What you’ll do:

Coding

• Research and develop inpatient coding criteria that identifies common areas of coding error or discrepancy

• Conduct coding and documentation audits to assess product compliance with coding guidelines and regulations.

• Identify areas for product improvement and provide recommendations for enhancing accuracy.

• Stay informed about industry updates on coding guidelines and materials to ensure product compliance and competitiveness.

• Collaborate with internal teams to understand the implications of coding and clinical documentation requirements on product development.

• Engage with client partners to assess coding practices and responsibilities that would impact product development.

• Research healthcare technology changes and trends affecting documentation and coding, guiding product development accordingly.

• Evaluate coding processes, systems, and documentation practices, implementing strategies to optimize product performance and efficiency.

• Design workflow processes to ensure efficiency and quality for users.

• Collaborate with cross-functional teams, especially the clinical team, to ensure clinical and coding compliance and support organizational initiatives.

• Stay up-to-date with changes in coding regulations, guidelines, and industry trends.

• Prepare coding-related reports, analyses, and recommendations for product development and strategic decision-making.

Product

• Collaborate with cross-functional teams, serving as the coding subject matter expert

• Collaborate with Data Science to improve inputs to models

• Conduct and coordinate audits and quality checks of product capabilities

• Bachelor's degree in Health Information Management (RHIA) or Bachelor degree in related field with appropriate coding certification

• Certification: CCS and/or CIC required, CCDS and/or CCDS preferred

• Experience in monitoring and assessing coding accuracy

• Experience managing a second level review process that identifies coding error or discrepancies

• Experience in developing new technology highly preferred

• 3-5+ years of inpatient coding experience required

• Experience in coding consulting role preferred

• Ability to travel 15-20% of the time.