Professional Coding Consultant Educator - Remote
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Healthcare
Job Description & How to Apply Below
Exceptional care starts with exceptional people.
For us, this is more than a job– it’s a calling. It’s waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you to discover your passion, reach your potential, and Pursue Your Purpose. Exceptional care starts with exceptional people and teams. Together we are leading the way.
This job leads, manages and participates in coding integrity related projects, including but not limited to specialty specific coding education, audits, research, education, and financial analysis; manages all related aspects of the project and provides education to the executive leadership team and physicians; and ensures that project related training and quality assurance requirements are assessed and implemented by either performing or overseeing activities.Additionally, this job assists the physicians, coders, and leadership team with accurate code assignment develops methods to provide oversight and ongoing compliance, educates physicians on policy changes or coding/documentation opportunities, educates billing staff across all regions on policy changes, and assists HIM/Coding Management team in all functions in relation to coding compliance. Also responsible for oversight of all coding consulting projects such that results provide timely and accurate recommendations consistent with the management decisions under consideration.
This job serves in conjunction with coding leadership and supervises, coaches, evaluates and counsels employees to ensure competency in all aspects of job duties, including regulatory compliance with CMS or other coding guidelines.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.
This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.
Education
Required
-High School diploma or equivalent
Preferred
-Bachelor's degree
Preferred - Additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications.
Work Experience
Required
-5 years related clinical experience (nursing or allied health) OR coding experience with Medicare and Managed Care Reimbursement, Managed Care contractual arrangements and patient accounting/billing background OR 3 years with a Bachelor's degree
Certifications
Required
-Certification in Coding (CCS-P, CCS), Certified Professional Coder (CPC), Certified Professional Coder
- Hospital (CPC-H), Certified Coding Specialist
- Physician based (CCS-P), or Certified Coding Specialist (CCS)
Knowledge
Skills and Abilities
(KSAs)
- Must have computer skills and dexterity required for data entry and retrieval of information.
- Must be familiar with Cardiology, Cardiovascular and Nephrology Coding.
- Effective verbal and written communication skills and the ability to present information clearly and professionally.
- Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
- Strong interpersonal skills.
- Strong leadership skills.
- Ability to and experience preparing and presenting findings and results to diverse audiences including Physicians, Vice Presidents, Compliance Officer, Attorneys, Directors, Managers and staff.
- Ability to and experience planning, coordinating and reviewing projects involving complex business and technical matters.
- Analytical and operational problem solving skills.
- Time management skills, including the ability to prioritize, organize and coordinate multiple work areas and assignments under fast paced and changing conditions to meet deadlines.
- Ability to and experience resolving issues at lowest level and understanding when to escalate or change priorities Experience balancing technical and practical needs.
- Competency in applying accounting principles and/or federal and state regulations to daily decision- making process.
- Positive attitude and the ability to promote a cooperative and pleasant work environment since all responsibilities are team oriented.
- Ability to move throughout the department, Clinic and other organizational…
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