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Outpatient Coding Educator

Methodist Health System Omaha, NE

Job Description

  • Purpose of Job
    • To ensure each employee receives comprehensive and structured orientation. To provide continuous education to outpatient coders in regards to International Classification of Disease (ICD-10-CM) and Common Procedural Terminology (CPT) code updates and concepts.
  • Job Requirements
    • Education
      • Minimum Associates degree in Health Information Management or related field required.

    • Experience
      • Minimum of 5 years in coding of hospital outpatient and/or professional services.

    • License/Certifications
      • Certified Professional Coder (CPC) required.
      • Certified Professional Coder - Instructor (CPC-I) must be obtained within 1 year of employment.

    • Skills/Knowledge/Abilities
      • Knowledge of International Classification of Disease (ICD)-10 Clinical Modification (CM) and Current Procedural Terminology (CPT) coding required.
      • Knowledge of provider based coding/billing methodology is preferred.
      • Thorough knowledge of International Classification of Disease (ICD)-10 and CPT.

      • Knowledge of Anatomy and Physiology, Disease Process, and Medical terminology as it relates to coding.
      • Attention to detail and completeness.
      • Capability to apply judgment and make informed decisions with little guidance.
      • Ability to communicate effectively and professionally, both orally and in writing.
      • Facilitate effective working relationships and build consensus.
      • Ability to plan, organize, prioritize, and work independently.
      • Ability to solve problems and identify solutions.
      • Ability to work effectively both as a team player and as a leader.
      • Knowledge of computer systems and software used in functional area.
      • Must be able to handle frequent interruptions throughout the day.
      • Must have strong understanding in both APC methodologies to ensure maximum reimbursement.
  • Physical Requirements
    • Weight Demands
      • Sedentary Work - Exerting up to 10 pounds of force. Sitting most of the time. Walking and Standing are required only occasionally.

    • Physical Activity
      • Not neccessary for the position (0%):
        • Climbing
        • Crawling
        • Crouching
        • Kneeling
      • Occasionally Performed (1%-33%):
        • Balancing
        • Carrying
        • Distinguish colors
        • Fingering/Touching
        • Grasping
        • Lifting
        • Pulling/Pushing
        • Standing
        • Stooping/bending
        • Twisting
        • Walking
      • Frequently Performed (34%-66%):
        • Reaching
        • Speaking/talking
      • Constantly Performed (67%-100%):
        • Hearing
        • Keyboarding/typing
        • Repetitive Motions
        • Seeing/Visual
        • Sitting

    • Job Hazards
      • Not Related:
        • Chemical agents (Toxic, Corrosive, Flammable, Latex)
        • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
        • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
        • Equipment/Machinery/Tools
        • Explosives (pressurized gas)
        • Electrical Shock/Static
        • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
        • Mechanical moving parts/vibrations
  • Essential Job Functions
    • Essential Functions I

      • Responsible for initial training for new hires and contract staff by developing and maintaing training plan for each new hire with time frame for completion of training.
        • Training plan for outpatient, outpatient surgery and professional services.
        • Current Procedural Terminology (CPT) coding.

      • Perform audits of all encounter types in outpatient coding during probationary period of new hires to ensure knowledge and understanding of coding guidelines and policies.
        • Audits completed within 1 week of completion of coding by new hire/trainee.

      • Responsible for the continuation of education in regards to new government rules, regulations, and yearly code updates for all jobs regarding International Classification of Disease (ICD)-10 coding per the direction of coding management.
        • Researches new coding updates.
        • Review Centers for Medicare and Medicaid Services (CMS) mandates and updates coding directives as needed.
        • Reviews Federal Register to ensure compliant coding and reporting.

      • Organize education offerings for outpatient coding staff as well as related jobs regarding coding and reimbursement.
        • Works with management to identify annual CEU offerings for outpatient coders.
        • Has the ability to present information in a quick manner while still getting pertinent information distributed to outpatient coders and management staff.

      • Works closely with the Coding Leadership:
        • Per direction of Coding Leadership, reviews and formulates processes for each coder to ensure efficient use of the medical record to ensure productivity standards are being met.
        • Cross-trains current staff in all processes in their respective job descriptions.
        • Contributes in the development and maintenance of specialty-specific coding education materials.
        • Identifies documentation trends and issues to bring forward for resolution.

      • Serves as a coder when volumes exceed department standards as determined by management.

    • Essential Functions II

      • Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.

      • Follows and understands the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.

      • Other duties as assigned.

Job Details

Date Posted December 5, 2018
Date Closes February 3, 2019
Requisition 11696
Located In Omaha, NE
Work At Physicians Clinic Inc
Department Coders
Shift Daytime
Hours 8-430 hours per week
SOC Category 00-0000.00