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General Summary of Position
The Coding Education Specialist serves as the coding subject matter expert, performing coding reviews for quality assurance, analyzing data to detect patterns, and assisting with coding educational materials. Primary Duties and Responsibilities
Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.Conducts and coordinates coding quality reviews and other reviews, including rebuttal process and one-to one discussions with coders, providing educational resources when necessary. May perform ongoing coding reviews of coders with less-than-optimal coding quality and provide ongoing feedback until accuracy is attained. Conducts ad hoc coding reviews on an ongoing basis.Performs coding reviews to help determine and validate documentation and coding issues and gaps; analyzes coding review results and identifies patterns, trends, and variations in coding and documentation practices; and makes recommendations for improvement.Consistently meets or exceeds established Quality & Productivity standards as defined by policies.Provides input to the organization's coding education program to include national and industry coding standards.Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic, procedural codes, and appropriate modifiers using standard guidelines and automated encoding software maintaining departmental accuracy standards.Exhibits knowledge of the Solventum system and other work-related equipment and/or software.Serves as a resident expert on coding and assists coding associates with resolving coding questions and provides mentoring.
Minimum Qualifications
Education
- High School Diploma or GED required
- Associate degree or Bachelor's degree in coding related degree preferred
- Courses in Medical Terminology, Anatomy & Physiology, ICD-10-CM/PCS and CPT-4 required
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Experience
- 3-4 years Outpatient and/or Inpatient coding experience. Experience with clinical information systems (Solventum grouper, electronical medical records, computer assisted coding) required
- 1-2 years Auditing experience preferred
Licenses and Certifications
- CCS-Certified Coding Specialist or Certified Outpatient Coder - COC required
- RHIT - Registered Health Information Technician and Registered Health Information Administrator preferred
Knowledge, Skills, and Abilities
- Excellent verbal and written communication skills
- Excellent computer skills required
- Clinical system software skills (e.g. Solventum, electronic medical record).
- Strong knowledge of Outpatient Payment and regulatory systems
- Strong knowledge of MS-DRG and APR-DRG payment groupers
- Strong analytical and organizational skills
This position has a hiring range of $63,793 - $113,318
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MedStar Health
Jul 25, 2025