- Plan, coordinate, and complete complex documentation, coding, and billing reviews
- Serve as liaison between the Centralized Business Office and clinical departments
- Provide direction and guidance to coders and clinical providers
- Onboard physicians, nurse practitioners, and physician assistants on compliant clinical documentation and coding
- Review coding accuracy and provide results to coding supervisors
- Deliver ongoing documentation, coding, and billing education
- Communicate audit results and corrective-action exceptions to the Centralized Business Office
- Provide quality assurance and guidance to departments
- Design, deliver, and assess physician/staff training materials
- Monitor provider progress for adherence to regulations, policies, and procedures
- Design and complete the annual documentation and coding review plan
- Prepare review summaries and required action items
- Ensure charges are documented and billed appropriately and timely
- Review physician coding trends and identify opportunities to improve coding, documentation, and charge capture
- Audit new-provider documentation and coding to prevent charge and payment delays
- Maintain knowledge of coding industry standards, policies, and procedures
- Assist with drafting and editing billing-compliance and documentation policies, protocols, and procedures
Requirements
- High School diploma or equivalent education
- Seven years of progressive multi-specialty professional coding experience
- Must hold one of: CPC, CPC-H, CPC-I, CCS, or CCS-P certification
- Proficiency in English speaking, reading, and writing
- Knowledge of ICD, CPT, and HCPCS coding
- Knowledge of healthcare billing and Physicians at Teaching Hospitals (PATH) guidelines
- Proficiency in spreadsheet, word-processing, presentation, and compliance tracking software
- Ability to navigate healthcare regulatory websites
- Effective verbal, written, and presentation skills
- Ability to handle confidential and sensitive information professionally
- Ability to analyze information, identify issues, and articulate trends
- Ability to use judgment, maintain objectivity, and envision outcomes when making decisions
- Ability to multitask, prioritize projects, and maintain attention to detail
- Self-motivated ability to think critically and work independently
Core Competencies
Demonstrates expertise in multi-specialty professional coding, including ICD, CPT, and HCPCS standards, while providing training and guidance on compliant clinical documentation and billing practices. Proficient in analyzing coding trends and ensuring adherence to healthcare regulations and policies.
Highest-signal resume keywords
- Multi-Specialty Professional Coding Experience
- CPC, CPC-H, CPC-I, CCS, or CCS-P Certification
- ICD, CPT, and HCPCS Knowledge
- Healthcare Billing Knowledge
- Effective Verbal and Written Communication Skills
ATS Optimization Keywords
Hard Skills
- Multi-Specialty Professional Coding
- ICD Coding
- CPT Coding
- HCPCS Coding
- Healthcare Billing
- Documentation Review
- Coding Accuracy Review
- Quality Assurance
- Training Material Design
- Audit Communication
Soft Skills
- Effective Communication
- Analytical Thinking
- Attention to Detail
- Judgment and Objectivity
- Self-Motivation
Certifications & Qualifications
Industry Keywords
- Healthcare Regulations
- Physicians at Teaching Hospitals (PATH) Guidelines
- Confidential Information Handling
- Documentation Policies
- Coding Industry Standards
Tools & Technologies
- Spreadsheet Software
- Word-Processing Software
- Presentation Software
- Compliance Tracking Software