The coding educator is responsible for working across the professional fee organization, running all training initiatives across all revenue cycle functions and processes. Functions include, but are not limited to: education curriculum delivery for new staff onboarding and existing staff re-education. Responsible for developing, implementing, and delivering coding education using references and materials aligned with national coding guidelines. This includes researching updated coding information, rules, laws and statutes for all payers and government entities. Creates presentations, develops learning material, reference sheets and other training materials for training sessions.
Key Functions and Expected Performances
With guidance from the Training Manager:
25% Create and develop educational materials and activities to educate new and existing staff. Develop coding curriculum aligned with national coding guidelines with an understanding and interpretation of healthcare insurance guidelines as relevant to correct coding initiatives.
20% Conduct training classes to instruct employees in a wide variety of technical, operational and professional development subjects based on national coding updates, payer coding changes, revenue cycle initiatives, identified training needs, business systems or changes. Deliver coding education to enhance staff’s ability to perform duties with a clear understanding of the national coding guidelines.
15% Research updated coding information, rules, laws and statutes for all payers and government entities. Responsible to keep abreast of and hold extensive knowledge of government regulations related to coding and applicable reimbursement laws and regulations required. May also be asked to participate in departmental meetings to assess coding issues.
10% Work with UBO management, coding liaisons, and quality team to identify training needs based on standard metrics and quality assessments and escalate them to the Training Manager.
10% Maintains a library of training material and an index of training resources. Redesigns training module(s) as necessary to accommodate changes in process; rewrites program materials and curriculum.
10% Determines what courses will be offered and designs training courses in response to customer needs and to address URMFG operations/services; identifies and/or validates training needs through analysis of surveys, participant evaluations, help desk tickets and specific requests.
10% Assesses training effectiveness, as well as adequacy of supporting training materials, and applies to the development/revision of training classes and opportunities; prepares activity and progress reports regarding training activities.
May perform other duties as assigned.
Bachelor’s degree in related field (i.e. RHIA) and 3-5 years of relevant experience; or equivalent combination of education and/or experience:
Graduation from an accredited Health Information Technology program, AHIMA and 4-5 years of recent coding experience in a multi-specialty physician group practice.
National Coding Certification AAPC Coding Certification (CCS-P, CPC, COC, or CPC-P) required with 2-3 years of training experience, designing training materials and developing curricula and (3) years recent coding experience.
At least five (5) years recent coding experience required in a large multi-specialty physician group practice with at least two (2) years coding auditing experience in a health care setting preferred. Three (3) years of management or teaching experience required.
Demonstrated ability to organize data and present outcome statistics using Microsoft word, excel and/or PowerPoint.
Ability to review, analyze, and interpret billing guidelines and state and federal regulations.
Effective written, verbal and interpersonal skills as well as the ability to present information and communicate with a wide variety of people, including physicians, staff and others.
Maintains national coding licensures.
E&M coding/auditing experience in any medical specialty, with greater experience preferred. One-year experience in surgical and outpatient procedural coding is preferred.
Advanced ICD-10, CPT, and HCPCS coding knowledge inclusive of associated billing edits such as NCCI.
Ability to assign, sequence and validate all CPT, ICD-10, HCPCS codes with appropriate modifier usage.
Knowledge of Epic Resolute and Ambulatory experience.
The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled
Pay Range: $ 62,200 - $ 93,300 Annually
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Location: Medical Faculty Group
Full/Part Time: Full-Time
Opening: Full Time 40 hours Grade 053 United Business Office
Schedule: 8 AM-4:30 PM