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Coding Program Trainer, Geisinger Health Plan
3 months ago
**Job Summary**: Responsible for the assessment, design, development and delivery of training programs. Conducts training needs assessments, identifying appropriate training programs and outcomes, create and deliver necessary training reports for the coding program. Creates consistency and efficiency for any claims processing and data collection to optimize reimbursement and facilitate data quality for all coded services.
**Job Duties**:
- Provides and arranges training for coding professionals in the use of coding guidelines and practices, proper documentation techniques, medical terminology, and disease processes. Develops and provides at least quarterly education to coding, billing and other staff regarding emerging topics critical to accurate ICD and CPT coding.
- Serves as trainer to physician group on documentation criteria.
- Performs periodic claim form reviews to check code transfer accuracy from the abstracting system and other various systems.
- Assists the management with training of new coding staff related to coding guidelines, encoder and other software systems needed for the coding process, etc.
- Assigns codes based on coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines.
- Assists with review of coding guidelines on an annual basis and makes recommendations for change to improve coding and data management.
- Develops coding policy and procedure or position papers related to correct coding for new or emerging technology services provided by clinical staff, and train coders on the use of that policy and procedure.
- Performs quarterly coding assessments on all staff coders and recommends training and education as an outcome of the audits as well as recommends career ladder for coders based on audit results.
- Evaluates the effectiveness of education and training programs.
- Responsible for being the system wide coding contact person.
- Serves as primary Recovery Audit Contractor liaison for coding items.
- Formulates appropriate responses to agencies attempting to reduce and retract reimbursement.
- Mitigates paybacks through record review and education.
- Implements changes resulting from internal and external audits which impact performance.
- Analyzes results and identifies patterns, trends and variations in coding and documentation practices.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
**Position Details**:
**Certification Requirements**
**CRC (AAPC) and minimum of one of the following;**
- **RHIA through AHIMA**:
- **RHIT through AHIMA**:
- **CPC through AAPC**
**Education**: High School Diploma or Equivalent (GED)
- (required)
**Experience**: Minimum of 7 years-Related work experience (required)
**Certification(s) and License(s)**: Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC); Registered Health Information Technician (RHIT) - American Health Information Management Association; Registered Health Information Administrator (RHIA) - American Health Information Management Association; Certified Professional Coder - American Academy of Professional Coders (AAPC)
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
