8 Education jobs in Auburndale

Salary: $45 / Hour
TheAmergis Educational Services Team is currently seeking ESE (Special Education)Teachers for the Full School Year.
Position Details:
Schedule: Monday-Friday
Start Date: 25'26School Year
Benefits: Weekly Pay, Full Benefitsincluding Medical, Vision, Dental, 401k, and more
Other Details: Very quick interviews andfeedback, Virtual interviews.
Requirements: FLDOE ESE Endorsement orStatement of Eligibility
*Please note that this pay range represents a good faith estimate of thecompensation that will be offered for this position based on the circumstances.The actual pay offered to a successful candidate will take into account a widerange of factors, including but not limited to location, experience, and othervariable factors.
Toconnect directly with a recruiter you can apply or reach out via the infobelow:
Eric Stewart


TheSpecial Education Teacher, under the direction of the Special Education ProgramAdministrator provides quality services to special education students,kindergarten through grade 12. The Special Education Teacher has acommitment to team participation in planning and implementation of studentprograms including special instruction, tutorial assistance and consultationwith general education staff.
Essential Duties andResponsibilities:
+ Prepares student education plans in consultation with parents and department team members
+ Supports learning for students who have a wide range of learning, mental, emotional, and physical disabilities.
+ Designs instruction, both individual and small group, which parallels the general education curriculum
+ Assists parents, administrators, testing specialists, social workers, and professionals to develop educational plans designed to promote students' educational, physical, and social development
+ Prepares materials and classrooms for class activities
+ Serves as the coordinator of individualize education program (IEP) implementation with general education staff
+ Monitors student progress, participates in review and revision of student's IEP, as appropriate
+ Maintains accurate student records
+ Mentors and supports teaching assistants who provide support to students with disabilities
+ Supports students in preparation for grade transitions and preparing for life skills
+ Assess students' skills and educational needs and tracks student's performance
+ Discusses students' progress with their other teachers
+ Communicates to maintain positive relationships with students and their parents
+ Follows School District policies and procedures
MinimumRequirements:
+ Bachelor's Degree from an accredited university preferred
+ Valid state teaching certificate as required by state, contract/district regulations
+ Minimum of one year experience in teaching environment preferred
+ State Teacher Certification; Type: Standard Elementary Teaching preferred
+ State Teacher Certification; Type: Standard Secondary Teaching preferred
+ State Teacher Certification; Type: Standard Special Teaching preferred
+ Endorsement: Learning Behavior Specialist (LBS1) preferred
+ Complies with all relevant professional standards of practice
+ Participation and completion of Amergis' Competency program when applicable
+ Current CPR if applicable
+ TB Questionnaire, PPD or chest x-ray if applicable
+ Current Health certificate (per contract or state regulation)
+ Must meet all federal, state and local requirements
+ Successful completion of new hire training as applicable to job site
+ Understand patient confidentiality and HIPAA requirements
+ Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language required
+ Computer proficiency required
+ Must be at least 18 years of age
Benefits
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
+ Competitive pay & weekly paychecks
+ Health, dental, vision, and life insurance
+ 401(k) savings plan
+ Awards and recognition programs
*Benefit eligibility is dependent on employment status.
About Amergis
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.
Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Position Details

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Work Hours per Biweekly Pay Period: 0.00

Shift : Days

Location : 210 South Florida Avenue Lakeland, FL

Pay Rate : Min $70,324.80 Mid $87,900.80

Position Summary

Under the direction of the Associate Vice President of Health Information Management, the Provider Coding Compliance Education Supervisor is responsible for developing, updating, implementing, and managing a Provider Coding Compliance Education Plan to ensure accurate and compliant medical coding and billing practices consistent with CMS, Office of Inspector General (OIG), ICD-10 Official Guidelines for Coding and Reporting, and other applicable rules or guidelines. The Supervisor will oversee and provide coding, documentation, and general compliance education as it applies to providers; and identifies, validates, and ensures professional billing and coding compliance for providers through the evaluation of billing patterns, routine audits, and comprehensive educational sessions focusing on areas of specialty and risk assessment. The Supervisor is responsible for developing and implementing ongoing coding training and auditing of medical record documentation to ensure compliance; providing education; providing assessment and tracking of documentation compliance and improvement; and monitoring the need for process improvements or enhancements.

The Supervisor will evaluate new patient services, appropriate billing, documentation, and reimbursements to ensure maximization of revenue in a compliant environment. The Supervisor will oversee the review of all new, onboarded providers to validate and ensure coding and billing compliance as well as provide immediate feedback and education. The Supervisor will provide consultative services to clinical practices to include evaluation of services provided, appropriate coding and billing, and documentation. The Supervisor will be included with third-party payer coding reviews and documentation findings with follow-up of recommendations.

The Supervisor will oversee the risk adjustment program which is responsible for ensuring proper risk adjustment coding by performing audits of providers; ensuring accurate representation of the care provided; ensuring accuracy in the HCC codes reported; and provider education.

The Supervisor will work collaboratively with Corporate Integrity Services and the Revenue Cycle Management personnel such as the LRHPG Coding Manager and the Director of Clinical Documentation Integrity to standardize provider documentation education efforts. The Supervisor will also work collaboratively with the Providers, staff, and others as may be deemed appropriate.

Qualifications & Experience

Essential:

High School or Equivalent

Experience Essential:

5+ years of coding and auditing experience; knowledge of and working experience in professional billing and healthcare reimbursement and coding experience.

5+ years prior supervisory/management experience or in a coordinator/lead role.

Certification Essential:

CPC, CCS-P, or CCS with two or more additional AAPC Specialty Medical Coding Certifications

Certification Preferred:

AAPC Certified Professional Medical Auditor (CPMA), Certified Evaluation and

Management Coder (CEMC), Certified Risk Adjustment Coder (CRC)

Position Responsibilities

People At The Heart Of All That We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Safety And Performance Improvement

• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

Stewardship

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

Standard Work: Provider Coding Compliance Education Supervisor

• Develops, updates, implements, and manages a Provider Coding Compliance Education Plan to ensure accurate and compliant medical coding and billing practices consistent with CMS, Office of Inspector General (OIG), ICD-10 Official Guidelines for Coding and Reporting, and other applicable rules or guidelines.
• Ensures the Provider Coding Compliance Education Plan covers regulatory compliance, accurate reimbursement, fraud and abuse prevention, documentation improvement and ethical coding practices.
• Collaborates with Corporate Integrity Services and Revenue Cycle Management leaders to develop provider coding policies and procedures; coding audits and monitoring; education and training; reporting mechanisms; corrective action; and documentation improvement initiatives.
• Oversees the Provider Coding Compliance Education Specialist and Risk Adjustment Coder's responsibilities of ensuring professional billing and coding compliance for providers through the evaluation of billing patterns, routine audits, and comprehensive educational sessions focusing on areas of specialty and risk assessment.
• Evaluates new patient services, appropriate billing, documentation, and reimbursements to ensure maximization of revenue in a compliant environment. Oversees the review of all new, onboarded providers to validate and ensure coding and billing compliance as well as provide immediate feedback and education.
• Develops and implements ongoing coding training and auditing of medical record documentation to ensure compliance; providing education; providing assessment and tracking of documentation compliance and improvement; and monitoring the need for process improvements or enhancements.
• Provides consultative services to clinical practices to include evaluation of services provided, appropriate coding and billing, and documentation. The Supervisor will be included with third-party payer coding reviews and documentation findings with follow-up of recommendations.
• Maintains current knowledge of all HEDIS, HCC and related coding measures using all available and relevant government and insurance resources.
• Works collaboratively with the LRHPG Coding Manager and the Director of Clinical Documentation Integrity to standardize provider documentation education in an effort to not provide conflicting education regarding inpatient and outpatient documentation.
• Provides regular coding guidance and continuous feedback to all physicians and APP's on validation findings to support compliant coding and to provide education when appropriate to increase coding knowledge and skills. Schedules meetings with providers to review audit findings and provides training and education as appropriate.

Competencies & Skills

Essential:

• Excellent knowledge of CPT-4, ICD-10-CM and HCPCS coding principles, governmental regulations, protocols and third-party payer requirements pertaining to billing, coding and documentation. Strong knowledge of HCC and risk adjustment scoring.
• Excellent computer skills with knowledge of electronic health records (EHRs) and is proficient in Microsoft Office, and generating reports.
• Strong interpersonal, analytical, presentation, and writing skills required for proposal and report development. Ability to plan and execute educational programs and presentations.
• Strong organizational skills with attention to detail. Ability to prioritize provider medical record reviews/projects and provider coding education opportunities with alignment with audits and overall trends.

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.

Work Hours per Biweekly Pay Period: 80.00

Shift : Monday - Friday

Location : 210 South Florida Avenue Lakeland, FL

Pay Rate : Min $63,793.60 Mid $79,747.20

Position Summary

Under the direction of the facility Coding and Reimbursement Manager, conducts coding quality reviews and audits of chart documentation to assess accuracy, ensure compliance with federal and payer policies, and identifies areas for improvement for hospital outpatient coding. Develops and delivers training on coding accuracy and compliance, staying updated on regulations and providing expert guidance to coders. Provides ongoing coding education and training to coding team and serves as mentor to all new coding team members. Serves as a subject matter expert and resource for coders, providers, and other staff on coding questions, regulatory changes, and best practice. Prepares reports of findings and meets with coders and Coding Leadership to provide education and training on accurate coding practices and compliance issues.

Has thorough knowledge of acute care facility guidelines, modifiers, sequencing rules and the NCCI (National Correct Coding Initiative) edits, OCE (Outpatient Code Editor) edits, Official Guidelines for Coding and reporting for ICD-10-CM/PCS, CPT-4, and HCPCS coding conventions, APC payment classifications and Medicare Conditions of Participation. Will assist the Coding and Reimbursement Manager on preparing presentations and/or interdepartmental feedback.

Responsible for conducting coding and billing training programs for billing and coding specialists. Other duties will include implementing coding department policies and procedures and assisting with reviewing and appealing coding denials.

People At The Heart Of All That We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Safety And Performance Improvement

• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

Stewardship

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

Standard Work: Outpatient Coding Quality Educator Specialist

• Actively participates in team development, achieving dashboards, and in accomplishing departmental goals and objectives.
• Performs internal quality assessment reviews on outpatient facility coders to ensure compliance with national coding guidelines and the LRH coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes/presentations to staff, as required/when needed.
• Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing account reviews, and preparing training documents to assist with coding quality action plans.
• Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues. Researches coding opportunities and escalates as needed. Communicates Coding topics and/or question trends to Coding Leadership for global education.
• Prepares and presents coding compliance status reports to the Coding and Reimbursement Manager and Health Information Management AVP.
• Assists in ensuring coding staff adherence with coding guidelines and policy. Demonstrates and applies expert level knowledge of medical coding practices and concepts.
• Coaches and mentors coding staff as they develop and grow their coding skills. Provides skilled coding support through regularly scheduled coding meetings and as the need arises. Provide one-on-one coaching and support to coding professionals, offering constructive feedback and guidance to improve coding accuracy and documentation practices.
• Assists Coding Leadership with outpatient coding denials.
• Create educational materials, such as manuals, handouts, and multimedia presentations, that effectively communicate complex coding concepts and guidelines.
• Orients, develops and coordinates on-the-job training of instructing them on systems and policies and procedures in accordance to coding compliance guidelines.

Competencies & Skills

Essential:

• Computer experience especially with computerized encoder applications, computer-assisted-coding applications, spreadsheets, and databases.
• Extensive regulatory coding, (ICD-10-CM, CPT-4, HCPCS, Modifiers, and APCs, and associated reimbursement knowledge. Strong knowledge of medical terminology, pharmacology and anatomy and physiology.
• Data Analysis - able to analyze, interpret and share data in a presentation format. Ability to plan and execute educational programs and presentations.
• Communicates clearly and concisely, verbally and in writing. Able to work effectively with other employees, providers and external parties.
• Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision.

Qualifications & Experience

Essential:

• Associate Degree
• Bachelor Degree

Essential:

• Health Information Management or other Healthcare degree

Other information:

Experience essential:

5+ years acute care hospital outpatient coding experience and/or coding auditing

5-10 years of educational experience in a facility or consulting setting.

Certification essential:

CCS, CPC, RHIT, or RHIA

Certification preferred:

RHIA

Position Details

Work Hours per Biweekly Pay Period: 8 0
Shift : Days
Location : Hybrid - 210 South Florida Avenue Lakeland, FL
Pay Rate : Min $70,324.80 Mid $87,900.80

Qualifications & Experience

Essential: High School or Equivalent

Experience Essential:
5+ years of coding and auditing experience; knowledge of and working experience in professional billing and healthcare reimbursement and coding experience.

5+ years prior supervisory/management experience or in a coordinator/lead role.

Certification Essential:

CPC, CCS-P, or CCS with two or more additional AAPC Specialty Medical Coding Certifications

Certification Preferred:

AAPC Certified Professional Medical Auditor (CPMA), Certified Evaluation and

Management Coder (CEMC), Certified Risk Adjustment Coder (CRC)

Position Summary

Under the direction of the Associate Vice President of Health Information Management, the Provider Coding Compliance Education Supervisor is responsible for developing, updating, implementing, and managing a Provider Coding Compliance Education Plan to ensure accurate and compliant medical coding and billing practices consistent with CMS, Office of Inspector General (OIG), ICD-10 Official Guidelines for Coding and Reporting, and other applicable rules or guidelines. The Supervisor will oversee and provide coding, documentation, and general compliance education as it applies to providers; and identifies, validates, and ensures professional billing and coding compliance for providers through the evaluation of billing patterns, routine audits, and comprehensive educational sessions focusing on areas of specialty and risk assessment. The Supervisor is responsible for developing and implementing ongoing coding training and auditing of medical record documentation to ensure compliance; providing education; providing assessment and tracking of documentation compliance and improvement; and monitoring the need for process improvements or enhancements.

The Supervisor will evaluate new patient services, appropriate billing, documentation, and reimbursements to ensure maximization of revenue in a compliant environment. The Supervisor will oversee the review of all new, onboarded providers to validate and ensure coding and billing compliance as well as provide immediate feedback and education. The Supervisor will provide consultative services to clinical practices to include evaluation of services provided, appropriate coding and billing, and documentation. The Supervisor will be included with third-party payer coding reviews and documentation findings with follow-up of recommendations.

The Supervisor will oversee the risk adjustment program which is responsible for ensuring proper risk adjustment coding by performing audits of providers; ensuring accurate representation of the care provided; ensuring accuracy in the HCC codes reported; and provider education.

The Supervisor will work collaboratively with Corporate Integrity Services and the Revenue Cycle Management personnel such as the LRHPG Coding Manager and the Director of Clinical Documentation Integrity to standardize provider documentation education efforts. The Supervisor will also work collaboratively with the Providers, staff, and others as may be deemed appropriate.

Position Responsibilities

People at The Heart Of All That We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Safety And Performance Improvement

• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

Stewardship

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

People At The Heart Of All We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
• Safety And Performance Improvement
• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.
• Stewardship
• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.
• Standard Work: Provider Coding Compliance Education Supervisor
• Develops, updates, implements, and manages a Provider Coding Compliance Education Plan to ensure accurate and compliant medical coding and billing practices consistent with CMS, Office of Inspector General (OIG), ICD-10 Official Guidelines for Coding and Reporting, and other applicable rules or guidelines.
• Ensures the Provider Coding Compliance Education Plan covers regulatory compliance, accurate reimbursement, fraud and abuse prevention, documentation improvement and ethical coding practices.
• Collaborates with Corporate Integrity Services and Revenue Cycle Management leaders to develop provider coding policies and procedures; coding audits and monitoring; education and training; reporting mechanisms; corrective action; and documentation improvement initiatives.
• Oversees the Provider Coding Compliance Education Specialist and Risk Adjustment Coder's responsibilities of ensuring professional billing and coding compliance for providers through the evaluation of billing patterns, routine audits, and comprehensive educational sessions focusing on areas of specialty and risk assessment.
• Evaluates new patient services, appropriate billing, documentation, and reimbursements to ensure maximization of revenue in a compliant environment. Oversees the review of all new, onboarded providers to validate and ensure coding and billing compliance as well as provide immediate feedback and education.
• Develops and implements ongoing coding training and auditing of medical record documentation to ensure compliance; providing education; providing assessment and tracking of documentation compliance and improvement; and monitoring the need for process improvements or enhancements.
• Provides consultative services to clinical practices to include evaluation of services provided, appropriate coding and billing, and documentation. The Supervisor will be included with third-party payer coding reviews and documentation findings with follow-up of recommendations.
• Maintains current knowledge of all HEDIS, HCC and related coding measures using all available and relevant government and insurance resources.
• Works collaboratively with the LRHPG Coding Manager and the Director of Clinical Documentation Integrity to standardize provider documentation education in an effort to not provide conflicting education regarding inpatient and outpatient documentation.
• Provides regular coding guidance and continuous feedback to all physicians and APP's on validation findings to support compliant coding and to provide education when appropriate to increase coding knowledge and skills. Schedules meetings with providers to review audit findings and provides training and education as appropriate.

Competencies & Skills

Essential:

• Excellent knowledge of CPT-4, ICD-10-CM and HCPCS coding principles, governmental regulations, protocols and third-party payer requirements pertaining to billing, coding and documentation. Strong knowledge of HCC and risk adjustment scoring.
• Excellent computer skills with knowledge of electronic health records (EHRs) and is proficient in Microsoft Office, and generating reports.
• Strong interpersonal, analytical, presentation, and writing skills required for proposal and report development. Ability to plan and execute educational programs and presentations.
• Strong organizational skills with attention to detail. Ability to prioritize provider medical record reviews/projects and provider coding education opportunities with alignment with audits and overall trends.

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.

Work Hours per Biweekly Pay Period: 80.00

Shift : Monday - Friday

Location : 210 South Florida Avenue Lakeland, FL

Pay Rate : Min $63,793.60 Mid $79,747.20

Position Summary

Under the direction of the facility Coding and Reimbursement Manager, conducts coding quality reviews and audits of chart documentation to assess accuracy, ensure compliance with federal and payer policies, and identifies areas for improvement for hospital outpatient coding. Develops and delivers training on coding accuracy and compliance, staying updated on regulations and providing expert guidance to coders. Provides ongoing coding education and training to coding team and serves as mentor to all new coding team members. Serves as a subject matter expert and resource for coders, providers, and other staff on coding questions, regulatory changes, and best practice. Prepares reports of findings and meets with coders and Coding Leadership to provide education and training on accurate coding practices and compliance issues.

Has thorough knowledge of acute care facility guidelines, modifiers, sequencing rules and the NCCI (National Correct Coding Initiative) edits, OCE (Outpatient Code Editor) edits, Official Guidelines for Coding and reporting for ICD-10-CM/PCS, CPT-4, and HCPCS coding conventions, APC payment classifications and Medicare Conditions of Participation. Will assist the Coding and Reimbursement Manager on preparing presentations and/or interdepartmental feedback.

Responsible for conducting coding and billing training programs for billing and coding specialists. Other duties will include implementing coding department policies and procedures and assisting with reviewing and appealing coding denials.

People At The Heart Of All That We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Safety And Performance Improvement

• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

Stewardship

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

People At The Heart Of All We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
• Safety And Performance Improvement
• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.
• Stewardship
• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.
• Standard Work: Outpatient Coding Quality Educator Specialist
• Actively participates in team development, achieving dashboards, and in accomplishing departmental goals and objectives.
• Performs internal quality assessment reviews on outpatient facility coders to ensure compliance with national coding guidelines and the LRH coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes/presentations to staff, as required/when needed.
• Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing account reviews, and preparing training documents to assist with coding quality action plans.
• Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues. Researches coding opportunities and escalates as needed. Communicates Coding topics and/or question trends to Coding Leadership for global education.
• Prepares and presents coding compliance status reports to the Coding and Reimbursement Manager and Health Information Management AVP.
• Assists in ensuring coding staff adherence with coding guidelines and policy. Demonstrates and applies expert level knowledge of medical coding practices and concepts.
• Coaches and mentors coding staff as they develop and grow their coding skills. Provides skilled coding support through regularly scheduled coding meetings and as the need arises. Provide one-on-one coaching and support to coding professionals, offering constructive feedback and guidance to improve coding accuracy and documentation practices.
• Assists Coding Leadership with outpatient coding denials.
• Create educational materials, such as manuals, handouts, and multimedia presentations, that effectively communicate complex coding concepts and guidelines.
• Orients, develops and coordinates on-the-job training of instructing them on systems and policies and procedures in accordance to coding compliance guidelines.

Competencies & Skills

Essential:

• Computer experience especially with computerized encoder applications, computer-assisted-coding applications, spreadsheets, and databases.
• Extensive regulatory coding, (ICD-10-CM, CPT-4, HCPCS, Modifiers, and APCs, and associated reimbursement knowledge. Strong knowledge of medical terminology, pharmacology and anatomy and physiology.
• Data Analysis - able to analyze, interpret and share data in a presentation format. Ability to plan and execute educational programs and presentations.
• Communicates clearly and concisely, verbally and in writing. Able to work effectively with other employees, providers and external parties.
• Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision.

Qualifications & Experience

Essential:

• Associate Degree
• Bachelor Degree

Essential:

• Health Information Management or other
• Health Information Management or other Healthcare degree

Other information:

Experience essential:

5+ years acute care hospital outpatient coding experience and/or coding auditing

5-10 years of educational experience in a facility or consulting setting.

Certification essential:

CCS, CPC, RHIT, or RHIA

Certification preferred:

RHIA

Position Details

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Work Hours per Biweekly Pay Period: 0.00

Shift : Days

Location : 210 South Florida Avenue Lakeland, FL

Pay Rate : Min $70,324.80 Mid $87,900.80

Position Summary

Under the direction of the Associate Vice President of Health Information Management, the Provider Coding Compliance Education Supervisor is responsible for developing, updating, implementing, and managing a Provider Coding Compliance Education Plan to ensure accurate and compliant medical coding and billing practices consistent with CMS, Office of Inspector General (OIG), ICD-10 Official Guidelines for Coding and Reporting, and other applicable rules or guidelines. The Supervisor will oversee and provide coding, documentation, and general compliance education as it applies to providers; and identifies, validates, and ensures professional billing and coding compliance for providers through the evaluation of billing patterns, routine audits, and comprehensive educational sessions focusing on areas of specialty and risk assessment. The Supervisor is responsible for developing and implementing ongoing coding training and auditing of medical record documentation to ensure compliance; providing education; providing assessment and tracking of documentation compliance and improvement; and monitoring the need for process improvements or enhancements.

The Supervisor will evaluate new patient services, appropriate billing, documentation, and reimbursements to ensure maximization of revenue in a compliant environment. The Supervisor will oversee the review of all new, onboarded providers to validate and ensure coding and billing compliance as well as provide immediate feedback and education. The Supervisor will provide consultative services to clinical practices to include evaluation of services provided, appropriate coding and billing, and documentation. The Supervisor will be included with third-party payer coding reviews and documentation findings with follow-up of recommendations.

The Supervisor will oversee the risk adjustment program which is responsible for ensuring proper risk adjustment coding by performing audits of providers; ensuring accurate representation of the care provided; ensuring accuracy in the HCC codes reported; and provider education.

The Supervisor will work collaboratively with Corporate Integrity Services and the Revenue Cycle Management personnel such as the LRHPG Coding Manager and the Director of Clinical Documentation Integrity to standardize provider documentation education efforts. The Supervisor will also work collaboratively with the Providers, staff, and others as may be deemed appropriate.

Qualifications & Experience

Essential:

High School or Equivalent

Experience Essential:

5+ years of coding and auditing experience; knowledge of and working experience in professional billing and healthcare reimbursement and coding experience.

5+ years prior supervisory/management experience or in a coordinator/lead role.

Certification Essential:

CPC, CCS-P, or CCS with two or more additional AAPC Specialty Medical Coding Certifications

Certification Preferred:

AAPC Certified Professional Medical Auditor (CPMA), Certified Evaluation and

Management Coder (CEMC), Certified Risk Adjustment Coder (CRC)

Position Responsibilities

People At The Heart Of All That We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Safety And Performance Improvement

• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

Stewardship

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

Standard Work: Provider Coding Compliance Education Supervisor

• Develops, updates, implements, and manages a Provider Coding Compliance Education Plan to ensure accurate and compliant medical coding and billing practices consistent with CMS, Office of Inspector General (OIG), ICD-10 Official Guidelines for Coding and Reporting, and other applicable rules or guidelines.
• Ensures the Provider Coding Compliance Education Plan covers regulatory compliance, accurate reimbursement, fraud and abuse prevention, documentation improvement and ethical coding practices.
• Collaborates with Corporate Integrity Services and Revenue Cycle Management leaders to develop provider coding policies and procedures; coding audits and monitoring; education and training; reporting mechanisms; corrective action; and documentation improvement initiatives.
• Oversees the Provider Coding Compliance Education Specialist and Risk Adjustment Coder's responsibilities of ensuring professional billing and coding compliance for providers through the evaluation of billing patterns, routine audits, and comprehensive educational sessions focusing on areas of specialty and risk assessment.
• Evaluates new patient services, appropriate billing, documentation, and reimbursements to ensure maximization of revenue in a compliant environment. Oversees the review of all new, onboarded providers to validate and ensure coding and billing compliance as well as provide immediate feedback and education.
• Develops and implements ongoing coding training and auditing of medical record documentation to ensure compliance; providing education; providing assessment and tracking of documentation compliance and improvement; and monitoring the need for process improvements or enhancements.
• Provides consultative services to clinical practices to include evaluation of services provided, appropriate coding and billing, and documentation. The Supervisor will be included with third-party payer coding reviews and documentation findings with follow-up of recommendations.
• Maintains current knowledge of all HEDIS, HCC and related coding measures using all available and relevant government and insurance resources.
• Works collaboratively with the LRHPG Coding Manager and the Director of Clinical Documentation Integrity to standardize provider documentation education in an effort to not provide conflicting education regarding inpatient and outpatient documentation.
• Provides regular coding guidance and continuous feedback to all physicians and APP's on validation findings to support compliant coding and to provide education when appropriate to increase coding knowledge and skills. Schedules meetings with providers to review audit findings and provides training and education as appropriate.

Competencies & Skills

Essential:

• Excellent knowledge of CPT-4, ICD-10-CM and HCPCS coding principles, governmental regulations, protocols and third-party payer requirements pertaining to billing, coding and documentation. Strong knowledge of HCC and risk adjustment scoring.
• Excellent computer skills with knowledge of electronic health records (EHRs) and is proficient in Microsoft Office, and generating reports.
• Strong interpersonal, analytical, presentation, and writing skills required for proposal and report development. Ability to plan and execute educational programs and presentations.
• Strong organizational skills with attention to detail. Ability to prioritize provider medical record reviews/projects and provider coding education opportunities with alignment with audits and overall trends.