ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

Coder Education:

• Conduct Coder QA and Education as part of identified remediation


• Collaborate with Management on development of individual or group performance improvement plans related to billing compliance or coding issues


• Develop or review internal workflow or pathway directives that impact coding and charge capture


• Conduct coder Pre- production QA and education

Provider Education:

• Documentation review and Feedback sessions


• Documentation template improvements


• Coding and Regulatory Updates related to Specialty coding and procedures

Training & Curriculum:

• Development and delivery of coding educational materials and training for use both internal and external to the department, including physicians live and remote methods.


• Maintain operational workflow pathways and assist coding leads as needed


• Maintain Coding resources shared library

Other Job Responsibilities:

• Utilizes knowledge of revenue cycle, analyzes coding data to assist with QA selection process


• Assist in supporting teams with analysis and review of documentation for new business


• Maintains confidentiality of sensitive information concerning patients, physicians, employees, clients, vendors, and the company.


• Ensure compliance with all State, Federal, professional regulations as well as department rules, policies, and procedural manuals.


• Adherence to Safety Regulations.


• Adherence to HIPAA Regulations.


• Maintain specialty certification CEU’s, coding updates and all regulatory or payer guidance 


• Other duties as assigned. 

REPORTING TO THIS POSITION:   No direct reports

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

• Communicate well with the public


• Ability to read, write, and speak English

EDUCATION/TRAINING/EXPERIENCE:

• The individual in this role must possess a National coding certification (AHIMA, AAPC) and have compliance auditing and Specialty Coding Education experience


• National Certification and Minimum of five years’ Experience in physician coding, Anesthesia/Pain Management, Surgery and E/M, ICD-10, with experience in Academic settings.


• Proficient in MS Office including Excel, Word and Power Point


• Experience in Revenue Cycle and Claim processing


• Demonstrated superior presentation skills


• Experience managing multiple simultaneous clients or projects with a high level of attention to detail


• This position covers Maryland and Florida, travel is required

PHYSICAL REQUIREMENTS:

• Requires prolonged sitting, some bending, stooping and stretching


• Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator and other office equipment


• Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations. 


• Requires lifting papers and boxes weighing up to 35 pounds occasionally


• Requires dexterity to type at least 35 wpm.

WORKING CONDITIONS (environment and safety):

• Work performed in office environment


• Involves frequent contact with professional staff and managed care organizations


• Work may be stressful at times


• Interaction with others is frequent and often disruptive