Nuvance Health - Danbury, CT

posted 2 months ago

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

About the position

The Education Trainer at Nuvance Health plays a crucial role in enhancing the skills and knowledge of internal teams related to coding operations. This position is responsible for the design, development, and execution of a comprehensive training curriculum tailored to meet the specific needs of the organization. The Education Trainer will conduct thorough needs assessments to identify performance gaps and implement training best practices that align with departmental requirements. This role is essential in creating a robust internal pipeline for new talent, particularly for hard-to-fill coding positions, ensuring that the organization maintains high standards in coding accuracy and compliance. In this position, the Education Trainer will lead training sessions with team members, focusing on accurate coding assignments and ensuring that all educational content complies with applicable federal, state, and county laws and regulations related to coding and documentation. The trainer must possess expert knowledge of various reimbursement methodologies, including DRG, APC, NCCI, LCD, and NCD, and be proficient in coding diagnoses and procedures. This expertise is vital for accurately applying diagnosis and procedure codes, which directly impacts the quality of care provided to patients. Additionally, the Education Trainer will develop and update policies to reflect changes in guidelines from CMS, AMA, and commercial payors, ensuring that all staff and vendor partners are informed of new and deleted codes. The trainer will also assist teams with focus reviews for ICD-10-CM, ICD-10 PCS, Evaluation and Management (E&M), and CPT® code assignments. Adherence to the AAPC and/or AHIMA's Standards of Ethical Coding, as well as the company's Code of Ethics and Business Conduct, is paramount, and the trainer will support the company's Ethics and Compliance Program throughout their work.

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.
  • Proficiency in coding diagnoses and procedures.

Nice-to-haves

  • Experience in DRG Validation
  • 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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