Coding Auditor

Coding Education Specialist

The Coding Education Specialist is responsible for assisting with design, development, and delivery of all Coding Quality and Education components for all areas supported by Professional Billing. This individual is a member of a cross functional team, which includes practice leadership, business owners, IT, the professional billing office, revenue cycle teams and others as needed. This individual will work closely with these various groups to develop, implement and manage medical record review, communication, and education strategies that are needed to achieve desired results. As a highly strategic department representative, this individual consistently demonstrates solid project management skills and behaviors, in addition to continually striving to meet and exceed customer expectations.

Boston Medical Center (BMC) is more than a hospital. Its a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.

Position: Coding Education Specialist

Department: BUMG Corporate PBO General

Schedule: Full Time

Essential Responsibilities / Duties:

• Assist with development of strategic coding communication and education plans which outline the target audience, training needs, training methods and implementation.
• Assist with the development of coding content-specific, competency-based, and operational-based communication and educational deliverables in conjunction with specific business unit resources and technical experts.
• Creates presentations, develops learning materials, handbooks, and other training materials.
• Lead training sessions on current billing and coding information in the medical field.
• Provide mentoring and education to physicians and provide feedback to 3rd party vendor on findings to improve their current performance.
• Communicates and advises the Physician Group and Revenue Cycle staff on coding and documentation principles.
• Manage the delivery of communication and coding training to various groups, including leadership teams and end-users. Delivery methods may include instructor-led, train the trainer, virtual classroom, web-cast, or web based methodologies.
• Manage the maintenance of coding training materials.
• Review and respond to coding questions.
• Perform random chart audits.
• Maintains confidentiality with all company and regulated information.
• Performs other duties as assigned.
• Must adhere to all of BMCs RESPECT behavioral standards.

Job Requirements

Education:

• Bachelors degree or equivalent combination of formal education and experience.

Certificates, Licenses, Registrations Required:

• Must be a Certified Coding Specialist (CCS), Certified Coding Specialist Physician(CCS-P) through AHIMA(American Information Management Association) or AAPCs (American Academy of Professional Coders) Certified Professional Coder(CPC) credential or Certified Professional Coder-Hospital (CPC-H)

Experience:

• Three years of experience in E/M and/or surgical coding plus reimbursement activities is a required.
• In addition, a clinical background and previous chart abstraction experience is preferred.

Knowledge and Skills:

• Excellent written, verbal communication and interpersonal skills.
• Time management and organizational skills. Self-directed.
• Ability to make quality, independent decisions.
• Analytical and strong problem solving skills.
• Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions.
• Ability to maintain the strictest levels of confidentiality.
• Ability to listen to others.
• Competency in the use of a variety of computer hardware and software systems.
• Excellent command of the ICD-10, HCPCS, and CPT coding conventions, E&M coding.
• Work also requires concepts of human anatomy, physiology and pathology.

Compensation Range:

$62,500.00- $91,000.00

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

Note: This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

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