HB Coding Analyst and Educator - Full Time
HB Coding Analyst and Educator - Full Time
Posted on :
11-04-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
11-04-2025
Job Description
Job: HB Coding Analyst and Educator
Classification: Salaried/Exempt
Job Category: 2 Professional
Position Summary:
The HB Coding Analyst and Educator at TRMC plays a critical role in ensuring compliant accurate coding practices while fostering continuous education and collaboration between physicians providers clinical staff hospital departments and coding staff. The role requires expertise in hospitalbased physician services coding analytical skills to assess coding accuracy and the ability to develop and deliver educational programs. The Analyst is responsible for reviewing coded hospital accounts identifying improvements and ensuring synergy between clinical documentation coding and providers. The analyst would assist with enhancing clinical workflows including input regarding EPIC templates.
Essential Functions:
Conducts comprehensive reviews of hospital billing (HB) coded accounts (inpatient/outpatient) to evaluate the accuracy and completeness of assigned ICD10CM CPT/HCPCS and modifiers based on physician documentation and medical records.
Audits medical records to evaluate provider and coder performance. Additionally identify errors inconsistencies and missed opportunities for capturing additional diagnoses and procedures.
Analyzes trends in coding practices and identify areas needing improvement or further education. Partners with coders departments and providers to make improvements in overall performance quality and accuracy.
Collaborates with clinicians and coders to resolve discrepancies and ensure accurate code application.
Identifies knowledge gaps and specific training needs through charging and coding analysis findings and by pulling information from industry resources such as AAPC AHIMA and CMS guidelines.
Designs curriculum materials addressing current coding guidelines industry best practices and emerging trends in healthcare coding and documentation. Determine which resources are needed to apply knowledge (tip sheets workflows policies work queues process documents etc).
Utilizes a variety of teaching methods including inperson and online sessions interactive workshops and elearning modules catering to different learning styles and professional levels.
Delivers engaging and informative training sessions aimed at enhancing coding accuracy efficiency and compliance.
Monitors industry publications websites and participate in relevant coding associations to stay informed of updates in coding regulations and guidelines.
Analyzes the impact of new hospital coding rules and regulations on internal practices and incorporate these changes into training and coding procedures by ensuring quarterly and annual code updates are implemented and educated on.
Ensures that both coding systems and staff remain updated on coding changes promoting compliance with CMS other governing bodies and payers.
Stays abreast of regulatory updates and industry standards to ensure all practices are in line with federal and state guidelines including adherence to CMS mandates.
Analyzes internal and external data to identify trends potential issues and areas for improvement.
Collaborates with TRMC IT and revenue cycle management teams to optimize coding documentation and CDM management systems.
Manages technical upgrades ensuring seamless implementation of new modules or system enhancements including provider templates.
Must follow and adhere to TRMCs vaccine policy(s) as mandated by the Centers for Medicare & Medicaid Services (CMS).
Skills/Competencies:
Strong knowledge of medical terminology disease classification and healthcare coding systems (ICD10CM ICD10PCS DRG CPT HCPCS).
Proficiency with healthcare coding software including CAC and EPIC.
Strong analytical and problemsolving skills.
Excellent communication and interpersonal skills to foster collaboration across teams.
Knowledge of CMS regulations and industrybased standards.
Strong presentation and facilitation skills.
Work Experience:
Minimum 3 years of experience in coding in a hospital setting with experience in coding analysis or auditing preferred.
Extensive knowledge of ICD10CM CPT and HCPCS coding guidelines and conventions.
Demonstrated experience in developing and delivering educational programs for healthcare professionals.
Knowledge of 3M and EPIC systems.
Experience conducting audits and implementing quality assurance initiatives.
Education & Certifications:
Associates degree in Health Information Management medical coding or a related field Bachelors/Masters degree preferred.
Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT) Certified Outpatient Coder (COC) Certified Coding Specialist (CCS) or equivalent certification (required).
Additional coding certifications from AHIMA or AAPC are a plus including CIC.
EPIC Certification such as Resolute HB Charging (including CDM) is a plus.
Physical Demands and Work Environment
Lifting/Carrying Pushing/Pulling
Lbs. Time Lbs. Time
110 3
1 033
2 033
5 033
76100 None 76100 None
Movement Time
Bend/Stoop/Twist 033
Crouch/Squat 033
Kneel/Crawl 033
Reach above Shoulder 033
Reach below Shoulder 033
Repetitive Arm None
Repetitive Hand 033
Grasping 033
Squeezing 033
Climb Stairs None
Walking Uneven 033
Walking Even 033
Environment Time
Indoors 67100
Outdoors 033
Extreme Heat None
Dusty None
Excessive Noise 033
Equipment Time
Motor Vehicles None
Foot Pedals None
Extreme Heat None
Dusty None
Excessive Noise 033
Work near Time
Machinery None
Electricity None
Sharps 033
Chemicals 033
Fumes 033
Heights None
Vision
Depth Perception Required
< 20 Required
Color Not Required
Peripheral Required
Endurance Hours at Once Total in 12HR
Sit 6 6
Stand 1 3
Walk 1 3
Required Experience:
IC
Employment Type
Full-Time
Key Skills
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