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Inpatient Coding Training Specialist
2 months ago
POSITION SUMMARY
Reporting to the Manager of Coding Audit and Education, this role is responsible for providing comprehensive training and educational resources to Inpatient Coders and Corporate Coding Audit personnel throughout Steward Health Care.
KEY RESPONSIBILITIES:
- Develop and curate educational materials focused on current coding practices relevant to Steward Health.
- Conduct training sessions for both new and existing coders and Inpatient Auditors, ensuring the availability of educational resources that cover coding guidance for Inpatient coding.
- Facilitate educational programs within the coder training framework, including remote onboarding and continuous education initiatives.
- Oversee the orientation and training of new staff, leading sessions and delivering high-level presentations on coding standards and information, utilizing tools such as PowerPoint and webinars.
- Provide monthly formal educational sessions to all Inpatient Coding Staff at Steward.
- Conduct annual updates on new or revised ICD-10-CM and ICD-10-PCS codes every September and March.
- Collaborate with Coding leadership to identify opportunities for professional development and cross-training based on coder performance and skill levels.
- Evaluate coders' understanding of training materials, tracking and reporting educational outcomes to leadership.
- Identify the need for individualized coding sessions and formulate follow-up educational strategies as necessary.
- Work closely with coding leadership to ensure coders receive targeted and effective education, while independently creating and maintaining educational tools and resources, including training curricula and handbooks.
- Research and disseminate updates on coding guidelines and information as published in ICD-10-CM/PCS, CPT, and HCPCS coding systems.
- Maintain expertise in coding standards and provide educational content in alignment with AHA Coding Clinic and AMA CPT Assistant.
- Stay informed about ICD-10, CPT, and MS-DRG classifications, as well as the coding of diagnoses and procedures.
- Clarify updates in coding guidance and educational materials.
- Assist in managing the Steward Coding SharePoint site to ensure that coding guidance is current and accessible.
- Identify and promote external continuing education opportunities for the coding team.
- Engage in the clinical documentation improvement (CDI) and coding team DRG alignment processes by pinpointing areas for enhancement.
- Recommend educational topics for coders and clinical documentation integrity based on analysis of chart reviews.
- Remain knowledgeable about Agency Healthcare Research and Quality (AHRQ) core measures and other indicators that influence benchmarking and reimbursement.
- Participate in team meetings as required.
- Perform additional duties as assigned by the Coding Manager, Audit/Education, and/or VP HIM/CDI Operations.
REQUIRED KNOWLEDGE & SKILLS:
- Self-directed with strong decision-making abilities, analytical teaching skills, and effective communication skills, both verbal and written.
- Expertise in ICD-10-CM/PCS and CPT coding systems, including G-codes, HCPCS codes, and MS-DRGs.
- Advanced understanding of anatomy and pathophysiology to support the need for detailed clinical documentation.
- Ability to accurately apply and instruct on coding guidelines, software systems, and resource materials.
- Strong public speaking skills, with a potential requirement to enhance these abilities through courses or organizations.
- Excellent communication and comprehension skills.
- High attention to detail and accuracy.
- Proactive and collaborative work ethic.
- Experience with remote workforce operations is essential.
- Strong ethical standards.
EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:
- Education: Associate's Degree in Health Information Management or a related field is required; Bachelor's Degree is preferred.
- Experience: Typically requires five years of experience in hospital coding within a large, complex healthcare system, including coding, denial review, and educational functions.
- Certification: Coding Specialist (CCS) certification from the American Health Information Management Association (AHIMA), or Health Information Administrator (RHIA) registration, or Health Information Technician (RHIT) registration from AHIMA.
- Software/Hardware: Proficiency in MS Office Suite; advanced knowledge of Microsoft applications is necessary.