CODING EDUCATOR & AUDITOR

Froedtert • Manitowoc, WI

2d • $24 - $38 • Remote

About The Position

Responsible for developing and conducting coding and billing training programs for a multi-specialty physician practice and coding support staff while remaining compliant with government and third party payer regulations and guidelines. Perform medical coding audits for providers and coding specialists resulting in detailed reports; addressing educational needs as appropriate. Responsible for revenue cycle billing coding and documentation compliance for governmental payers. Works with revenue producing departments regarding billing compliance and regulatory updates. Update providers, coders and billing office staff on changes in CPT, ICD and HCPCS codes as well as changes to government payer regulations and guidelines. This role will work collaboratively with Community Physician professional services providers; Patient Financial Services (Billing & Collections); Charge Capture; Epic Charge Process; Clinic Operations; Clinical Compliance and Health Information Management staff.

Requirements

• A minimum of 3 years of experience providing education/training and/or auditing related to CPT, ICD-10, and HCPCS codes for a multiple specialty physician practice.
• Knowledge of revenue cycle with a focus on Medicare and Medicaid regulatory and billing guidelines.
• Practice Management computer experience.
• Current knowledge of coding, billing, and Medicare regulations and coverage guidelines.
• Ability to speak in front of large groups.
• Self-directed worker capable of managing large projects and multiple priorities.
• Critical thinking skills.
• Good oral/written communication skills.
• Ability to create accurate, interesting, and effective education materials and presentations.
• Professional Coding Certification (CPC) is required.

Nice To Haves

• A minimum of 3 years of experience with Multi Specialty CPT Coding.
• Experience developing and providing education (CPT and ICD-9-CM) to providers and coding staff.
• Experience with performing provider and coding specialist audits.
• Experience in Health Information Management.
• Prior education and presentation experience.
• Proficiency in Microsoft Office Applications (Word, Excel, PowerPoint).
• RHIT or RHIA certification is preferred.

Responsibilities

• Developing and conducting coding and billing training programs for a multi-specialty physician practice and coding support staff.
• Performing medical coding audits for providers and coding specialists.
• Addressing educational needs as appropriate based on audit results.
• Ensuring revenue cycle billing coding and documentation compliance for governmental payers.
• Working with revenue producing departments regarding billing compliance and regulatory updates.
• Updating providers, coders and billing office staff on changes in CPT, ICD and HCPCS codes and government payer regulations.
• Collaborating with various departments including Patient Financial Services, Charge Capture, Epic Charge Process, Clinic Operations, Clinical Compliance, and Health Information Management.

Benefits

• Paid time off
• Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan - 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree