GENERAL SUMMARY: Directly coordinates, oversees, and controls the flow of provider education and medical record coded information required of the hospital and ambulatory sites for billing, reimbursement, and compliance purposes. The Provider Education Coordinator serves as a subject matter expert for documentation and coding and utilizes expertise to analyze revenue cycle metrics to identify documentation trends for outlier providers and facilitates education work plans to improve the quality, completeness, timeliness, and accuracy of medical record documentation for professional and hospital services. Serves as an educational resource and subject matter expert to providers and/or coding staff related to coding and documentation including, but not limited to local, State and Federal coding guidelines and regulations, NCCI Edits, ICD-10CM, CPT, Hierarchical Condition Categories (HCC), and standards of compliance.
EDUCATION/EXPERIENCE REQUIRED:
High School Diploma or G.E.D. equivalent required.
Associates Degree in Healthcare related field, Medical Record Sciences, or Business/Healthcare Administration or four (4) years coding experience may be considered in lieu of education requirement.
Minimum of three (3) years of experience related to documentation improvement, coding, CDI, compliance, and/or billing for hospital/physician services required.
Additional specialty coding certification or five to seven (5-7) years coding experience required.
Prior experience in a healthcare revenue cycle position required.
Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. High level of proficiency in Microsoft Office and/or Microsoft Access applications.
Data analytics experience preferred.
CERTIFICATIONS/LICENSURES REQUIRED:
At least one of the following certifications is required: CPC, CCS, CCS-P, RHIT or RHIA.
Additional Information
Organization: Corporate Services
Department: CDI - Education Delivery
Additional DetailsThis posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
BenefitsWhether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Henry
Ford Health has a new approach for its employee benefits program - My Choice
Rewards. My Choice Rewards is a program as diverse as the people it serves. There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action EmployerEqual Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.
