Medical Coding Educator

City of Hope

About The Position

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today. Position Summary: The Medical Coding Educator provides educational and physician support for coding and billing practices. Obtaining, interpreting, analyzing and communicating information regarding physician reimbursement legislation and third party regulations on an on-going basis to clinicians and professional coders. Providing continuing education in coding and billing of specialty services and third party regulations. This role will also act as a liaison between coding personnel and other staff groups—from clinicians to staff responsible for authorizations, billing, and denial management, as well as executive leadership.

Requirements

Bachelor’s degree in a relevant field.
6 years of related experience in a healthcare setting.
Certified Professional Coder with active AAPC membership, or CCS-P with active AHIMA membership

Nice To Haves

Experience may substitute for education requirement.

Responsibilities

Provides educational and physician support for coding and billing practices.
Obtains, interprets, analyzes and communicates information regarding physician reimbursement legislation and third party regulations on an on-going basis to clinicians and professional coders.
Provides continuing education in coding and billing of specialty services and third party regulations.
Acts as a liaison between coding personnel and other staff groups—from clinicians to staff responsible for authorizations, billing, and denial management, as well as executive leadership.
Focuses on potential documentation improvement opportunities and issues by specialty for E&M, surgical, and ancillary clinicians.
Creates and tailors all modules of a successful education process, including lesson plans and teaching materials for physicians, divisions, departments, as well as supporting providers such as PAs and NPs. (e.g. audiovisual aids, competency examinations, and presentations)
Trains new providers and faculty staff on E&M coding of their professional services, surgical coding of their professional specialty, and ancillary coding for authorization, approval, and denial remediation.
Reviews remittance advises with physicians, outside specialists, and audit specialties for rejection resolution, negotiations, and future training opportunities.
Works with various leadership and clinical departments to design relevant trainings specific to an identified need of the clinical department as well as the direct communication, both virtual and onsite, with physicians to insure adequate training and conceptual mastery.