Job Description
At Houston Methodist, the Coding Educator position is responsible for developing coding education plans and training programs for new hires and current staff to enhance coding skills as well as to ensure compliance with regulations/guidelines. This position deploys the education plans and training programs to the staff by providing direct education to the staff via face-to-face classroom setting, remote web conferencing, and written resources. The Coding Educator will work jointly with applicable management to deploy the overall strategy for system-wide coding operations consistent with Houston Methodist strategic plans.
Requirements:
PEOPLE ESSENTIAL FUNCTIONS
- Establishes and maintains strong, effective working relationships with physicians, peers and healthcare professionals; effectively communicates with internal and external customers.
- Exhibits ability to adjust teaching methods to various learning styles.
SERVICE ESSENTIAL FUNCTIONS - Provides coding training and education sessions to coding staff based on needs identified due to coding audit results, regulatory changes, hospital policy changes or implementation of new technology or processes, including onboarding new staff as necessary or applicable.
- Works with the coding management team to establish a coding program and monitor the success of the coding program including assisting with student recruitment.
QUALITY/SAFETY ESSENTIAL FUNCTIONS - Develops instructional materials to include course plans, objectives, and evaluation tools.
- Assesses course effectiveness through student evaluations.
- Performs quality monitoring to assess comprehension of training efforts to assure that all required information is captured accurately.
- Performs/Leads performance improvement activities that support operational efficiencies, data integrity and service quality including measuring and improving quality outcomes including assisting with quality reviews of new staff as necessary and where applicable.
FINANCE ESSENTIAL FUNCTIONS - Under department leadership, assists with developing and maintaining an annual training program budget.
- Where applicable assists with pre-billed claim edits to ensure complaint coding, charting and billing.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS - Designs, implements, and monitors effective processes and systems within assigned areas of responsibility to achieve maximum efficiency and enhance productivity and customer satisfaction.
- Benchmarks for best practices.
- Strives to improve and enhance support to the Hospital and System and seeks opportunities to expand the scope of the Coding section.
- Develops continuous process improvements for the coding training needs of the System.
- Demonstrates adaptability and flexibility in the face of changing demands.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
Qualifications:
EDUCATION
- Associate's degree or higher, concentration in health-related discipline or education
WORK EXPERIENCE - Eight years of progressive coding and/or coding review (auditing) experience at a large facility or multi-facility
- Some professional teaching/training experience
LICENSES AND CERTIFICATIONS - REQUIRED - For inpatient/outpatient coding: RHIT, RHIA, or CCS certification from AHIMA is required
- For professional fee coding: CCS-P from AHIMA or CPC from AAPC is required
LICENSES AND CERTIFICATIONS - PREFERRED - CPC-I - Certified Professional Coder Instructor (AAPC) -- (CBO Coders only) OR
- CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only)
KNOWLEDGE, SKILLS, AND ABILITIES
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
- Expert knowledge and proficiency in the following:
- ICD-9-CM , and CPT/HCPCS coding classification systems
- ICD-10-CM and CPT (for professional fee coding); and ICD-10-CM, ICD-10-PCS and HCPCS (includes CPT) (for inpatient/outpatient coding) coding classification systems
- For inpatient/outpatient coding: MS-DRG, APR DRG and APC assignment systems
- Official coding guidelines and coding compliance
- Working knowledge of medical terminology, anatomy and physiology, disease processes and pharmacology
- Knowledge of all components of the medical record
- Proficiency with electronic encoder application
- Basic computer knowledge and proficiency with Microsoft Office products
- Proficiency with Microsoft Office products
- AHIMA designated ICD-10 Approved Trainer preferred or for CBO coders AAPC CPC-I or CPMA preferred
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
- Uniform No
- Scrubs No
- Business professional Yes
- Other (department approved) No
ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
TRAVEL**
**Travel specifications may vary by department**
- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area Yes
Job Tags
Remote job, Full time, Work experience placement, Work at office,