Coding Education Consultant

UT Health San Antonio•San Antonio, TX

About The Position

Under general supervision, the Coding Education Consultant assists with analyzing medical record documentation against billing documentation guidelines and educates departments and faculty on appropriately documenting medical records for services provided to patients. The role supports accurate professional-fee coding, compliance with coding and billing standards, and education for providers, end users, and ancillary staff.

Requirements

  • Knowledge of federal, state, and payer regulations.
  • Proficiency in ICD-10 and CPT coding.
  • Strong leadership skills and the ability to apply judgment in making informed decisions.
  • Ability to manage multiple responsibilities while meeting objectives and working with teams.
  • Strong verbal, written, and interpersonal communication skills.
  • Detail-oriented, with meticulous planning and organizational skills.
  • High school diploma or GED required.

Responsibilities

  • Conduct quality reviews of coding activities to ensure documentation supports coding rules and coding selection in accordance with coding and billing standards.
  • Research and resolve reported coding-related denials.
  • Review and resolve services in charge review to identify coding issues and trends.
  • Recommend changes to policies and procedures to improve professional fee coding and data management.
  • Perform daily work in a manner that contributes to and ensures strict confidentiality.
  • Provide feedback to providers based on quality reviews to minimize errors.
  • Develop and conduct training on documentation, billing, and coding, including guideline changes and activities that prevent denials or increase revenue.
  • Educate end users and ancillary staff on coding, billing, and documentation as needed.
  • Report compliance issues identified through reviews and collaborate with Compliance to develop and implement corrective action plans.
  • Serve as a resource for coding activities within assigned departments and/or subspecialties.
  • Perform other duties as assigned.
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