The Professional Coding Educator is an essential member of the Professional Coding leadership structure. This role is responsible for developing and managing the education pathway for providers of all specialties, as well as the Professional Coding team. The educator will be responsible for the annual Provider Education Program, general and focused Coder education, continuous Provider and Coding team reviews and related activities as needed to meet and exceed the organization’s documentation and coding standards.
- Provides annual coding education and ad-hoc education and reference materials to CCMC and CCSG providers and departments related to chart documentation, coding guidelines, CPT charges, ICD diagnoses, and payer policy.
- Responsible for HIM Department internal monitoring reviews and Compliance Department audits. Maintains reports documenting findings, action plans and results.
- Assists with developing coding procedures, job aids and guidance documents for Providers and Professional Coders.
- Coordinates the review and education of CPT and ICD-10-CM code updates, coding guidelines, and any reimbursement/regulatory changes.
- Responsible for reference material purchases and distribution.
- Develops and maintains provider and Coder education presentations.
- Responsible to schedule education sessions.
- Assists on-boarding of new providers and Coders, tracking progress and improvement opportunities.
- Reviews and responds to inquiries from other departments regarding documentation and/or coding, including but not limited to patient complaints, Billing, Revenue Integrity.
- Assists review and mitigation of denial trends by service and/or provider.
- Promotes individual professional development by identifying education opportunities, tracking staff certifications, and taking an active role as preceptor, mentor and resource to less experienced staff as needed.
- Performs coding functions and a comprehensive understanding of the coding workflows to retain coding expertise.
- Maintains current knowledge of coding, federal and local regulations. Performs other duties as assigned.
Education and/or Experience Required:
- Education: High School Diploma or equivalent.
- Experience: 5+ years Professional Coding Experience, 2+ years with one or more of the following: delivering presentations, conducting one on one education with providers, teaching a coding class, speaking at coding seminars, or related activity.
Education and/or Experience Preferred:
- Bachelor’s Degree or higher in a healthcare related field.
License and/or Certification Required:
- Certified Professional Coder
License and/or Certification Preferred:
- In addition to CPC, one or more related Coding Certificate.
Knowledge, Skills, and Abilities
Knowledge of:
- Proficient in ICD, CPT, Coding Edits, Medical Terminology, Payer Guidelines, Revenue Cycle practices, EMR (Epic Preferred), Microsoft Office.
Skilled at:
- Strong Communication Skills
- Excellent Interpersonal Skills
- Organizational Skills
Ability to:
- Establish and maintain collaborative relationships with all staff.
Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.
At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading children’s health system experiencing steady growth, we’re excited to expand our team with exceptional team members who share our vision of transforming children’s health and well-being as one team.
