Professional Coding Consultant Senior
About The Position
Provide intermediate-level expertise in the areas of national physician code sets, insurance reimbursement, coding compliance issues, and internal coding policies, procedures, and processes, to employed and contracted Intermountain primary care physicians, advanced practice clinicians (APC), their managers, and staff. Essential Functions Provide prospective (pre-billing) coding reviews to Intermountain providers and staff. Develop and presents prepared single specialty technical and process-based clinical documentation and coding education for providers, managers and staff. Participate in resolving questions from the Medical Group Coding Helpline for assigned specialties. Support higher-level consultants and managers in their responsibilities and acts as an overflow in support of other departmental processes and functions as assigned. Manage assigned area(s) or responsibility and workload. Develop understanding and correct application of general ICD and CPT guidelines. Maintain subject-matter expertise and educates providers and staff accordingly. Support all internal (Professional Coding and Reimbursement) departmental functions and processes.
Requirements
- CPC, or equivalent national professional certification - OR - certification obtained within 1 year of hire date.
- Associate’s degree in a related field - OR - Intermediate experience in presenting, teaching and/or consulting.
- Demonstrated excellent written/verbal communication and presentation skills.
- Proven strong work ethic and commitment to building relationships and working with others.
- Experience with calendaring, email, word processing, and spreadsheet applications, EMR and Microsoft Access.
- Ability to travel.
Nice To Haves
- Bachelor's degree in a related field - OR - Four years experience in presenting, teaching and/or consulting.
- Two years experience in coding and auditing.
- Demonstrated understanding of medical terminology, medical acronyms, anatomy and physiology, knowledge at a specialty-specific level.
- Understanding of the medical environment and general processes and procedures employed by clinics in general that affect and associate with clinical documentation and coding.
- Demonstrated experience in a role requiring subject-matter expertise in consulting on coding-related issues.
- Understanding the overall revenue cycle process.
- Understanding of, and experience in, Professional Coding and Reimbursement department internal policies, procedures, databases and reports.
Responsibilities
- Provide prospective (pre-billing) coding reviews to Intermountain providers and staff.
- Develop and presents prepared single specialty technical and process-based clinical documentation and coding education for providers, managers and staff.
- Participate in resolving questions from the Medical Group Coding Helpline for assigned specialties.
- Support higher-level consultants and managers in their responsibilities and acts as an overflow in support of other departmental processes and functions as assigned.
- Manage assigned area(s) or responsibility and workload.
- Develop understanding and correct application of general ICD and CPT guidelines.
- Maintain subject-matter expertise and educates providers and staff accordingly.
- Support all internal (Professional Coding and Reimbursement) departmental functions and processes.
Benefits
- Tuition coverage paid directly to the academic institution through the PEAK program
- 100+ learning options including undergraduate studies, high school diplomas, and professional skills and certificates through the PEAK program
- Caregivers are eligible to participate in PEAK on day 1 of employment
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Associate degree
