Coding Quality Education Coordinator

                    

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job Title

Coding Quality Education Coordinator

                        

Location

Cleveland

                    

Facility

Remote Location

                     

Department

HIM Coding-Finance

                      

Job Code

T99020

                     

Shift

Days

                       

Schedule

8:00am-5:00pm

                       

Job Summary

                         

Job Details

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world.   

As a Coding Quality Education Coordinator, you will provide one-on-one and classroom-based clinical documentation and coding education to medical staff, Advanced Practice Providers and other key stakeholders. In this role, you will serve as a subject matter expert for Cleveland Clinic on documentation standards, reimbursement methodology and data interpretation as they relate to hospital records. You will conduct quality reviews of inpatient CDI cases, queries, assigned codes and working DRGs. You will also contribute to process improvement initiatives informed by audit findings and hospital or institute performance improvement priorities impacted by documentation quality. Areas of focus will include surgical and operative techniques, ICD-10-CM and CPT/HCPCS coding conventions and guidelines, modifier application and Medicare regulatory updates. 

A caregiver in this role works remotely from 8:00 a.m. – 5:00 p.m. 

A caregiver who excels in this role will: 

• Provide one-on-one and classroom-based clinical documentation and coding education to medical staff, Advanced Practice Providers and other key stakeholders.  

• Serve as a subject matter expert for Cleveland Clinic on documentation standards, reimbursement methodology and data interpretation as they relate to hospital records.  

• Conduct quality reviews of inpatient CDI cases, queries, assigned codes and working DRGs.  

• Educate and mentor new employees through the on-boarding process.  

• Train caregivers on initial CDI process, concept training and on-going education related to new topics in CDI, coding and reimbursement.  

• Support CDS with new technology and technology updates. Assists with and provides suggestions for continuing education topics and issues. 

• Monitor CDI compliance through quality audits and data analysis. 

• Provide feedback to the management team and staff regarding ICD 10 CM/PCS, CPT-4 coding, DRG assignment and related clinical documentation issues or concerns. 

• Analyze and evaluate clinical and operational systems and processes relative to  reimbursement and quality statistics through chart review and other special study methods. 

• Recommend data quality improvements and revenue enhancements.  

• Develop and maintain CCHS facilities policies and guidelines in accordance with AHIMA  Practice Briefs, Official Coding Guidelines, ACDIS standards and Coding Clinic.  

• Educate groups and individuals within and external to HIM regarding documentation, coding, DRG, ICD-10, CPT-4 code assignment and the reimbursement process 

• Interact with and educate physicians,APPs, and caregivers individually and in groups.  

• Assist with the analysis of statistical and other reports. 

• Support CDI and HIM program initiatives.  

• Anticipate and respond to changing skills requirements.  

• Seek opportunities to learn new skills and actively coach and encourage team members to do the same. 

• Successfully integrates team into the CDI and HIM process to promote their development. 

• Comply with CCHS and departmental policies and procedures consistently. 

Minimum qualifications for the ideal future caregiver include: 

• Must meet one of the following education req