Coding Validation Specialist

Duration: TBD

Job Description

The Coding Validation Specialist assists the Coding Managers with oversight and evaluation of coding functions including efficiency, accuracy, continuing education needs and overall coding quality. This individual determines individual education needs of coders and collaborates with department manager and CDCI Coding Trainer and Educator to develop appropriate training materials. This position would oversee the administration of the education plan/training necessary, evaluating the effectiveness of the education plan or performance improvement plans, providing feedback to Coding Manager. Recommends disciplinary action when warranted.

Qualifications

Associates Degree in Health Information Management, Nursing or a Medical Coding or healthcare related field (or equivalent combination of formal education and experience). Bachelor s Degree in Health Information Management, Nursing or related field preferred. A minimum of at least one of the following: CCS (certified Coding Specialist), CCS-P (Certified Coding Specialist-Professional), CPC (certified Professional Coder); CPC-H (Certified Professional Coder-Hospital Outpatient; RHIT, RHIA; minimum of two preferred. Minimum of five years of coding experience in either inpatient or outpatient coding in an acute hospital setting. Coding experience in teaching, tertiary facility preferred. Experience as a coding validator preferredSupervisory experience highly desirable. Critical thinking, analytical and problem solving skillsHighly organized with strong project/task management skillsKnowledge of federal, state and payer specific regulations, policies and guidelines pertaining to coding (inpatient or outpatient), documentation requirements and billingExperience with EM Encoder/Grouper, SMART software preferred