Senior Coding Educator - Data Consultant

May 8

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The Ohio State University, Main Campus

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The Ohio State University, Main Campus is a public research university located in Columbus, Ohio. It offers a comprehensive education with a wide array of undergraduate, graduate, and professional programs. The university is engaged in numerous research initiatives and partnerships, providing opportunities for students, faculty, and industry partners to collaborate. Ohio State promotes a vibrant student life with various academic, recreational, and wellness services to support student needs. It also emphasizes community involvement and leadership development, fostering an inclusive environment on its multiple campuses across Ohio.

- employees

Founded 1870

📚 Education

📋 Description

• The Senior Coding Education and Data Consultant ensures documentation and coding compliance at Ohio State University Wexner Medical Center. • responsible for conducting data analysis, generating and developing reports, auditing coding and medical record documentation, identifying improvement opportunities • creating education plans for coders, CDIs, and providers. • expected to develop an action plan and influence adoption by effectively engaging coding, CDI, and providers. • evaluates performance to assess the quality of medical record documentation and coding, preparing recommendations based on the results. • monitors the case-mix index for services and hospital entities, Vizient and hospital-related quality initiatives (e.g., patient safety indicators, pressure ulcer monitoring, mortality reviews, etc.), and the Program for Evaluating Payment Patterns Electronic Report (PEPPER). • consultant provides and presents detailed findings reports. • conducts in-depth reviews of billed codes, charges, and modifiers and report findings. • serves as a subject matter expert on compliant documentation and coding opportunities. • guides root cause analysis, measure coding and reimbursement opportunities and risks, and then communicate these findings to the Director of Coding and Compliance. • maintain detailed documentation of coding reviews, audits, and actions taken.

🎯 Requirements

• A Bachelor's degree in Health Information Management or equivalent experience with extensive clinical knowledge and a minimum of 6 years of relevant experience is required. • 8-12 years of relevant experience preferred. • one of the following certifications is required: Accredited as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Documentation Improvement Professional (CDIP) by the American Health Information Management Association, or Certified Clinical Documentation Specialist (CCDS) by ACDIS. • Candidates with a Bachelor’s degree in Nursing will be considered in lieu of a Bachelor’s degree in Health Information Management and have a current RN license. • A minimum of 6 years of relevant experience (with two (2) years of inpatient-based coding/CDI) is required. • 8-12 years of relevant experience preferred. • Candidate should possess a broad knowledge of complex disease processes, preferably in an inpatient setting. • Knowledge of ICD-10-CM, ICD-10-PCS, Official Coding Guidelines, and Medicare Billing Rules is required. • Additionally, candidates must possess strong leadership skills, such as the ability to guide and motivate a team, and effective communication skills, including the ability to convey complex medical information to CDI, coding, and clinicians. • Candidate should demonstrate competency in the teaching/learning process, organizational skills, and computer literacy. • Excellent communication skills and a professional demeanor are required.

🏖️ Benefits

• Eligible Ohio State employees receive comprehensive benefits packages, including medical, dental and vision insurance • tuition assistance for employees and their dependents • state or alternative retirement options with competitive employer contributions