Nuvance Health - Danbury, CT

posted 2 months ago

Full-time - Mid Level
Danbury, CT
Nursing and Residential Care Facilities

About the position

The Corporate Coding Trainer - Inpatient at Nuvance Health plays a crucial role in enhancing the skills and knowledge of internal teams related to coding practices. This position is designed for an experienced educator who can develop and implement a comprehensive training curriculum that aligns with the operational needs of the coding department. The trainer will be responsible for conducting needs assessments to identify performance gaps and will implement training best practices to ensure that all team members are equipped with the necessary skills to perform accurate coding assignments. In this role, the trainer will lead training sessions, ensuring that all coding practices comply with applicable Federal, State, and County laws and regulations. The trainer must possess expert knowledge of various reimbursement methodologies, including DRG, APC, NCCI, LCD, and NCD, and will be tasked with accurately applying diagnosis and procedure codes. Additionally, the trainer will develop policies that reflect changes in coding guidelines from CMS, AMA, and commercial payors, and will communicate these changes effectively to staff and vendor partners. The Corporate Coding Trainer will also assist teams with focus reviews for ICD-10-CM, ICD-10 PCS, Evaluation and Management (E&M), and CPT® code assignments. It is essential for the trainer to align their conduct with the AAPC and/or AHIMA's Standards of Ethical Coding, as well as the Company's Code of Ethics and Business Conduct, supporting the overall Ethics and Compliance Program of Nuvance Health. This position requires a minimum of five years of experience in coding and education within a healthcare setting, making it a vital role in fostering a skilled workforce for the organization.

Responsibilities

  • Conduct needs assessment and identify performance gaps and implement training best practices to ensure alignment with department needs.
  • Lead training sessions with Team Members to ensure accurate coding assignments.
  • Ensure compliance through education that is consistent with all applicable Federal, State, and/or County laws and regulations related to coding and documentation.
  • Possess expert knowledge of DRG, APC, NCCI, LCD, NCD reimbursement methodologies and expertise in the coding of diagnoses and procedures to accurately apply diagnosis and procedure codes.
  • Develop policies to reflect changes and guidelines from CMS, AMA, commercial payors, new and deleted codes, and communicate to staff and vendor partners.
  • Assist teams with focus reviews for ICD-10-CM and ICD-10 PCS and Evaluation and Management (E&M) and CPT®, code assignment.
  • Align conduct with AAPC and/or AHIMA's Standards of Ethical Coding and the Company's Code of Ethics and Business Conduct and support the Company's Ethics and Compliance Program.

Requirements

  • Minimum of 5 years of experience in coding and education in a healthcare setting.
  • Expert knowledge of DRG, APC, NCCI, LCD, NCD reimbursement methodologies.
  • Experience in DRG Validation.

Nice-to-haves

  • Experience teaching/providing education in a healthcare setting.

Benefits

  • Medical, Dental, Vision
  • Paid Time Off (PTO)
  • 401K
  • Life and Disability
  • Tuition Reimbursement
  • Voluntary benefits
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