Coding specialist Jobs in Birmingham, AL

Charlotte, NC, United States

Job ID : 133709

Job Family : Medical Records Services

Status : Full Time

Shift : Day

Job Type : Regular

Department Name : 21041017241270-Charge Capture - Surgery / Medical Education

Advocate Health offers a comprehensive suite of Total Rewards : benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work.

Job Summary

Serves as the system-wide key contact for service line / specialty specific coding and proactively educates coding / documentation guidelines and / or concepts within a specific specialty. Collaborates with Chief Medical Officer (CMO), Senior director administrators, Production and Department support leaders for problem resolution and / or trends in payer specific rules / coverage. Educates Physicians, Advanced Practice Providers (APPs), Medical Group and Clinic Leadership to improve coding and documentation. Knowledge sharing with Patient Service Area (PSA) Liaisons, Production Coding, and Department Support to improve coding, documentation, and charge capture opportunities. Due to the system-wide service line / specialty specific support, the PCL Spec role is virtual. Note : For purposes of this document, the term Clinicians represents all billing providers.

Essential Functions

• Provides service line / specialty specific coding / documentation education and feedback related to coding changes (CPT including E&M, modifiers, ICD-10-CM, and HCPCS), annual code updates, payer requirements, and payer rejection resolution to assigned Physicians / APPs.
• Conducts orientations for all Physicians / APPs, residents / students and clinical team members on specialty specific coding and documentation related education.
• Coordinates responses to Physicians / APPs, Locum Tenens, residents / student’s questions and feedback from various sources and partners.
• Queries Physician / APP, Locum Tenens, residents / students when prompted by Professional Coding Department production coders to assist in resolving coding and documentation questions.
• Monitors and works to resolve charge sessions requiring additional information for assigned clinicians and / or service line / specialty in the Epic work queues.
• Attends and provides service line / specialty specific coding and documentation information, as requested, to CMOs, Physicians / APPs and / or Clinic / Site Department meetings.
• Collaborates with PSA Liaison to review and provide coding / documentation guidance on Epic order entry, diagnosis, and charge capture preference lists.
• Develops Physician / APP monthly service line / specialty newsletters to continually educate and communicate updates from various coding resources.
• Identifies service line / specialty specific trending data and opportunities to capture revenue through documentation improvement.

Education, Experience and Certifications

License / Registration / Certification : Coding Associate (CCA) certification, or Coding Specialist - Physician (CCS-P) certification, or Health Information Administrator (RHIA) registration or Health Information Technician (RHIT) registration, or Professional Coder (CPC) certification, or Specialty Coding Professional (SCP) certification, and Specialty Medical Coding Certification obtained within 1 year.

Level of Education : Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist.

Years of Experience : Typically requires 5 years of experience in advanced-level professional coding and at least 3 years of experience educating / training licensed clinicians.

J-18808-Ljbffr