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Coding Mentor WFH in Nashville at Parallon

Date Posted: 6/8/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Nashville
  • Job Type:
  • Experience:
    At least 3 year(s)
  • Date Posted:
    6/8/2019

Job Description

Parallon believes that organizations that continuously learn and improve will thrive. That’s why, after more than a decade, we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

The Coding Mentor helps to coordinate and direct the day-to-day coding educational activities. The mentor facilitates and provides coding educational classes/presentations to staff, as required/when needed. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing account reviews, and preparing training documents to assist with coding quality action plans. 

Duties (included but not limited to): 
• Responds to coding-related questions from HSC coding staff 
• Performs account reviews for appeals that are part of the HIM Coding PART process 
• Enters all applicable changes that occur as a result of appeals in C-PART, into the appropriate abstracting system
• Provides Coding Integrity Specialist (CIS) and CQR education as needed
• Initiates the rebilling process as required per policy on special projects
• Monitors staff using Computer Assisted Coding (CAC) for coding comprehension and workflow proficiency. Validates user error vs CAC natural language processing (NLP) improvement
o Interpreting information gathered in interviews and focus groups
o Identify user acceptance patterns 
o Identify system integrity through two independent coders
o Assess and report the outcomes
• Researches coding opportunities and escalate as needed
• Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues. 
• Assists in data collection, compilation, analysis, and trending of CAC precision and recall data 
• Assists in identifying medical record documentation improvement opportunities as needed to improve the CAC system precision and recall performance 
• Recommends modifications to lexicons, clinical phrases, grammar, coding system rules, and region titles for the NLP engine to improve precision and recall rates as needed 
• Provides and creates education as needed
• Participate in touchpoints with vendors and corporate vendor management team to share and document best practices
• Works with Coding Education Manager to design education plans and education material content 
• Monitors QA results to assist Coding Leadership in root cause analysis and educational opportunities 
• Assists with curriculum development
• Performs an annual education needs assessment as input to the strategic coding education program and provides this assessment to the Coding Education Manager
• Communicates Coding topics and/or question trends to Coding Education Manager for global education
• Communicates available global education coursework from the Coding Education Manager to applicable staff 
• Coaches and mentors coding staff as they develop and grow their coding skills 
• Provides skilled coding support through regularly scheduled coding meetings and as the need arises
• Researches external sources for common coding trends and questions 
• Works on special projects as assigned
• Applies adult learning concepts when developing, delivering or assisting others for educational programs 
• Provides high level of customer service 
• Practices and demonstrates adherence to the Company’s Code of Conduct and ethics philosophy and Company’s Mission and Values 
• Completes other duties as assigned  

Job Requirements

KNOWLEDGE, SKILLS & ABILITIES• Communication - communicates clearly and concisely, verbally and in writing.
• Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. 
• Interpersonal Skills - able to work effectively with other employees, patients and external parties. 
• Data Analysis – able to analyze, interpret and share data in a presentation format. 
• Knowledge of Healthcare Information - familiar with various types and sources of health care information, including financial and patient level data files. 
• Work Independently, with experience working in a team environment. 
• PC Skills - demonstrates proficiency in Microsoft Office applications and others as required. 
• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures, systems and query handbook. 

EDUCATION 
• High School graduate or GED equivalent required. 
• Undergraduate (Associate's or Bachelor's) degree in HIM/HIT preferred. 

EXPERIENCE
• Proven work experience in areas of coding education strongly preferred. 
• Minimum of 5 years' acute care inpatient/outpatient coding experience required. 
• Minimum of 3 years coding auditing/monitoring experience strongly preferred. 

CERTIFICATE/LICENSE
 • RHIA, RHIT or CCS preferred.