JOB QUALIFICATIONS:

Bachelor’s degree preferred or equivalent combination of relevant work and educational experience. Minimum five (5) years of relevant coding, auditing, and/or teaching experience required. Must pass Halifax Health issued coding examination.

SKILLS, EXPERIENCE AND LICENSURE:

Minimum three (3) years Inpatient coding experience

· Coding credential required. CCS credential preferred

· Epic and Optum experience highly preferred

· Previous teaching/educating experience highly preferred.

· Knowledge of regulatory and third party payer requirements

· Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments

required

· The ability to organize, prioritize, analyze, and implement daily tasks; must be a self-starter

· The ability to handle multiple responsibilities and tasks in stressful situations

· The ability to maintain confidentiality; knowledge of HIPAA laws

DUTIES AND RESPONSIBILITIES:

· Lead training sessions on current billing and coding information in the medical field.

· Develop curriculum and training handbook and create presentations.

· Perform quality assurance reviews to assess comprehension of training efforts.

· Organize and participate in coding and reimbursement meetings.

· Review and respond to coding questions.

· Conduct coding reviews and training programs to assure coding quality.

· Ensure billed service is being accurately coded.

· Perform chart audits.

· Hold regular meetings to communicate new findings.

· Perform analysis of benchmarking profiles.

· Provide continual coding and payer updates.

· Research coding issues that arise.

· Maintain knowledge of ICD-10-CM and ICD-10-PCS classifications and coding of diagnoses and procedures.

· Identify elements of a medical record's structure and content and code abstracting.

· Perform work in accordance to internal standards

· All other duties as assigned and consistent with the Job Summary