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Trainer-Coding & QA-Lead

Trainer-Coding & QA-Lead

Loma Linda University HealthSan Bernardino, CA, United States
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Job Summary : The Trainer-Coding and Quality Assurance Lead coordinates coding training, denial reviews and unscheduled coding audits. Acts as a liaison between Clinical Documentation Improvement Specialists, Patient Safety, internal clinical departments and inpatient coders to validate or educate code assignment in support of coding accuracy. Ensures staff is continuously kept updated on regulatory changes that impact coding. Coordinates and validates that quality data is reported to external agencies. Performs other duties as needed.

Education and Experience : Bachelor's Degree in Health Information Management preferred. Minimum five years inpatient coding experience in an acute care facility required. Minimum one year experience working with Clinical Documentation Improvement and Patient Safety Initiatives required.

Knowledge and Skills : Extensive knowledge of ICD diagnosis and procedure and CPT coding systems is required. Knowledge of a minimum of three of the following categories of coding required, two of which must be extensive knowledge : Inpatient Medicare & Non-Medicare including APR DRG (Inpatient Medicare, Inpatient Non-Medicare, Outpatient radiology including interventional, Outpatient Satellite / Clinics, Outpatient Diagnostic, Outpatient Surgery, Emergency Department, observation, recurring, Inpatient Surgery. Knowledge of medical terminology required. Knowledge of encoding systems. Able to read; write legibly; speak in English with professional quality; use computer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate / troubleshoot basic office equipment required for the position. Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.

Licensures and Certifications : Certified Coding Specialist (CCS) required.

Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.

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