Clinician Coding Education & Compliance Lead

Advocate Health; Wisconsin; Remote; USD 50,000 - 73,000; Full time

Benefits offered by this job

Dental

Job summary

Advocate Health seeks an experienced clinical coder educator to lead onboarding and ongoing education for Physicians and APPs, focusing on CPT, ICD-10-CM, HCPCS, risk adjustment, and payer requirements. You will monitor queues, resolve denials, and serve as the go-to resource for complex coding issues.

This role emphasizes collaboration across CMOs, Clinical Informatics, and Population Health, improving documentation practices and Epic tooling, while ensuring compliance with Medicare, Medicaid,

Qualifications

• Completion of advanced training in revenue cycle management; HS diploma or GED.
• RHIA/RHIT certification or AHIMA/AAPC credentials preferred.
• Experience in expert-level professional coding and auditing.

Responsibilities

• Deliver proactive coding education on CPT, ICD-10-CM, HCPCS, and payer requirements.
• Lead onboarding and compliance training for Physicians/APPs, including residents and students.
• Provide documentation feedback and escalate non-coding issues.
• Serve as primary coding inquiries contact and resolve complex issues like NCCI bundling.
• Monitor Epic work queues to reduce claim denials and improve submissions.

Skills

Advanced Coding Expertise

Epic & Reporting Solutions

Analytical Thinking

Interpersonal Communication

Independent Decision-Making

Organizational Skills

Education

RHIA or RHIT

AHIMA CCS/CCS-P or AAPC CPC

Advanced revenue cycle training

HS diploma or GED

Tools

Epic

MS Office

Job description

Advocate Health seeks an experienced clinical coder educator to lead onboarding and ongoing education for Physicians and APPs, focusing on CPT, ICD-10-CM, HCPCS, risk adjustment, and payer requirements. You will monitor queues, resolve denials, and serve as the go-to resource for complex coding issues.

This role emphasizes collaboration across CMOs, Clinical Informatics, and Population Health, improving documentation practices and Epic tooling, while ensuring compliance with Medicare, Medicaid,