Senior Inpatient Coding Educator and Data Consultant

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Job Title:
Senior Inpatient Coding Educator andData Consultant
Department:
Health System Shared Services | MIM CDI and Coding
THE JOB WILL ENTAIL: Hybrid work from home and office is available, but some weekly on-site work will be required.
Scope of Position: The Senior Coding Education and Data Consultant ensures documentation and coding compliance at Ohio State University Wexner Medical Center. The Senior Coding Education and Data Consultant is responsible for conducting data analysis, generating and developing reports, auditing coding and medical record documentation, identifying improvement opportunities, and creating education plans for coders, CDIs, and providers. This role is expected to develop an action plan and influence adoption by effectively engaging coding, CDI, and providers.
The consultant evaluates performance to assess the quality of medical record documentation and coding, preparing recommendations based on the results. They monitor the case-mix index for services and hospital entities, Vizient and hospital-related quality initiatives (e.g., patient safety indicators, pressure ulcer monitoring, mortality reviews, etc.), and the Program for Evaluating Payment Patterns Electronic Report (PEPPER). These measures help identify opportunities for improvement and help ensure compliant coding. The consultant provides and presents detailed findings reports. The consultant will conduct in-depth reviews of billed codes, charges, and modifiers and report findings.
Moreover, the Senior Coding Education and Data Consultant serves as a subject matter expert on compliant documentation and coding opportunities. The Senior Coding Education and Data Consultant will guide root cause analysis, measure coding and reimbursement opportunities and risks, and then communicate these findings to the Director of Coding and Compliance, as requested by the Administration.
Position Summary: This position conducts health-system-wide coding analyses to promote compliance with federal and state regulations pertaining to but not limited to ICD-10-CM, ICD-10-PCS, and CPT-4 coding, assignment of modifiers, charge entry, and Data abstraction for hospital billing and must understand the principles of physician documentation. Under the direction of the Director of Inpatient Coding and Compliance, the Senior Coding Education and Data Consultant assists in determining controls and monitors risk areas or changes to review risk management and ensure compliance with documentation and coding regulations. Consultant operates with extreme tact and diplomacy in performing job duties while interacting with faculty and staff from all areas of the Medical Center.
Minimum Qualifications
For Hire: Bachelor's degree in health information management, business administration, or healthcare field.
Registered Health Information Administrator (RHIA) preferred. Certified Coding Specialist (CCS) accepted.
Two to four years of experience in academic hospital coding is preferred. Experience with electronic medical record systems and encoders is required. Knowledge of ICD-10-CM, ICD-10-PCS, CPT-4, Official Coding Guidelines, and Medicare Billing Rules is required.
Ability to communicate and demonstrate interpersonal skills required. Demonstrated ability to lead others either formally or informally.
On going: Attends Medical Center and Departmental In-services, education forums, and meetings as required. Completes annual CBLs as required.
Additional Information:
Location:
Ackerman Rd, 600 (2435)
Position Type:
Regular
Scheduled Hours:
40
Shift:
First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.
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