PRIDE Health is seeking a travel Clinical Educator for a travel job in Oklahoma City, Oklahoma.
Job Description & Requirements General Description:
Performs internal quality assessment reviews on OUH coders to ensure compliance with national coding guidelines and the OUH coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes/presentations to staff, as required/when needed. Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. 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.
Essential Responsibilities:
Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.
• Responds to coding-related questions from HSC coding staff
Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and outpatient coding across OUMS
• Provides Coding Integrity Specialist (CIS) and CQR education as needed
• Initiates the rebilling process as required per policy on special projects
• Researches coding opportunities and escalate as needed
• Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues.
Provides and creates education as needed
○ Monitors QA results to assist Coding Leadership in root cause analysis and educational opportunities
○ Assists with curriculum development
○ Assists in ensuring coding staff adherence with coding guidelines and policy Demonstrates and applies expert level knowledge of medical coding practices and concepts
• Participates on special reviews or projects
• Maintains or exceeds 95% productivity standards
• Maintains or exceeds 95% accuracy
• Meets all educational requirements as stated in current Company policy
Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
Performs an annual education needs assessment as input to the strategic coding education program and provides this assessment to the Coding Leadership team
○ Communicates Coding topics and/or question trends to Coding Leadership for global education
○ 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. General Responsibilities:
• Performs other duties as assigned
Pride Health Job ID #3-36331796. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
About PRIDE HealthPRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. With our robust and abundant travel nursing and allied health employment options across the U.S., PRIDE Health will allow you to help change the way the world lives and heals as it connects you with the industry’s leading healthcare organizations.
Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
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