Work Schedule:Days - Locations available - Buckhorn, Lewistown, Glenmaura, Geisinger Wyoming Valley
Work Type: Full Time
Responsible for the assessment, design, development and delivery of training programs to aid Revenue Cycle Coding Operations employees in performing to the best of their abilities and meeting business objectives of coding for 3 hospitals and over 500 physicians organization wide. Responsibilities include conducting training needs assessments, identifying appropriate training programs and outcomes, create and deliver necessary training reports for the coding program.
Coders are being asked to provide greater detail on a wider variety of medical procedures and devices, with higher levels of accuracy and in close adherence to new guidelines and regulations in an evolving electronic environment. The rate of change only increases. In the case of medical technology, the introduction and adoption of new devices, procedures, and pharmaceuticals can easily outpace code updates, often challenging coders to document procedures that as yet lack codes.
Creates consistency and efficiency for any claims processing and data collection to optimize reimbursement and facilitate data quality for all coded services. The Coding Program Trainer is mainly responsible for training and maintenance of Hospital and Professional Coding staff. This is completed through ongoing review of medical records and development of cutting-edge education programs to ensure outstanding coding with regards to compliance and revenue optimization based on current coding guidelines. This position reports directly to the Senior Director, Hospital and Professional Coding Operations.
Mainly responsible for reviewing hospital inpatient, hospital outpatient and professional medical records for respective Service Lines and evaluating the accuracy of ICD-9-CM diagnosis and either ICD-9 CM or CPT procedure codes that reflect reason for admission and patient severity. Follows established hospital and professional inpatient coding guidelines and utilizes Coding Clinic, CCI, CPT Assistant and other resources to ensure compliance with national coding guidelines. Assists the organization by identifying opportunities for physician documentation improvement. Further this position will have a direct impact on Days of Revenue Outstanding reduction by managing the DNFB through ongoing training and education for accurate code assignment contributing to the overall fiscal health of the GHS organization.
Competencies and Skills:
Demonstrates strong presentation skills with the ability to effectively communicate to many different audience levels. Relies on extensive experience and judgment to plan and accomplish goals.
Demonstrates proven analytical and organizational ability and the ability to work with minimal supervision at a high level of accuracy and productivity.
Demonstrates ability to communicate both verbally and in writing in a highly professional manner.
Demonstrates ability to be punctual and maintain an excellent attendance record.
Demonstrates ability to be articulate, mature and highly organized with a high level of independent judgment and problem solving skills.
Demonstrates ability have close attention to detail, viewing a computer monitor, reading reports in electronic format, reading physician handwriting, and ability to meet deadlines and function under pressure.
Demonstrates ability to train other staff members as required by either formal presentation or informal one-on-one meetings.
Demonstrates excellent oral and written communication skills as well as strong public speaking and education/training/presentation skills are required.
EDUCATION AND/OR EXPERIENCE:
AHIMA approved ICD-10-CM/PCS Certified Trainer certification in good standing required.
Formal coding education with national certification from the (AHIMA) American Health Information Management Association or (AAPC) American Academy of Professional Coders (CCS, CCS-P, CPC, CPC-H, RHIA, RHIT) required.
Minimum of seven years progressive hospital/professional coding experience required.
Accreditation for both hospital and professional coding preferred.
Completion of college level Anatomy and Physiology program required.
Experience in a high volume Revenue Cycle environment preferred.
Work is typically performed in an office environment.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.