Coding Quality Educator, Physician Billing

• 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.

• 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.

• 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.

• 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.

Hackensack Meridian Health