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: Coding Validator
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.
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
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 AND SKILLS:
- 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
Equal Opportunity Employer/Disabled/Veterans
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What We Do
Boston Medical Center, located in Boston’s historic South End, is a private, not-for-profit, 567-bed, academic medical center and the primary teaching affiliate for Boston University School of Medicine.
Recognized for its high-quality, nationally ranked and comprehensive medical care for the entire family, patients have access to the most current treatment and advancements at BMC. BMC physicians lead the way in pioneering new therapies that impact the care of patients locally and worldwide.
In 2013, BMC made the decision to invest in a four-year campus redesign that includes additions to buildings, upgrades to existing structures, and an expansion of the Emergency Department. Once completed, the redesign will provide clinical workspaces with state-of-the-art facilities and equipment to solve BMC's most pressing care delivery needs.
Already complete, the hospital’s Shapiro Center is Boston’s newest outpatient care facility and features a quarter-million square feet of clinic space, key support services, one of the region’s most technologically advanced pharmacies, and a bright, spacious café. Housed in a facility that provides world-class, patient-centered care at every visit, BMC doctors are among the best in their field. Many are recognized annually as “Top Doctors” in their medical and surgical specialties by publications such as U.S. News & World Report and Boston magazine.
Boston Medical Center is also the largest safety net hospital in New England and extends into the community as a founding partner of Boston HealthNet, a network of 15 community health centers throughout Boston serving more than a quarter million people annually.
No matter whom you meet at BMC, all are committed to providing every patient and family member with the highest quality of care, respect, warmth and compassion.
