What You'll Do
Collaborate with leadership to uphold accurate and ethical coding practices that support proper reimbursement and regulatory compliance. Conduct regular internal coding evaluations and perform random, pre-bill quality reviews to ensure data integrity. Design and deliver targeted education for coders and physicians, addressing trends and knowledge gaps identified through audit findings.
Serve as a primary point of contact for coding guidance, offering timely responses to inquiries from team members. Work with external auditors when corporate reviews occur, and assist in orienting staff to coding systems and software platforms. Develop and refine assessment strategies, including follow-up processes for individual coders, management, and clinical providers.
Apply expertise in ICD-10, CPT, APCs, and MS-DRGs during educational sessions and quality initiatives. Contribute coding support as necessary to maintain workflow efficiency.
Requirements
- Must hold one of the following certifications: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or Certified Coding Specialist (CCS)
- Alternatively, Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification is accepted
- Minimum of four years of hands-on coding experience in complex inpatient or outpatient acute care settings
- Strong understanding of coding compliance frameworks and ethical billing standards
Preferred Qualifications
- Associate’s degree in a related field
- Experience with emergency department charging processes
Benefits
- Medical, dental, and vision insurance options
- Adoption, fertility, and surrogacy support with reimbursement up to $10,000
- Generous paid time off and sick leave policies
- Extended leave benefits including paid parental and family caregiver leave
- Emergency backup care services
- Short-term and long-term disability coverage, critical illness protection, and life insurance
- 401k or 403b plan with employer matching contribution
- Tuition assistance up to $5,250 per year
- Access to discounted education programs through Guild Education
- Student loan repayment assistance up to $10,000
- Reimbursement for professional certifications
- Free continuing education units and career development resources
- Pet insurance and legal support services
- Opportunity to qualify for an annual discretionary bonus based on performance and eligibility
