Medical Coding Specialist

6 days ago

Commack, New York, United States Stony Brook Medicine Full time
Job Summary

We are seeking a highly skilled Coding Educator to join our team at Stony Brook Medicine. This is an exciting opportunity to develop and provide educational programs related to ICD-10 CM and ICD-10 PCS coding for new and existing staff.

Key Responsibilities
  • Evaluate, design, coordinate, and deliver comprehensive training and education for new and existing staff.
  • Develop ICD-10-CM and ICD-10 PCS education training for new employees.
  • Assess and provide feedback to each coder on their work performed.
  • Develop reinforcement training for existing staff in collaboration with department management.
  • Provide educational sessions to new and existing staff based on results of each coder's performance.
  • Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ICD-10 PCS coding.
  • Compile and communicate results of the audits to the appropriate managers.
  • Prepare training and presentations on various topics, such as the annual ICD-10 and ICD-10 PCS updates, any other coding updates throughout the year including Quarterly Coding Clinic reviews.
  • Research updated coding information, rules, laws, and statutes for all payers and government entities.
  • Responsible to keep abreast of and hold extensive knowledge of government regulations related to coding and applicable reimbursement laws and regulations required.
  • Ensure the Coding Staff has updated resources on an ongoing basis.
  • Provide education to the Clinical Documentation Integrity (CDI) staff on a brief History of Coding.
  • Provide education to the CDI staff on ICD-10 CM & ICD-10 PCS book contents, organization, and how to use the books.
  • Provide education to the CDI staff on how to identify Major Comorbidities and Chronic Comorbidities in ICD-10 CM books.
  • Provide education to the CDI staff on the Inpatient Prospective Payment System.
  • Provide education to the CDI staff on the use of Official Coding guidelines by specific chapter.
  • Provide education to the CDI staff on DRG Expert reviews. Identify surgical DRG's versus Medicine DRG's.
  • Provide education to the CDI staff on the use of all coding software, such as, Access HIM, 3M CRS, and References and PwC SMART software.
  • Provide education to the CDI staff on coding guidance on an ongoing basis.
  • Review and respond to coding questions.
  • Work in collaboration with the Patient Financial Services Department on claim corrections.
  • Special projects assignments related to coding.
  • Code, abstract, and data entry of records.
Qualifications
  • Bachelor's degree in health information management or healthcare related field.
  • At least 8 years of experience with ICD-10 CM and ICD-10 PCS coding.
  • Experience with education, training, compliance, and auditing.
  • RHIA, RHIT, and/or CCS certification.

We offer a competitive salary range of $85,000-$100,000 and a comprehensive benefits package. If you are a motivated and detail-oriented individual with a passion for coding and education, we encourage you to apply for this exciting opportunity.

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