Coding Educator Resume Sample
Ada Cassin
699 Lind Mountains,
Philadelphia,
PA
+1 (555) 713 2517
Work Experience
Coding Educator Specialist
01/2018
-
PRESENT
Philadelphia, PA
- Provide coding education to physicians and their support staff in their designated clinics
- Develops and maintains charge slips to reflect accurate coding
- Performs audits and provide feedback and education in accordance to Coding Compliance Audit and Monitoring Work Plan
- Interprets changes in the external regulatory environment and stays current with coding updates. Assists coordinator in developing and updating FMG policies and training materials based on trends and risk areas. Plans and conducts on-going training with physicians and support staff
- Responds to questions from providers, managers, billing office and others relating to CPT and ICD-9-CM coding, rules & regulations, reimbursement, and documentation requirements
- Maintains project work lists and meets deadlines
- Collaborating with team members in targeting assigned providers in need of Risk Adjustment training
Coding Educator
05/2013
-
12/2017
Philadelphia, PA
- Initiating and building positive, consultative relationships with Providers and Medical Groups (as assigned)
- ICD-10 Training Education
- Perform related work, including, but not limited to quality improvement projects and assist in coding support of workques for department
- RHIT/RHIA certification required
- Excellent verbal and written communication skills with the ability to clearly articulate thoughts and ideas
- Perform quality reviews of medical record documentation to identify opportunities
- Participate in the development and delivery of provider educational materials related to compliant coding and risk adjustment practices
Nurse Coding Educator
08/2010
-
04/2013
Boston, MA
- Work collaboratively with internal business partners to enhance provider relationships
- Conduct group coding education sessions
- Assist internal coding team as needed with various projects
- Participate in risk adjustment data validation audits by government agencies or outside audit vendors, providing assistance to internal stakeholders and conduct medical record chart reviews to validate diagnoses. Perform claims and medical record reviews with focus on accuracy of diagnoses, as needed to respond to particular issues, as part of regulatory audit, or as element of oversight audit
- Strong managerial and leadership experience in a coding environment
- Customer service skills with the ability to interact professionally and effectively with staff from all departments within and outside the Company
- Recommends new approaches, policies, and procedures to influence continuous improvements in department’s efficiency
- Conduct training sessions on provider based coding and billing guidelines
Education
University of Alaska Southeast - Sitka Campus
2004 - 2009
Bachelor's Degree in Health Information Management
Professional Skills
- Demonstrates effective time management skills by completing assignments within time constraints, budget, and calendar schedules
- Excellent verbal and written communication skills, with the ability to clearly articulate thoughts and ideas
- Experience in adult and continuing education, organizational development and training
- Strong understanding of ICD-10 coding principles
- Three to five (3-5) years of experience in healthcare professional billing and coding
- Experience in ICD-9-CM and CPT coding in acute care or ambulatory care setting required
- Experience in professional fee coding and documentation auditing required
How to write Coding Educator Resume
Coding Educator role is responsible for articulate, software, government, travel, insurance, research, coding, security, auditing, training.
To write great resume for coding educator job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Coding Educator Resume
The section contact information is important in your coding educator resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Coding Educator Resume
The section work experience is an essential part of your coding educator resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous coding educator responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular coding educator position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Coding Educator resume experience can include:
- Coaches and encourages team members to seek opportunities and learn new skills
- Strong knowledge and experience with local provider population
- Experience educating providers and medical coding and administrative staffs about medical coding and documentation best practices
- Experience educating providers on improving documentation and coding
- Experience with computerized abstracting/coding systems and electronic health records
- Extensive experience with CPT, ICD-9, and HCPC's coding
Education on a Coding Educator Resume
Make sure to make education a priority on your coding educator resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your coding educator experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Coding Educator Resume
When listing skills on your coding educator resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical coding educator skills:
- Have excellent communication, documentation and presentation skills in order to interact effectively with physicians and other staff
- Current working knowledge of encoder, grouper, abstracting and other related software. Strong analytical and communication skills are required
- Effectively use on line resources to research coding questions and investigate areas of concern
- Communicates professionally and effectively with coding staff, clients, and other Maxim staff
- Skill and ability to handle multiple priorities and meet tight deadlines
- Communicates effectively and timely with Client contracts
List of Typical Experience For a Coding Educator Resume
1
Experience For Provider Coding Educator Resume
- Consistently exhibit behavior and communication skills that demonstrate DaVita Medical Group commitment to superior customer service, including quality, care and concern with each and every internal and external customer
- Assist in training incoming department staff
- Perform analysis of CNMC coding and productivity data against industry benchmarking standards as applicable
- Develops and maintains CCHS coding guidelines in accordance with Official Coding Guidelines
- Responds to questions from coding staff, including applicable references, as appropriate
- Serve as a key contact and liaison with providers to answer coding questions
- Provide individualized sessions with providers for specific coding issues based on medical chart audit results
2
Experience For Nurse Coding Educator Resume
- Conduct coding classes for providers, clinical and business office staff
- Proactively disseminate coding updates to the providers
- Resource the regional coding hotline
- Facilitate the Coding Intern program
- Stay abreast of industry coding and compliance issues
- Hold regular meetings to communicate new coding guidelines and issues
- Provides Clinician coding and documentation orientation
- Work with key departments to review and explain medical chart audit results
- Provide updates and status reports to management on a weekly basis
3
Experience For Compliance Coding Educator / Auditor Resume
- Participate in coding / auditing discussions to ensure best practice efforts and processes are implemented ensuring maximum reimbursement through appropriate coding
- Conduct planned coding reviews and communicate coding errors and inaccuracies to coders, physicians, and billing staff as applicable
- Attend assigned meetings or functions as specified by the Director
- Perform random chart audits
- Identify documentation improvement needs and DRG shifts; work with physicians and CDI Specialists to improve clinical documentation
- Act as a liaison to the medical staff and clinical documentation team for various projects and initiatives
- Understand the clinical content of medical records
- Have the ability to explain information in a clear, concise and organized format
- Be proficient in the use of Excel and Word in order to create physician education materials and templates
4
Experience For Medical Oncology Coding Educator Resume
- Identifies compliance issues that require follow-up or investigation
- Plans and develops curricula in accordance with the Medical Center's strategic goals, mission and business strategies to improve employee performance leading to quality data and to promote quality financial outcomes
- Assists Managers of Health Information and Ancillary departments with education & training needs assessment, program development and evaluation of staff competencies
- Experience in provider education and training required
- Analyzes and evaluates highly complex clinical and operational systems relative to inpatient, outpatient and professional services reimbursement through chart review and other special study methods
- Incorporates highly complex coding compliance pre-billing coding, DRG and APC quality audits, case mix analysis, and compliance software reviews and through other methods
- Provides feedback to the coding management team and staff regarding highly complex 10 CM/PCS and CPT-4 coding and DRG/APC assignment and related clinical documentation
- Develops and maintains inpatient and outpatient electronic coding manuals to support quality coding on designated sites, such as the Coding Sharepoint site
5
Experience For Outpatient Medical Coding Educator Resume
- Monitors coding quality with regards to accuracy and correct coding of hospital services, including ICD-9-CM, present on admission (POA), discharge disposition, and MS-DRG assignment
- Reviews charts for accurate and timely coding that is supported by medical record documentation and is in accordance with facility and Official Coding Guidelines
- Performs CBI Auditing Services according to clients’ requests
- Responds to questions from assigned both Maxim and Client’s coding staff
- Communicates any and all concerns regarding client and/or staff to Remote Operations Manager or Director of HIM Services
- Identifies coding risks/problems proactively and make appropriate recommendations
6
Experience For Medical Coding Educator Resume
- Addresses any coding discrepancies based on review process
- Trains new coders on site specifics and accessing client’s IT systems
- Performs preliminary and routine audits on coding staff
- Performs monthly CBI auditing services
- Identifies coding risks and/or client issues/problems proactively and make appropriate remmendations
- Orients new Maxim and Client’s staff
- Maintains and adheres to HIPAA privacy and security standards
- Communicates with Client’s Compliance department to decide on necessary Q&A projects
7
Experience For Coding Educator Specialist Resume
- Provides constructive feedback to Client staff and Maxim staff on all audit findings
- Orients new coders on facility specific guidelines
- Provides education to coders based on findings
- Educates all staff on any CBI Errors
- Completes VISN requested Q&A audits and provides any feedback to requestor
8
Experience For MRA Coding Educator Resume
- Develops site-specific procedures for each Client based on information communicated verbally and/or via e-mail, and posts on SharePoint
- Provides guidance on documentation requirements, queries, and documentation improvement processes
- Completes timely quality audit summaries and send to VA Operations Manager and Clients
- Completes work assignments independently
- Engages in professional development activities to maintain professional certification(s)
- Tracks quality metrics; monitors programs; and implements coding education initiatives, for all coders and providers to support the health system’s mission
- Develop and present education materials to coders and providers
9
Experience For HIM Certified Coding Educator Resume
- Analyzes quality trends to determine education opportunities
- Develops and contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Ensures compliance with hospital/facility policies and procedures and governmental/accreditation regulations
- Utilizing data analysis, identify and target providers who would benefit from our coding, documentation and quality training and resources
- Participates in hiring process and selection of coding staff
- Monitors AHA (American Hospital Association) Coding Clinic publications, and prepares education as needed
- Monitors OIG (Office Inspector General) plan for potential coding education topics
- LICENSE/CERT/REG: CCS (Certified Coding Specialist) certification from AHIMA (American Health Information Management Association)
- Review, analyze, and interpret billing guidelines and state and federal regulations
10
Experience For Coding Educator / Analyst Resume
- Participates in CDI (Clinical Documentation Improvement) webinars
- Primary educator for all system wide coding staff; new employees through the orientation process and ongoing education for current staff. Manages the individual developmental plans for coding staff to help achieve success through the Medstar Coding career ladder. Responsible for providing education to the
- Coding staff in collaboration with Director, Coding & Education and Director, CDI (Clinical Documentation Improvement) for quarterly conference calls and web based training
- Provides coding manager with detailed reports of training progress. Completes a post-training assessment to access the comprehension of training material for each associate , and provides to coding manager
- Provides consultation, leadership, and expertise to internal management in the planning, implementation and delivery of coding education. Develops curriculum for Medstar training program and maintains with annual updates
- Responsible for facilitating education opportunities for coding staff. Responsible for evaluating and recommending educational references for Coding staff
- Responsible for preparing new staff for AHIMA and/or AAPC coding certifications by providing educational material
- Works directly with Coding Director to develop required action plans for coders needing support to maintain Medstar quality standards
List of Typical Skills For a Coding Educator Resume
1
Skills For Provider Coding Educator Resume
- Experience coding in a hospital, physician, or insurance environment
- IDX physician billing system experience
- Hands-on medical coding experience, post certification
- Three (3) years outpatient and/or group practice coding experience
- Coding experience required
- Previous experience with physician coding
2
Skills For Nurse Coding Educator Resume
- Valid driver’s license & reliable transportation required
- Eight or more years progressively responsible health care expereince in a multi-speciality physician group practice with extensive experience
- Schedule offsite audits and organize special project audits (i.e. CMS Validation Audits)
- Communicates requests for new projects received from Client to the Operations Manager, Account Executive and VA Director of HIM Services prior to initiation
- Working familiarity with medical professional billing operations in a Medical Center/Teaching Institution setting
- Coding Certification from AAPC or AHIMA
3
Skills For Compliance Coding Educator / Auditor Resume
- Coding certification through AHIMA (CCS, CCS-P) or the AAPC (CPC) required
- Coding Certification from either AAPC (CPC) or AHIMA (CCS)
- Responsible for assigning and monitoring coding education through our learning management system
- Conduct coding reviews and associated training programs to assure coding quality
- Provide coding training and education to coding staff
- ICD-9/ICD-10 coding assignments in a professional setting
4
Skills For Medical Oncology Coding Educator Resume
- Collaborates with managers and staff to assess the learning needs and competencies of staff. Identify issues for education and training for staff and providers
- Serves as liaison between coding department and the billing office, patient access, quality, compliance, providers, clinicians and practice managers
- Knowledge of Medicare/Medicaid and other government regulations surrounding coding and documentation
- Prepares reports of findings and meets with coders and providers to provide education and training on accurate coding practices and compliance issues
- Provides orientation and training to coding staff
5
Skills For Outpatient Medical Coding Educator Resume
- Participate in ICD-10 readiness efforts, including training of coders and providers
- Research, summarize, and disseminate information regarding coding requirements and updates to the appropriate system management and staff
- Certified Coding Professional (CPC) certification
- Advance knowledge of Correct Coding Guidelines
- Current Coding Auditor credentials (ACS E/M, CEMC, CPMA or equivalent)
- At least one current Certification in Specialty coding (i.e. CGSC, CIRCC, COBGC, CCC, COSC)
- AHIMA or AAPC Coding Certification required (CCS-P, CPC, COC, or CPC-P) required
- AHIMA and/or AAPC coding certification required
6
Skills For Medical Coding Educator Resume
- Completion of coding certification course, AAPC/AHIMA and possess a CCS-P or similar certification
- Knowledge of, and adherence to ICD-10/outpatient coding guidelines
- Extensive knowledge of ICD 9 and 10 - (coding and medical record documentation)
- Knowledge of MRA and HCC coding
- CPC-I or willing to earn CPC-I credential through AAPC within 90 days of hire
- Accuracy on organization’s coding test
- CCS (Certified Coding Specialist), CPC-H (Certified Professional Coder – Hospital)
7
Skills For Coding Educator Specialist Resume
- Provides guidance to system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc
- Ensure billed services are being accurately coded and analyze denials data as it pertains to code assignment
- Participate in coding and reimbursement meetings
- Thorough knowledge of coding conventions and guidelines as well as anatomy, physiology and medical terminology
- Assists with the development, oversight, and monitoring of compliance programs within the designated area
- Verifies that regulatory policies and procedures are being properly documented, implemented, and communicated throughout the designated area
8
Skills For MRA Coding Educator Resume
- Designs and implements improvements in communication, monitoring, or enforcement of compliance standards
- Develops and conducts training in relation to compliance standards
- Maintains and distribute information regarding trends and best practices. Assesses the potential impact of these changes on organizational processes
- Designs, develops and delivers education and training program that meet the staff's needs for professional and personal development
- Actively participates in weekly remote coding update conference calls
- Keeps current with new laws, regulations, and guidelines related to coding
9
Skills For HIM Certified Coding Educator Resume
- Seeks guidance to complete any assigned task requiring further clarification
- Perform coding quality audits of records for ICD-10-CM, CPT and E/M assignment
- Document and review all recommended coding changes with appropriate management and staff
- Identify trends and patterns in coding and documentation variances and provide education
- Assists Clinical Documentation Improvement program by working closely with coders, providers and other departments
- Assess coding and patient care documentation practices to ensure compliance with pertinent regulations and guidelines
10
Skills For Coding Educator / Analyst Resume
- Provide education and training to providers and departments as necessary, especially when changes are required for services coded within the department
- Acts as a referential resource for coding and reimbursement guidelines
- Work independently to carry out work efforts
- Knowledge of insurance rules and regulations
- Competent with MS Office software
- Certified Coder with either AAPC or AHIMA Certification
- Drive locally and long-distance with air travel as necessary. Overnight travel, Texas (Travel-50%-Northeast Texas, Tyler, Longview, Marshall, Mt. Pleasant, Texarkana)
- Travel up to 75% required with some overnight stays
- AAPC or AHMI crertification is required
List of Typical Responsibilities For a Coding Educator Resume
1
Responsibilities For Provider Coding Educator Resume
- Hands-on experience with Risk Adjustment HCCs
- Two (2) to five (5) years’ experience in a relevant role
- Research and evaluate coding, documentation practices, and processes, and identify coding trends through data analysis or chart review
- Provides ICD10 - HCC coding training to providers and appropriate office staff as needed
- Researches information on coding changes to keep all staff up to date
- Performs periodic quality documentation and coding audits for encounters
- When necessary performs inpatient and outpatient quality reviews
- Works in regional/system wide teams to develop educational materials and activities
- Provides individual and group education/presentations to coding staff, physicians, and others throughout the organization that require coding knowledge; monitors and reports progress to ensure compliance with coding standards and expectations
2
Responsibilities For Nurse Coding Educator Resume
- Develops curriculum for individual and group diagnosis and procedural coding, and all related federal and state billing regulations
- Coordinates development of educational materials for physicians, other providers, and auditors
- Respond to questions and concerns from internal and external staff
- Complete the AAPC online PMCC CPC-I instructor program and written coding exam within 6 months from hire date, (earning the CPC-I, AAPC instructor certification)
- Provide feedback on EMR/EHR systems where it is causing issues in meeting CMS standards of documentation and coding
3
Responsibilities For Compliance Coding Educator / Auditor Resume
- Consult with provider/office staff on gaps in documentation and coding
- Collaborates with Healthcare Advocates on team on a wide scope of Risk Adjustment education efforts
- Provide specialty specific training to coders on documentation of services and appropriate coding of evaluation and management (CPT-4), diagnosis (ICD9-CM/PCS, ICD10CM/PCS0, procedures (CPT-4) and HCPCS coding
- Analyzes audit data and provides summary feedback to individual coders, making recommendations for improvement and training
- Provides input in the development, refinement, and implantation of methods and procedures used to complete audit functions
- Day travel required to provider facilitates and occasional overnight stays - Ability to travel up to 40% in the Las Vegas, North and Northwest area of Arizona
- Current certification in RHIA or RHIT and/or CCS, CCS-P, CPC
4
Responsibilities For Medical Oncology Coding Educator Resume
- Proficient use and extensive working knowledge of billing procedures, application and use of ICD-9- CD-10, CPT and modifiers using professional coding guidelines consistent with JMH Compliance and Federal Regulations
- Seven years progessively responsible health care expereince in a multi-specialty physician group practice
- Supervises assigned caregivers
- Current CPC or CCS-P
- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC) certification, Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician (CCS-P)
- Bilingual in Spanish, Vietnamese, Korean, and/or Farsi/Persian
5
Responsibilities For Outpatient Medical Coding Educator Resume
- Knowledge of Epic Resolute and Ambulatory, PowerPoint, Excel, including charts and pivot tables. ICD-10, CPT, and HCPCS coding knowledge inclusive of associated billing edits such as NCCI
- Travel to different PAMF sites
- Basic knowledge of Microsoft Office Word, Excel, and PowerPoint
- CRC and/or CPMA credentialsfrom the AAPC
- Exceptional industry knowledge of Medicare Advantage and "best in class" Quality Improvement programs, processes, procedures, principals and tools with significant experience in performance improvement, quality management, process design, change initiatives
6
Responsibilities For Medical Coding Educator Resume
- Experience with risk adjustment
- Computer literacy in Microsoft applications or other similar programs
- Drive within assigned Neighborhood
- Designs, delivers, and assesses learning activities and curriculums related to competencies, departmental/organizational policies, regulatory requirements, and the use of information technologies
- Serves as a consultant/mentor for staff in areas of program development, and professional development
- Participates in the development, coordination, and delivery of new staff orientation and education activities
- One of the following required within 2 years of hire: ◦AHIMA credential (RHIA (Registered Health Information Administrator), ◦RHIT (Registered Health Information technician), ◦CCS (Certified Coding Specialist), CPC-H (Certified Professional Coder – Hospital) ◦AAPC credential (CPC (Certified Professional Coder)
7
Responsibilities For Coding Educator Specialist Resume
- One of the following required within 2 years of hire
- AHIMA credential (RHIA (Registered Health Information Administrator),
- RHIT (Registered Health Information Technician),
- AAPC credential (CPC (Certified Professional Coder)
- CPC – I
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