Physician Coding Liaison II - Cardiothoracic

Atrium Health; Charlotte (NC); On-site; USD 60,000 - 100,000; Full time

Job summary

Join a forward-thinking healthcare provider as a coding educator, where you will play a crucial role in enhancing coding accuracy and documentation practices. This dynamic position involves collaborating with medical professionals to provide specialized coding education, ensuring compliance with payer requirements, and identifying opportunities for revenue capture through improved documentation. You will be part of a team that values your expertise and offers a supportive environment for professional growth. If you're passionate about medical coding and want to make a significant impact in a vital field, this role is perfect for you.

Benefits

Paid Time Off

Health Insurance

Dental Insurance

Vision Insurance

Flexible Spending Accounts

Educational Assistance

Retirement Plans with Employer Match

Qualifications

• 5+ years of advanced-level coding experience required.
• Certification in medical coding is mandatory.

Responsibilities

• Educate clinicians on coding/documentation guidelines.
• Collaborate with medical leaders for coding standardization.
• Monitor charge sessions and resolve documentation issues.

Skills

Medical Coding

Documentation Education

Problem Resolution

Collaboration

Training and Education

Education

Advanced training in Medical Coding

Certification in Coding (CCA, CCS-P, CPC, etc.)

Tools

Epic

Job description

Charlotte, NC, United States
Job ID: 133185
Job Family: Medical Records Services
Status: Full Time
Shift: Day
Job Type: Regular
Department Name: 21041017241270-Charge Capture - Surgery/Medical Education

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

1. Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
2. Premium pay such as shift, on call, and more based on a teammate's job
3. Incentive pay for select positions
4. Opportunity for annual increases based on performance

Benefits and more

1. Paid Time Off programs
2. Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
3. Flexible Spending Accounts for eligible health care and dependent care expenses
4. Family benefits such as adoption assistance and paid parental leave
5. Defined contribution retirement plans with employer match and other financial wellness programs
6. Educational Assistance Program

Job Summary

Serves as the system-wide key contact for service line/specialty specific coding and proactively educates coding/documentation guidelines and/or concepts within a specific specialty. Collaborates with Chief Medical Officer (CMO), Senior director administrators, Production and Department support leaders for problem resolution and/or trends in payer specific rules/coverage. Educates Physicians, Advanced Practice Providers (APPs), Medical Group and Clinic Leadership to improve coding and documentation. Knowledge sharing with Patient Service Area (PSA) Liaisons, Production Coding, and Department Support to improve coding, documentation, and charge capture opportunities. Due to the system-wide service line/specialty specific support, the PCL Spec role is virtual. Note: For purposes of this document, the term Clinicians represents all billing providers.

Essential Functions

1. Provides service line/specialty specific coding/documentation education and feedback related to coding changes (CPT including E&M, modifiers, ICD-10-CM, and HCPCS), annual code updates, payer requirements, and payer rejection resolution to assigned Physicians/APPs. Partners with CMOs to standardize coding processes across a specific specialty. Shares and/or presents coding/documentation education presentations to Chief Medical Officers (CMOs), Physicians/APPs, Senior Director Administrators across the organization. Coordinates with PSA Liaisons to provide adequate Physician/APP and/or clinical team member support.
2. Conducts orientations for all Physicians/APPs, residents/students and clinical team members on specialty specific coding and documentation related education. Performs new clinician documentation reviews for specialty specific coding, and documentation feedback, as requested.
3. Coordinates responses to Physicians/APPs, Locum Tenens, residents/students questions and feedback from various sources and partners, including Senior director administrators, CMOs, Medical Group Compliance, Internal Audit, Physician Compensation, Clinical Informatics/Clinical Informatics Educators, Quality Improvement Coordinators, and/or other external partners.
4. Queries Physician/APP, Locum Tenens, residents/students when prompted by Professional Coding Department production coders to assist in resolving coding and documentation questions. Relays any coding changes, feedback, and education to Physician/APP, Locum Tenens, residents/students and/or clinic leadership, as appropriate.
5. Monitors and works to resolve charge sessions requiring additional information for assigned clinicians and/or service line/specialty in the Epic work queues and/or other transfer work queues to ensure Clinicians are completing work timely to ensure proper supporting documentation for billing and timely filing.
6. Attends and provides service line/specialty specific coding and documentation information, as requested, to CMOs, Physicians/APPs and/or Clinic/Site Department meetings. These may be virtually and/or in-person. Virtually attends Physician/APP education that include coding and/or documentation topics, such as Documentation Specialist clinician low risk review meetings, Risk Adjustment/HCC meetings, and/or Medical Group Compliance reviews/meetings.
7. Collaborates with PSA Liaison to review and provide coding/documentation guidance on Epic order entry, diagnosis, and charge capture preference lists as well as SmartSets and templates.
8. Develops Physician/APP monthly service line/specialty newsletters to continually educate and communicate updates from various coding resources including specialty society organizations. Communicates new services performed by Physician/APPs to Professional Coding department leadership.
9. Identifies service line/specialty specific trending data and opportunities to capture revenue through documentation improvement. Attends service line/specialty specific coding and/or society conferences, as requested, to gain further knowledge that is uniquely relevant to that specialty and how coding, documentation, and billing are affected. Maintains expert knowledge of Medicare, Medicaid, and other regulatory requirements pertaining to nationally accepted coding policies and standards.

Education, Experience and Certifications

License/Registration/Certification: Coding Associate (CCA) certification, or Coding Specialist - Physician (CCS-P) certification, or Health Information Administrator (RHIA) registration or Health Information Technician (RHIT) registration, or Professional Coder (CPC) certification, or Specialty Coding Professional (SCP) certification, and Specialty Medical Coding Certification obtained within 1 year.

Issued by (Governing Body): American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPP), or Board of Medical Specialty Coding and Compliance (BMSC).

Level of Education: Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist.

Field of Study (if applicable): Medical coding or other related health field.

Years of Experience: Typically requires 5 years of experience in advanced-level professional coding and at least 3 years of experience educating/training licensed clinicians.

Describe Type Experience: Typically requires 5 years of experience in advanced-level professional coding and at least 3 years of experience educating/training licensed clinicians.