Clinician Coding Liaison - Medical Based Specialties - Dental

Aurora Health Care; Allenton (WI); Remote; USD 110,000 - 140,000; Full time

Job summary

Aurora Health Care is seeking a senior coding educator and compliance specialist to lead education for physicians and APPs, ensuring accurate documentation from onboarding and ongoing reviews.

The role focuses on CPT/ICD-10-CM, HCPCS, risk adjustment, NCCI, and Epic system optimization, with collaboration across CMOs, Clinical Informatics, and Risk Adjustment to improve documentation and reimbursement.

Qualifications

• RHIA or RHIT, or CCS/CCS-P, or CPC certification; AHIMA/AAPC credentials preferred.
• Advanced revenue cycle management training completed; high school diploma or GED required.

Responsibilities

• Deliver proactive coding education via newsletters, scorecards, and presentations covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.
• Lead onboarding and compliance training for Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.
• Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.
• Serve as primary coding contact; coordinate with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.
• Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.
• Collaborate across departments including CMOs, Clinical Informatics, Risk Adjustment, and Population Health to enhance documentation practices and system optimization.
• Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.
• Refine Epic documentation tools (templates, order entries, diagnosis lists, SmartSets/SmartPhrases) to improve efficiency and accuracy.
• Ensure compliance with regulatory standards including Medicare, Medicaid, and AHIMA’s Standards of Ethical Coding, while maintaining expert knowledge of evolving policies.
• Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.

Skills

Advanced Coding Expertise

Medical Terminology & Anatomy

Epic & Reporting Solutions

Critical Thinking & Analytical Skills

Interpersonal Communication

Advanced Computer Skills

Organizational & Prioritization Skills

Independent Decision-Making

Collaboration & Initiative

Education

Advanced revenue cycle management training

High school diploma or GED

Tools

Epic

Reporting Tools

Job description

Job Description

• Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.
• Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.
• Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.
• Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.
• Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.
• Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health—to enhance documentation practices and system optimization.
• Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.
• Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy.
• Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies.
• Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.

Major Responsibilities

• Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.
• Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.
• Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.
• Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.
• Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.
• Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health—to enhance documentation practices and system optimization.
• Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.
• Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy.
• Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies.
• Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.

Licensure, Registration, And/or Certification Required

• Registered Health Information Administrator (RHIA) or
• Registered Health Information Technician (RHIT) certification, or
• Coding Specialist (CCS) certification, or
• Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or
• Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Additional credential preferred.

Education Required

• Completion of advanced training in revenue cycle management through a recognized or accredited program, equivalent in scope and rigor to post- secondary education. High school diploma or GED required.

Experience Required

• Typically requires 4 years of experience in expert-level professional coding.

Knowledge, Skills & Abilities Required

• Advanced Coding Expertise: In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices.
• Medical Terminology & Anatomy: Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment.
• Epic & Reporting Solutions: Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies.
• Critical Thinking & Analytical Skills: Highly proficient in problem-solving and analytical thinking with strong attention to detail.
• Interpersonal Communication: Excellent verbal and written communication skills, with the ability to educate and collaborate effectively with physicians, APCs, clinical leadership, and coding teams.
• Advanced Computer Skills: Proficiency in Microsoft Office Suite, electronic coding applications, and email communication.
• Organizational & Prioritization Skills: Ability to efficiently manage multiple tasks, set priorities, and meet deadlines in a fast-paced environment.
• Independent Decision-Making: Ability to work independently, exercise sound judgment, and make informed decisions regarding coding and compliance.
• Collaboration & Initiative: Strong ability to take initiative, contribute to process improvements, and work collaboratively within a team environment.

Physical Requirements And Working Conditions

• Follow organizational and divisional remote work policy and guidelines.
• Operates all equipment necessary to perform the job.
• Handles a fast paced and creative work environment moving independently from one task to another.
• Makes sound decisions within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively and effectively with others on an individual and team basis.
• This position may require travel, therefore, will be exposed to weather and road conditions.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

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