Administers the Clinical Data Quality's provider online/electronic learning initiatives pertaining to medical record documentation, coding, reimbursement, and billing compliance. Serves as a subject matter expert for the organization in coding-related matters, non-physician practitioner and teaching physician billing compliance, E-Learning authoring software, and learning management system administration. Assists in formulating department policies that determine department E-Learning processes. Coordinates and balances the E-Learning educational efforts and activities of the department to ensure maximum efficiency in meeting the organization's educational needs. Provides training on E-Learning software use and learning management system administration to other members of the CDQ Department. Oversees the development of, and approves all E-Learning content associated with, the aforementioned educational/training programs. Determines provider training objectives to be accomplished via online education and is responsible for the initial plan and design of online provider educational material, as well as enhancing existing courses. Ensures that training is updated as soon as possible to account for industry changes. Ensures that coding and billing communications are distributed as issues and trends are identified. Has in-depth knowledge of E-Learning best practices, as well as commonly-used concepts, practices, and procedures within medical coding and billing. Relies on experience and judgement to plan and accomplish goals. Works under general supervision; reports to a director. A certain degree of creativity and latitude is required.
Experience Requirements:
Up to 1 year-Supervisory experience
Preferred Experience - 1:
5 years-Medical billing/claims experience including coding, medical terminology and third party reimbursement
Required Experience - 2:
Experience in adult training environment
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