Mountain Area Health Education Center
Provider Educator
Mountain Area Health Education Center, Asheville, North Carolina, United States, 28801
Provider Educator
The Provider Educator position is responsible for Coding Education for our clinical staff. This position will require in person work during education and auditing sessions with providers. Specific Responsibilities: Works directly with our providers to review their individual audits, provide education and feedback Collaborates with our auditor to review audits, set up audit schedule and give feedback Conducts education/training and presents final audit findings to department staff, physicians and appropriate individuals Is stationed in our clinical settings to provide one-on-one coding assistance after providers see patient With technical direction and assistance from management, along with our auditor, designs and implements coder education program, continuing education programs and Medical Staff education programs Establishes and monitors performance and maintains appropriate documentation thereof Reviews, develops and delivers training programs and educational materials to address deficiencies identified in the audits compliant with regulatory requirements Provides written guidance back to providers Performs duties as assigned training/mentoring of new staff, performing audits and research related to special projects Depending on location, provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates to clinical data quality management factors Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, according to regulatory requirements Reports findings both verbally and in writing and communicates results to leadership Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines Promotes cooperation with compliance programs to improve documentation which supports compliant coding Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines Participates with management in the assessment of external audit findings and responds as needed Attends meetings and interacts with management to resolve issues and provide advice on new programs Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures compliance regulatory requirements Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines Assures compliance with the coding guidelines and regulatory requirements Other duties as assigned Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Key Competencies: Communication Skills Decision Making HealthCare Knowledge Interpersonal Skills Organizational Values Problem Solving Specified Skills: Excellent skills in Microsoft Office including Word, Excel, PowerPoint, and database applications required. Additional Information: Ability to perform duties with speed and accuracy Ability to think strategically Ability to work independently and to initiate and complete tasks with minimal supervision required Must be a team player Must demonstrate discretion in dealing with medical, fiscal and personnel information as is appropriate to position. Requires the ability to appropriately and professionally handle multiple and competing priorities Education and Experience: Minimum Qualifications: High School Graduate or equivalent National certification from the American Health Information Management Association (AHIMA) as a Certified Coding Specialist (CCS) or certification through the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) Past Coding experience in OP or IP setting Preferred Qualifications: Strong education/training background in coding and reimbursement Veridigm (Allscripts) PM experience Endcoder experience Schedule: Regular attendance on-site is an essential function of this position; may include some remote work. Typical business hours are Monday
Friday, 8:00 am to 5:00 pm (or flexed to best meet the needs of the organization), 40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Position Compensation: $28.27/hour, full time + full benefits available At MAHEC, we strive to equip all team members with Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive. All MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption. MAHEC Talent Management is located at 121 Hendersonville Road, Asheville, NC 28803. Equal Opportunity Employer. MAHEC is a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program. Employees who meet federal requirements may be eligible to have remaining student loan balances forgiven after 10 years of qualifying payments while working full-time at MAHEC.
The Provider Educator position is responsible for Coding Education for our clinical staff. This position will require in person work during education and auditing sessions with providers. Specific Responsibilities: Works directly with our providers to review their individual audits, provide education and feedback Collaborates with our auditor to review audits, set up audit schedule and give feedback Conducts education/training and presents final audit findings to department staff, physicians and appropriate individuals Is stationed in our clinical settings to provide one-on-one coding assistance after providers see patient With technical direction and assistance from management, along with our auditor, designs and implements coder education program, continuing education programs and Medical Staff education programs Establishes and monitors performance and maintains appropriate documentation thereof Reviews, develops and delivers training programs and educational materials to address deficiencies identified in the audits compliant with regulatory requirements Provides written guidance back to providers Performs duties as assigned training/mentoring of new staff, performing audits and research related to special projects Depending on location, provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates to clinical data quality management factors Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, according to regulatory requirements Reports findings both verbally and in writing and communicates results to leadership Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines Promotes cooperation with compliance programs to improve documentation which supports compliant coding Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines Participates with management in the assessment of external audit findings and responds as needed Attends meetings and interacts with management to resolve issues and provide advice on new programs Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures compliance regulatory requirements Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines Assures compliance with the coding guidelines and regulatory requirements Other duties as assigned Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Key Competencies: Communication Skills Decision Making HealthCare Knowledge Interpersonal Skills Organizational Values Problem Solving Specified Skills: Excellent skills in Microsoft Office including Word, Excel, PowerPoint, and database applications required. Additional Information: Ability to perform duties with speed and accuracy Ability to think strategically Ability to work independently and to initiate and complete tasks with minimal supervision required Must be a team player Must demonstrate discretion in dealing with medical, fiscal and personnel information as is appropriate to position. Requires the ability to appropriately and professionally handle multiple and competing priorities Education and Experience: Minimum Qualifications: High School Graduate or equivalent National certification from the American Health Information Management Association (AHIMA) as a Certified Coding Specialist (CCS) or certification through the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) Past Coding experience in OP or IP setting Preferred Qualifications: Strong education/training background in coding and reimbursement Veridigm (Allscripts) PM experience Endcoder experience Schedule: Regular attendance on-site is an essential function of this position; may include some remote work. Typical business hours are Monday
Friday, 8:00 am to 5:00 pm (or flexed to best meet the needs of the organization), 40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Position Compensation: $28.27/hour, full time + full benefits available At MAHEC, we strive to equip all team members with Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive. All MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption. MAHEC Talent Management is located at 121 Hendersonville Road, Asheville, NC 28803. Equal Opportunity Employer. MAHEC is a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program. Employees who meet federal requirements may be eligible to have remaining student loan balances forgiven after 10 years of qualifying payments while working full-time at MAHEC.