Coding Specialist and Educator

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Requirements:

• Minimum requirements include knowledge and skills developed through 2-5 years of work experience in a related job discipline.
• Proficient in PC skills including Microsoft Excel, Power Point, Microsoft Access, and Word.
• Strong analytical, problem solving, interpersonal, verbal/written communication, organizational, project management and team development skills are necessary as is knowledge of health information systems and database technology.

Responsibilities:

• Conducting coding and billing training to physicians, coders, and other interested personnel, including developing the training materials, and assessing competency.
• Performs quality assurance reviews/audits with appropriate feedback.
• Monitors coding and billing regulations to assure compliance with governmental and payer regulations.
• Works all coding related denials and acts as a resource to staff regarding coding issues and coding denials.
• Reviews coding performance, oversees day-to-day practice operations that involve CPT or ICD10 coding questions and workflow issues, and leads related staff and provider education for professional services coding of both in and outpatient services.
• Furnish ongoing coding education to physicians, administrators, and staff, including creation of appropriate training materials.
• Maintain up-to-date resource library with current and appropriate reference materials for the staff as well as maintain coding credentials by attending classes, seminars, conferences, etc. Assist Director as assigned to meet department goals.
• Assist with providing ongoing training and education to providers and ancillary associates of CPT, ICD-10-CM, and HCPCs in accordance with CMS Coding guidelines.
• Promote consistency and accuracy of coding and documentation practices, and conducts independent chart reviews that verify the correct assignment of diagnosis/procedure codes along with ensure clinical services ordered and performed are properly.
• Investigate and analyze denial trends to identify root causes, patterns, and inefficiencies.
• Use Excel or other software to analyze data and generate reports on denial rates.
• Prioritizes chart documentation and maintaining requirements within the department. Ensures all processes involved in accurately posting professional fees.
• Has a moderate/solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder/Abstractors of regulatory changes.
• Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.
• Performs other related work as needed.