Coding/Documentation Specialist (Full-Time)
About The Position
The Coding/Documentation Specialist supports coding compliance and optimization for HCC, ICD-10, CPT, and E/M coding. The role develops and coordinates coding and documentation education, provides training, conducts chart audits and reviews, and assists with coding and billing audit programs. It evaluates documentation and diagnoses, researches coding issues, analyzes payer denials and coding trends, prepares reports, and provides updates and recommendations to coding leadership. The specialist also supports external audits, maintains confidentiality, stays current on regulations and industry standards, and collaborates with colleagues while maintaining a consistent schedule and meeting deadlines.
Requirements
- Four years of previous clinical or medical office-related experience.
- Demonstrated expertise and knowledge of medical coding and terminology.
- Knowledge of government and/or payer regulations and rules.
Nice To Haves
- CMA, LPN, or RN preferred.
- Experience in chart auditing strongly preferred.
- Certified Professional Coder (CPC), another equivalent AAPC certification, or relevant experience preferred.
Responsibilities
- Maintain a consistent work schedule and prioritize tasks to meet deadlines.
- Support coding compliance and optimization for HCC, ICD-10, CPT, and E/M coding.
- Develop, track, and coordinate coding and documentation education programs for providers and staff.
- Deliver coding, documentation, and chart review training to individuals and groups.
- Assist with coding and billing audit programs to ensure compliance and accuracy.
- Conduct chart audits and reviews to verify accurate documentation, coding, and billing practices.
- Evaluate diagnoses and documentation to support accurate HCC coding and reimbursement.
- Research coding issues and perform targeted audits to identify and address compliance concerns.
- Prepare and analyze reports on coding accuracy, audit findings, and physician performance metrics.
- Provide regular updates and recommendations to coding leadership.
- Analyze payer denials and identify trends for process improvement.
- Stay current on coding regulations, industry standards, and compliance requirements.
- Support external audits and reviews by coordinating documentation requests and responses.
- Use data analytics to identify coding trends, discrepancies, and optimization opportunities.
- Maintain confidentiality of patient, provider, and organizational information.
- Foster positive professional relationships and represent The Iowa Clinic professionally.
- Collaborate with team members and provide support as needed.
- Perform other duties as assigned.
Benefits
- 401(k) program with employer match and profit sharing.
- Employee incentives to share in the Clinic’s success.
- Generous PTO accruals and paid holidays.
- Health, dental, and vision insurance.
- Quarterly volunteer opportunities through local nonprofits.
- Training and development programs.
- Colleague events and activities, including TIC night at the Iowa Cubs, an employee appreciation tailgate party, Adventureland day, State Fair tickets, an annual holiday party, and drive-in movie night.
- Monthly departmental celebrations, jeans days, and clinic-wide competitions.
- Employee rewards and recognition program.
- Health and wellness program with up to $350 per year in incentives.
- Employee feedback surveys.
- All-employee meetings, team huddles, and transparent communication.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
