Coding Quality Educator, Physician Billing

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At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

Under the general direction of the Revenue Cycle Director and Coding Manger, Physician Services Division, the Coding Quality Educator, PB's primary responsibility is the coding of all professional charges for reimbursement, research and compliance with all federal regulations using the ICD-10-CM classification system and CPT-4 procedural codes.

This a remote position.

A day in the life of a Coding Quality Educator, PB at Hackensack Meridian Health includes:

• Complies with established corporate and departmental policies, procedures, objectives, quality assurance methods, and safety codes. Demonstrates compliance with licensing, regulatory and accrediting agency provisions as required.
• Successfully perform consistent Coding Quality reviews to validate correct coding of both providers as well as vendors providing coding support to PSD.
• Clarifies complex discrepancies in documentation and coding; assures accuracy and timeliness of coding assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care.
• Performs follow-up complex coding of medical records as a result of internal or external reviews which have identified Coding discrepancies.
• Maintains knowledge and skills; reads current coding resources clinical information, videos, etc.
• Meets or exceeds productivity and quality standards and established department benchmarks.
• Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc.
• Determines complex code assignment pertinent to diagnostic workups, surgical techniques, advanced technology and special services, identifies medical and surgical complications
• Maintains annual mandatory education requirements specific to the position as mandated by Hackensack Meridian Health.
• Participate in special projects as needed.
• Other duties and/or projects as assigned.
• Adheres to HMH's Organizational competencies and standards of behavior.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Education, Knowledge, Skills and Abilities Required:

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs with required certifications and/or Associate's degree.
• A minimum of 2 or more years' of relevant coding experience, with a high-level of coding expertise in the following areas and/or disciplines is required in the areas of: a. Risk Adjustment/HCC Coding. b. Physician Coding.
• Knowledge of Coding software and Microsoft Office: Word, Excel, PowerPoint, and Access.
• Advanced knowledge of ICD-10 official coding guidelines, including the use of AHA Coding Clinic or similar authoritative resources.
• Excellent oral and written communication skills.
• Ability to work independently in a fast-paced environment.
• Ability to interact with management personnel and the provider community.
• Possess strong organizational skills and attention to detail.
• Ability to multi-task, meet multiple deadlines and prioritize workload.
• Adaptive and flexible to new ideas and change.
• Excellent written and verbal communication skills.
• Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

Education, Knowledge, Skills and Abilities Preferred:

• Associates or Bachelors degree in health information management or similar preferred.
• Acceptable coding or HIM certification; RHIT, RHIA and/or CCS/CCS-P or CPC/CPC-H required. CRC strongly preferred, and will be required within first year of employment.

Licenses and Certifications Required:

• Registered Health Information Technician or Registered Health Information Administrator Certification or Certified Coding Specialist or Certified Professional Coder.
• CPMA strongly preferred and/or must be obtained within a year of employment. 

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!