Physician Education and Documentation Improvement Specialist (PEDIS)

Wolcott, Wood and Taylor Inc. • Chicago, IL

13d

About The Position

The Physician Education and Documentation Improvement Specialist (PEDIS) is a key resource for coding quality, provider education, and documentation improvement. The role serves as the primary liaison among physicians, coding staff, and revenue cycle leadership, supporting accurate coding, compliant documentation, and optimal charge capture. Reporting to the Coding Director, the PEDIS leads provider auditing activities, analyzes coding quality trends, and responds to requests for information about coding performance. The role collaborates with the coding team to identify opportunities for documentation and coding improvement and provides targeted education and feedback to providers and coders.

Through monitoring, reporting, and engagement with clinical departments, the PEDIS promotes adherence to coding guidelines, organizational policies, and regulatory requirements. The specialist works directly with physicians to improve the clarity, completeness, and specificity of clinical documentation through formal training, one-on-one education, and department-level presentations. These efforts support improved documentation quality, reduced reliance on full coder review, and stronger coding accuracy and efficiency across the organization. The position requires travel to the UI Hospital campus.

Requirements

• Bachelor’s degree preferred, or an equivalent combination of education, training, and experience.
• Demonstrated expertise in physician coding and billing.
• Three to five years of experience in physician billing and directly related healthcare revenue cycle experience required.
• Previous experience working directly with physicians required.
• Well versed in regulatory requirements for medical record documentation.
• RHIA, RHIT, CPC, or CCS-P credential, with at least three years of certified coding experience in a physician-based setting.
• Knowledge of medical terminology, coding, and office procedures.
• Clear and concise verbal and written communication skills.
• Comfort pursuing, rebutting, and escalating issues as appropriate.
• Accountability for achieving shared professional and personal goals.
• Ability to establish and maintain customer relationships and build trust and respect by meeting and exceeding expectations.
• Ability to establish and maintain effective working relationships with employees, patients, and external parties.
• High proficiency in Microsoft Office applications, especially Microsoft Excel, and other applications as required.
• Advanced writing skills, including the ability to present a compelling argument, punctuate properly, spell correctly, and transcribe accurately.
• Exceptional professionalism, written and verbal communication, presentation, and public-speaking skills.

Nice To Haves

• Bachelor’s degree.

Responsibilities

• Conduct provider coding-accuracy audits across financial divisions, focusing on providers below MSP’s Median E/M distribution benchmark; prioritize reviews, select audits, and ensure targeted audits are completed each review quarter.
• Present post-audit findings to WWT leadership and UIH department leaders, and meet individually with audited providers to discuss documentation practices.
• Conduct ongoing re-audits of previously audited providers to assess improvement and identify education opportunities.
• Use provider audit findings to educate coding staff on emerging trends, reinforce best practices, reduce errors, and mitigate compliance risk.
• Conduct quarterly provider-tier reviews of coding accuracy and share the data with the UIH department leadership team.
• Collaborate with leadership, physicians, and stakeholders to promote clinically appropriate, complete, and compliant documentation; provide ongoing education on coding, reimbursement, and performance-improvement opportunities.
• Respond to ad hoc audit requests from UI departments or providers.
• Assist with management of the Coding QA Inbox and monitor coder inquiries.
• Provide coding onboarding education and training to new providers.
• Develop and present educational seminars for the bi-annual MSP lunch and learn.
• Serve as a subject matter expert and educational resource; maintain professional development by staying current with clinical documentation standards and regulatory requirements and keeping records of participation in workshops, conferences, or in-services.
• Travel to the UI Hospital campus.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level