Clinic Coding Educator - Clinic Coding Services - FT - Day
About The Position
Provides CPT and ICD-10 codes for Professional outpatient services. Provides ongoing Physician and Non-Physician Practitioner (NPP) coding and compliance education. Performs audits and Physician and NPPs services. Completes coding audits and education on a regular basis as assigned by leadership. Presents group education on coding to providers, clinic staff and coders as appropriate. Must have skillset to prepare coding materials per regulatory guidelines in a format understandable to providers and clinical teams. Must stay informed of most recent regulatory guidelines and educate appropriate teams.
Requirements
- High School Diploma / GED Required
- 5 years Multi-Specialty Coding Experience Required
- Thorough understanding of medical terminology, anatomy, CPT and ICD-10 coding with ability to apply regulatory coding guidelines across multiple specialties. (Required proficiency)
- Certified Coding Specialist - CCS Required or
- Certified Professional Coder - AAPC Required
- Certified Professional Medical Auditor - AAPC CPMA Required
Responsibilities
- Maintains a working knowledge of CPT-4 and ICD-10 coding principles, governmental regulations, protocols and third party requirements regarding documentation and billing for multiple specialties.
- Serves as a resource with regard to rules and regulations for utilization to ensure compliant reimbursement.
- Coordinates and conducts inpatient and outpatient chart reviews for professional services to ensure compliance with coding and documentation guidelines and all governmental rules and regulations.
- Develops and maintains a close working relationship with the physicians. Advanced Practice Providers and staff to ensure understanding of documentation and coding guidelines which will result in more accurate coding.
- Provides ongoing educational sessions as appropriate to providers, clinical and coding staff as appropriate.
- Code CPT and ICD-9/ICD-10 on assorted services as assigned by Director.
- Review claim denials for trends.
- Educates staff and providers on coding issues identified.
- Responds to outside audit requests from 3rd party payors as assigned by Director.
- Maintains audit schedules/finings for all professional audits.
- Provides orientation of office and hospital coding and compliance regulations to all new Physician, APP and Clinical Staff as appropriate.
- Provide education and follow up discussions as deemed appropriate.
- Performs Coding audits for Professional Coding Staff and provides education as deemed appropriate.
- Stays current with regulatory changes and provides notification to appropriate teams.
- Commitment to LEAN/Performance Excellence processes established within the coding department and ability to identify process improvements.
- Constantly contributes to a high level of customer satisfaction and process improvements by adhering to Stormont Vail Health Small Moments, 10 Tenets and Cultural Transformation Initiatives.
- Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
- Performs other duties as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
