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Responsibilities
- Provide 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/APCs. Partner with CMOs to standardize coding processes across a specific specialty. Share and/or present coding/documentation education presentations to CMOs, Physicians/APCs, Senior Director Administrators. Coordinate with PSA Liaisons to support clinical teams.
- Conduct orientations for Physicians/APCs, residents/students, and clinical team members on coding and documentation education. Review new clinician documentation for coding accuracy and provide feedback.
- Coordinate responses to questions and feedback from Physicians/APCs, Locum Tenens, residents/students, and various organizational partners.
- Assist in resolving coding and documentation questions by querying clinicians and relaying coding changes and feedback.
- Monitor charge sessions requiring additional information and ensure timely completion for proper billing.
- Participate in and provide coding and documentation information at meetings, including virtual and in-person sessions.
- Collaborate on reviewing and guiding Epic order entry, diagnosis, and charge capture preferences.
- Create monthly newsletters to educate and update on coding resources and services.
- Identify trends and opportunities to improve documentation and capture revenue. Attend relevant conferences to stay updated on coding standards.
Licensure, Registration, and/or Certification
- AHIMA certifications (CCA, CCS-P, RHIA, RHIT) or AAPC certifications (CPC, SCP). A Specialty Medical Coding Certification from AAPC must be obtained within 1 year.
Education
Completion of an accredited Medical Coding Specialist program beyond high school.
Experience
Typically 5 years of expert-level coding experience and at least 3 years of training clinicians.
Knowledge, Skills & Abilities
- Certified in supported specialties.
- Excellent communication, adult education, and interpersonal skills.
- Advanced computer skills, including EHR and coding systems.
- Strong organization, problem-solving, and facilitation skills.
- Critical thinking, attention to detail, and independent judgment.
- Ability to meet deadlines in a fast-paced environment.
Physical and Working Conditions
- Normal office environment with travel required.
This description provides an overview of the role and may include additional duties as needed.