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Quality Coding and Documentation Educator, Geisinger Health Plan (Pennsylvania resident)

February 19, 2026

Location:Work from home (Pennsylvania)Shift:Days (United States of America)Scheduled Weekly Hours:40Worker Type:RegularExemption Status:NoJob Summary:Provides training and process improvement efforts across the clinical practices for the development of consistent and comprehensive clinical practices supported by the the Health Plan. Identifies process improvement opportunities associated with the management of risk adjustment initiatives. Investigates current processes, assessing efficiency and accuracy and provides solutions for problems, process improvement, development of training programs, and documentation strategies that support ICD-10 complex terminology for clinical practice operations and management.Job Duties:<ul><li>Reviews the content of the medical record professional outpatient records to identify all diagnosis codes applicable to the documentation.</li><li>Carefully reviews details of documents such as laboratory findings, radiology reports, various scanned reports, discharge summaries, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses are recorded.</li><li>Translates all diagnostic and procedural phrases utilized by healthcare providers into coded form correct procedure codes as required.</li><li>Using the Encoder software program, determines the codes for all diagnoses Reviews and understands annual mapping of ICD-9 and ICD-10 crosswalk.</li><li>Provides education material to the team to educate physicians as needed to clarify documentation within the patient’s record to facilitate complete and accurate coding.</li><li>Assists in decision making relevant to physician coding education and HCC targeting purposes.</li><li>Works one-on-one with physicians as needed to clarify documentation within the patient’s record as appropriate accurate and complete coding.</li><li>Assumes a supporting co-educating role with regard to Risk Adjustment Education and other opportunities for internal education team and external identified opportunities.</li><li>Presents with full understanding of reports, presentations, maps and graphs, reflecting the collaboration of external and internal parties, summary and translation of data into actionable information.</li><li>Delivers presentations to clinicians and administrators.</li><li>Shares condition-specific training modules as requested.</li><li>Works with provider sites to define solutions to needs or problem areas, and determines scope of investigation required to obtain solution.</li><li>Solutions may include installation of alternate methods and procedures, changes in methods and practices, or redesign of products or services.</li><li>Interprets and recommends actionable plans using financial and analytical data prepared by risk adjustment analysts.</li><li>Provides consultative support to clinical areas on a daily basis and recommends operational strategies to achieve optimal documentation and coding processes.</li><li>Assists in proactive risk adjustment communication, support and education at all levels within the organization.</li></ul> Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.This posting reflects an opening for Quality Coding and Documentation Educator I and we are seeking candidates for that position. Geisinger reserves the right to consider applicants for higher levels of this role based on their skills, qualifications, and experience. We encourage all qualified individuals to apply.Position Details:Education:High School Diploma or Equivalent (GED)- (Required)Experience:Minimum of 1 year-Related work experience (Required)Certification(s) and License(s):Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Professional Coder - American Academy of Professional Coders (AAPC), Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT) - American Health Information Management AssociationSkills:Computer Literacy, Critical Thinking, Interpersonal Communication, OrganizingOUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. <ul><li>KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. </li><li>EXCELLENCE: We treasure colleagues who humbly strive for excellence. </li><li>LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. </li><li>INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.</li><li>SAFETY: We provide a safe environment for our patients and members and the Geisinger family. </li></ul>We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

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This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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