Medical Coding Trainer

Entourage is accepting resumes for this role:

Medical Coding Trainer
Place of Performance: Japan

Specific Tasks:

• Performs baseline and ongoing analysis of ICD, E&M, CPT, and modifier coding performance of assigned DHA Markets; MTFs; medical specialties; product lines; provider/clinical/coding staffs; or individual providers. Utilizes audit results, coder feedback, DHA-MCPB input, specialty/individual provider concerns, Market or MTF leadership concerns, Uniform Business Office (UBO) concerns, or Data Quality (DQ) concerns. Researches coding issues that arise. Analyzes coding data to identify root causes for errors and issues, identifying opportunities for education to correct identified deficiencies. Analyzes organizational challenges; and develops organizational solutions that have a measurable impact on addressing performance gaps and issues.
• Identifies knowledge and training gaps based upon analysis.
• Effectively designs training, ensuring that training information provided is accurate. Develops objectives, evaluation criteria, and curriculum for training programs IAW DHA-MCPB direction, guidance, instructions, policies, and procedures.
• Effectively delivers training, designs training, ensuring that training information provided is consistent and delivered within prescribed protocols.
• Improves coding specificity by educating physicians, clinicians & other involved parties regarding the necessity of providing complete & clear documentation of the care provided using CDI methods, metrics, and techniques.
• Documents training plans, delivery, assessments, and evaluation, to include return on investment (ROI) determination for DHA-MCPB knowledge management in coding. Provides timely reports on coding training activities and progress made in training plans IAW DHA-MCPB direction, guidance, instructions, policies, and procedures. Provides updates to more senior staff to identify areas that need attention.
• Stays abreast of industry changes to code sets and coding guidance. Analyzes changes to coding rules and regulations by utilizing appropriate reference materials, internet sources, seminars, and publications. Stays abreast of changes in Federal laws, Department of Health and Human Services Office of Inspector General (HHS-OIG), DoD, and DHA regulations, and commercial policies involving or affecting compliance.
• Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care.
• Identifies any problems with legibility, abbreviations, etc., and brings to the provider’s attention.
• Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance.
• Acts as a source of reference to medical staff having questions, issues, or concerns related to coding. Responds to provider questions and provides examples of appropriate coding and documentation reference(s) to provide clarity and understanding. Collaborates with and supports medical coders, auditors, and compliance specialists in providing education and feedback to providers and staff.
• Supports DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification through appropriate channels.
• Achieve and maintain DHA coding productivity and accuracy standards for the position.

Qualifications:

• Education: Post-high school education through a university or technical school program resulting in completion of ONE of the following:
  1) An Associate’s degree or higher in Health Information Management, Healthcare Administration, or a biological science; OR
  2) A university certificate in medical coding; OR
  3) At least 30 semester hours’ university/college credit that includes relevant coursework such as anatomy/physiology, medic al terminology, health information management, and/or pharmacology; OR
  4) Successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology; OR
  5) Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training, obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision.
• Certification: ONE of the following recognized professional coding certifications: Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist – Physician (CCS-P); AND ONE of the following recognized institutional coding certifications: Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS); AND ONE of the following recognized CDI certifications: AAPC: AAPC Approved Instructor; Certified Documentation Expert Outpatient (CDEO); Certified Documentation Expert Inpatient (CDEI), Association of Clinical Documentation Integrity Specialists (ACDIS): Certified Clinical Documentation Specialist (CCDS); Clinical Documentation Specialist – Outpatient (CCDS-O) or AHIMA: Certified Documentation Improvement Practitioner (CDIP).