounts. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for hospital reimbursement, medical necessity, mortality & morbidity outcomes, governmental compliance coding, research, statistics, and regulatory compliance. Under the direction of the Health Information Management Coding Manager, accurately codes outpatient encounters diagnosis, procedures and/or modifiers that are supported by the health record in accordance with ICD-10-CM Official Coding Guidelines for Coding and Reporting. Abstracts, codes and assigns necessary demographic and clinical data elements required for outpatient records. Effectively utilizes encoder software to ensure appropriate reimbursement and accurate APC assignment. Completes all work in accordance with defined productivity and quality standards. As necessary, queries and/or submits request to the physician for additional information or clarification of diagnoses, co-morbid/secondary conditions, and procedures. Assures coding practices fall within established compliance guidelines. Performs other related duties as requested by HIM management. 6 months of outpatient coding preferred. Certified Coding Associate (CCA) also accepted. Knowledge of ICD-10-CM and CPT coding (or most current healthcare industry numerical coding system) procedures required. CCS, CIC, CPC, COC or RHIT (Registered Health Information Technician) required within 1 year of hire. Successful completion of an AHIMA certified coding program preferred. Knowledge of anatomy & physiology - required

Sentara Healthcare is currently hiring An Experienced Population Health Coding Educator


Job Description Summary

This is a full-time Hybrid traveling position with day shift hours with great benefits!

Seeking a coder who can document their patient’s health correctly coding.  Demonstrates the ability to Teach physicians in a group setting and feel comfortable.  Have a good presence giving presentations in front of physicians.  May have to go to the doctor’s office and conduct electronic based audits and provide feedback to the provider. 

The providers are independent EMR. Internal groups for example.  EVMS, clinically integrated network (CIM)on a different platform.

Codes Outpatient Diagnostics, Recurring and/or Emergency Department accounts. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for hospital reimbursement, medical necessity, mortality & morbidity outcomes, governmental compliance coding, research, statistics, and regulatory compliance. Under the direction of the Health Information Management Coding Manager, accurately codes outpatient encounters diagnosis, procedures and/or modifiers that are supported by the health record in accordance with ICD-10-CM Official Coding Guidelines for Coding and Reporting. Abstracts, codes, and assigns necessary demographic and clinical data elements required for outpatient records. Effectively utilizes encoder software to ensure appropriate reimbursement and accurate APC assignment. Completes all work in accordance with defined productivity and quality standards. As necessary, queries and/or submits request to the physician for additional information or clarification of diagnoses, co-morbid/secondary conditions, and procedures. Assures coding practices fall within established compliance guidelines. Performs other related duties as requested by HIM management.

Job Requirements:

Knowledge of ICD-10-CM and CPT coding (or most current healthcare industry numerical coding system) procedures required. CCS, CIC, CPC, COC or RHIT (Registered Health Information Technician) required within 1 year of hire.

Knowledge of anatomy & physiology - required

Benefits:

 Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B , 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks and more.

Our success is supported by a family-friendly culture that encourages

Community involvement and creates unlimited opportunities for development and growth.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

Experienced with HCC coding and talent for educating providers

This individual will be responsible for improving coding and documentation for SQCN and SACO participating providers, particpating in value-based contracts, Responsibilities include leading educational sessions for practices and providers, conducting retrospective auditing and providing individual feedback, sharing payer coding data with practices and serving as consultant to providers and practices. Will collaborate with SASD coding team.

  • Registered Health Information Technician (RHIT) - Other/National
  • Certified Professional Coder-Hospital (CPC-H) - Other/National
  • Certified Inpatient Coder (CIC) - Other/National
  • Certified Professional Coder (CPC) - Other/National
  • Certified Coding Specialist (CCS) - Other/National
  • High School Grad or Equivalent
  • Coding Previous Experience
  • Medical Terminology Previous Experience

    Salary : $1 - $1,000,000

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