Major Responsibilities: Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according to American Hospital Association (AHA) coding guidelines, CPT Assistant, AHA Coding Clinic and national and local coverage decisions. Works collaboratively with coding leadership per their direction in reviewing records with focused diagnosis and procedure codes, including specific APCs, DRGs and OIG work plan targets to assure compliance in all areas of coding, which may give visibility into documentation that is driving codes. Works collaboratively with coding leadership to identify focused prospective records that need to be reviewed. Identifies coder education opportunities,...

Job Description Major Responsibilities: Working in collaboration with Coding Leadership, IT leadership, Org development, Revenue Cycle leadership, Compliance leadership etc. Presents coding and documentation education, which may include in-person classes and virtual offerings, for initial training and continuing education purposes to both coders and clinicians. Supports the development of coding educational presentations, tools and documents. Identifies, trends and reports coder educational needs to ensure appropriate coding and documentation educational opportunities are met. Collaborates with Professional Coding department leadership and applicable team members to enhance coding educational programs by identifying, developing and providing one-on-one, follow-up and refresher sessions. Stays current with trends in adult learning concepts and applies those concepts to education and training. Maintains education/training schedules. Utilizes Learning Connection, ATMS, Skype...