Senior Coder - Validation Specialist

POSITION SUMMARY :

The Coding Validation Specialist assists the Coding Managers with oversight and evaluation of coding functions including efficiency, accuracy, continuing education needs and overall coding quality. This individual determines individual education needs of coders and collaborates with department manager and CDCI Coding Trainer and Educator to develop appropriate training materials. This position would oversee the administration of the education plan/training necessary, evaluating the effectiveness of the education plan or performance improvement plans, providing feedback to Coding Manager. Recommends disciplinary action when warranted.

Position: Senior Coder - Validation Specialist

Department: Clinical Documentation

Schedule: Full Time

JOB REQUIREMENTS

EDUCATION:

• Associates Degree in Health Information Management, Nursing or a Medical Coding or healthcare related field (or equivalent combination of formal education and experience).

• Bachelor's Degree in Health Information Management, Nursing or related field preferred.

CERTIFICATIONS, REGISTRATIONS, & LICENSURES:

A minimum of at least one of the following:

• CCS (certified Coding Specialist)

• CCS-P (Certified Coding Specialist-Professional)

• CPC (certified Professional Coder)

• CPC-H (Certified Professional Coder-Hospital Outpatient; RHIT, RHIA)

• Minimum of two preferred.

EXPERIENCE:

• Minimum of five years of coding experience in either inpatient or outpatient coding in an acute hospital setting.

• Coding experience in teaching, tertiary facility preferred.

• Experience as a coding validator preferred

• Supervisory experience highly desirable.

KNOWLEDGE, SKILLS, & ABILITIES:

• Critical thinking, analytical and problem solving skills

• Highly organized with strong project/task management skills

• Knowledge of federal, state and payer specific regulations, policies and guidelines pertaining to coding (inpatient or outpatient), documentation requirements and billing

• Experience with EM Encoder/Grouper, SMART software preferred

• Experience with coding denial management preferred

Compensation Range:

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

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