Coding Educator

MyMichigan Health • Midland, MI

123d

About The Position

This position is responsible for providing on-going coding, documentation and compliance education to providers and their office staff. They are then responsible for monitoring coding and documentation performance through random chart audits and regular meetings to communicate findings with providers and staff; follow up as necessary (additional reviews, analysis of benchmarking profiles, etc.). The position must also provide continual coding and payer updates and research coding issues that will arise.

Requirements

• High school diploma or GED is required.
• Four (4) years’ experience in the medical field is required.
• Two (2) years physician coding and billing experience is required.
• One (1) year with direct physician contact required.
• Strong interpersonal, written and communication skills required.
• Being an effective educator, self-start and highly organized is required.
• Ability to exercise initiative and judgment is required.
• Knowledge of medical terminology and anatomy.
• Knowledge of Word, Excel and PowerPoint is preferred.

Nice To Haves

• Certified Professional Coding (CPC) certificate or Certified Coding Specialist Physician Office (CCS-P) certificate required.
• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred.

Responsibilities

• Orientation of new providers and staff (including locum tenens and new residents); on-going review and training for up to six (6) months.
• Conduct provider (physician and non-physician) and staff education on an on-going basis. Once per month minimum. Education will include formal small group presentations.
• Responsible for reviewing notes related to patient or payer complaints/concerns related to evaluation and management coding as well as patient requests for denials on services provided at the facility. After review, responsible for timely communication to the patient, payer and physician (if needed) to address their concern.
• Conduct bi-annual chart audits, 1-2 week pre-review process for all providers, provide feedback and education on outcome of reviews and the Work Relative Value Unit (WRVU) impact.
• Complete audits of Office Of Inspector (OIG) focused areas for review as needed for Corporate Compliance.
• Semi-annual monitoring and analysis of utilization benchmark reports to Centers for Medicaid and Medicare Services (CMS) norms.
• Code difficult cases at the request of providers.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees