Posted:21 hours ago| Platform: Foundit logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Caring. Connecting. Growing together.

Primary Responsibilities:

  • Design and deliver comprehensive training programs for coding professionals on inpatient and outpatient coding practices, covering CPT, ICD-10-CM, HCPCS, PCS, NCCI edits
  • Keep up to date with changes in coding guidelines (CMS, AMA, AHA coding clinics) and integrate them into training materials and team communication
  • Prepare training documentation, SOPs, reference guides, and maintain accurate training records
  • Responsible for tracking assessment scores, coding performance through audits, quality reviews, providing detailed feedback and guidance
  • Participate in coding calibration meetings and contribute to coding related discussions
  • Support coders with complex case resolution, documentation improvement education, and coding clarification
  • Analyze coding data and provide feedback to management on individual and group training results, organize, coordinate and communicate training programs for the business
  • Collaborate with the compliance, QA and operations teams to identify coding gaps and ensure continuous improvement
  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

  • Bachelor's degree in health information management, life science or a related field is preferred
  • AAPC/AHIMA Certification is required: CPC, CIC, CCS, COC
  • 8= years of hands-on outpatient E/M (IP-OP) medical coding experience, with at least 4+ years in training, mentoring or quality role
    In-depth understanding of 2021 E&M guideline changes and CMS documentation
  • Familiarity with DRG assignment, MS-DRG, and APR-DRG methodologies
  • Solid Knowledge of US healthcare RCM system
  • Familiarity with EMR/EHR, compliance standards, auditing platforms
  • Excellent attention to detail and accuracy in coding and documentation
  • Proficiency in coding software and HER systems (EPIC. eCAC, 3M, Cerner etc.)
  • Skills:
    • Solid understanding of medical terminology, anatomy, and physiology
    • Proven excellent communication and presentation skills
    • Proficiency in using training software and tools
    • Solid organizational and time management skills
    • Proven analytical thinking

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Hospitals and Health Care

Eden Prairie MN

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