Trainer Jobs in Connecticut

Job Detail

UConn Health is a vibrant, integrated academic medical center that is entering an era of unprecedented growth in all three areas of its mission: academics, research, and clinical care. A commitment to human health and well-being has been of utmost importance to UConn Health since the founding of the University of Connecticut schools of Medicine and Dental Medicine in 1961. Based on a strong foundation of groundbreaking research, first-rate education, and quality clinical care, we have expanded our medical missions over the decades. In just over 50 years, UConn Health has evolved to encompass more research endeavors, to provide more ways to access our superior care, and to innovate both practical medicine and our methods of educating the practitioners of tomorrow.

At UConn Health, this class is accountable for developing and presenting training programs for providers and other personnel on coding practices and conventions (classification of medical data using the diagnostic and procedural coding systems in compliance with the Federal, State and insurance agencies) and performing audits of the system.

Work under general supervision of employee of higher grade.

May lead staff as assigned.

• Conducts quality training programs for providers, coding specialists and other UConn Health personnel to support the appropriate coding, documentation and billing process ensuring compliance with all regulatory requirements for professional coding; prepares and distributes instructional material, visual aids;

• Audits medical records to ensure quality of work and specificity of diagnoses and procedures to ensure appropriate and optimal third party reimbursement;

• Maintains a high level of technical knowledge and skills related to International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding, documentation standards and billing requirements for professional coding to support the effective application of these guidelines to inpatient and outpatient diagnoses and procedures;

• Maintains current knowledge of medical records practices, standards, regulations, The Joint Commission (JC), Centers for Medicare and Medicaid Services (CMS), and other related organizations;

• Liaisons with the billing unit to analyze claims denial to understand the most frequent reasons they occur;

• Assists with policies and procedures relating to the charging, coding and documentation process necessary for compliance of professional coding; reviews documentation process and makes recommendations for improving information flow and the documentation process;

• Provides technical consulting expertise for provider's charges and coding of complex medical records coding requiring research and reference checking;

• Maintains the related database of questions and updates the library of references and resources regarding reimbursement and documentation requirements for various third party payers;

• Performs other related duties as required.

• Knowledge of professional coding and compliance with considerable skills in developing and implementing educational programs to meet the needs of a variety of staff categories.

• Effective presentation skills.

• Considerable interpersonal skills.

• Considerable oral and written communication skills.

• Computer skills with the ability to perform advanced searches and analyze data.

• Teaching ability.

General Experience: Six (6) years' experience in physician ICD and CPT coding with experience in training.

• Associate degree in health care management may be substituted for one year of the general experience.

• Bachelor's degree in health care management may be substituted for two years of the general experience.

Certification from an accredited coding program through the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) related to areas of expertise i.e.: Certified Professional Coder (CPC), or Certified Outpatient Coding (COC), or a related Special Medical Coding Certificate, or Certified Coding Specialist-Physician-based (CCP-P), or Registered Health Information Technician (RHIT).