Physician Education and Documentation Improvement Specialist (PEDIS)

Wolcott, Wood and Taylor • Chicago, IL

14d

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 is the primary liaison between physicians, coding staff, and revenue cycle leadership, supporting accurate coding, compliant documentation, and optimal charge capture. Under the direction of the Coding Director, the PEDIS leads provider auditing activities, analyzes coding quality trends, and responds to data and information requests related to coding performance. The specialist works with coding staff to identify documentation and coding opportunities and provides targeted education and feedback to providers and coders.

Through ongoing monitoring, reporting, and engagement with clinical departments, the PEDIS promotes adherence to coding guidelines, organizational policies, and regulatory requirements. The role also works directly with physicians to improve the clarity, completeness, and specificity of clinical documentation through formal training, individual education, and department presentations. These efforts support better documentation quality, reduce reliance on full coder review, and strengthen 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.
• At least three to five years of experience in physician billing and directly related healthcare revenue cycle work.
• Previous experience working directly with physicians.
• 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.
• Ability to hold oneself accountable for 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 others 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 audit reviews, select providers for review, and ensure targeted audits are completed each review quarter.
• Deliver post-audit findings to WWT leadership and UIH department leaders, and meet one-on-one 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 insights 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 analysis with the UIH department leadership team.
• Collaborate with leadership, physicians, and key stakeholders to promote clinically appropriate, complete, and compliant documentation.
• Provide ongoing education on coding, reimbursement, and performance-improvement opportunities to support accurate reimbursement.
• Respond to ad hoc audit requests from UI departments or providers.
• Assist with management of the Coding QA Inbox and monitor coder inquiries.
• Conduct coding onboarding education for new providers.
• Develop and present educational seminars for the biannual MSP lunch and learn.
• Serve as a subject-matter expert and educational resource.
• Maintain professional knowledge of clinical documentation standards and regulatory requirements through workshops, conferences, or in-services, and keep records of participation.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time