MUST LIVE WITHIN 50 MILES OF ORLANDO, FL OR ST PETE, FL
Job Title : Inpatient Coding Educator
Job Responsibilities :
Responsible for internal auditing and analyzing professional coding for all service lines.
Will monitor the audit results closely to identify any potential coding inaccuracy
Gives the Department the needed support in identifying coding errors
Gives the practice the security that we are capturing the service accordingly
Gives providers additional education when needed and requested.
Ensure that medical documentation is following Governmental payers, Managed Care and private insurances guidelines
Review medical records to ensure accuracy of code assignment.
Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting.
Ability to identify and communicate physician documentation and coding opportunities for improvement
Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices.
Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office.
Takes the initiative to identify and solve complex trending coding issues affecting the physician revenue cycle and provide the necessary feedback to correct claims on a go-forward basis as well as recovered underpaid amounts.
Collaborates with Physician and Professional Services Central Business Office to ensure appropriate and complete follow up of patient accounts to ensure coding accuracy for payor guideline reimbursement.
Addresses departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress.
Provides statistical reports to deliver accurate documentation of ongoing internal coding efficiency process.
Conducts focused physician reviews as needed and provides data to manager.
Maintains 90% physician coding accuracy rate.
Attends payor, departmental and interdepartmental meetings as required.
Prepares / distributes information summarizing opportunities with physician coding monthly.
Researches, identifies, develops, and assists in implementation of a plan of action to resolve coding disputes with payors.
Utilizes resource material available in department, CMS, AMA, and AHA to support coding practices.
Serves as a preceptor to new coders.
Takes an active role in developing and presenting educational programs to Physician & Professional Services team, physicians, physician extenders, physician offices, and all members of the coding team and manager.
Maintains patient confidentiality.
Proficiency in coding including ICD-10, CPT, E / M, modifiers while maintaining a 90% accuracy.
Follow and adhere to Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies.
Other duties as assigned based on company needs and projects.
Ongoing Coding Education and training activities
Responsible for the development and training of staff within the scope of his / her responsibilities as it relates to Coding Department structure
New providers
New Coders
Testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned.
Existing providers
Collaborate with Assistant Manager in monitoring coding Quality
Develop and implement coder enhancement strategies
New Governmental releases information
Basic in-house coders auditing
In-Service presentation during coders' meeting
Requirements :
5-6 years of professional based coding experience is required.
Professional based coding experience must include all types - Clinic, Behavior Health, hospital rounding, SDS, Teaching & Physician extender provider coding, All specialties
Must maintain one (1) of the following national certifications :
Certified Professional Coder (CPC) through the American Academy of Professional Coders
Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA)
Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA)
Certified Medical Coder (CMC) through Practice Management Institute
Additional CPMA or COC certification is preferred
Pay : $30 - 36.65 / hr DOE to start with TONS of room for growth!
Shift : M-F 8am-5pm
Work Location : Remote, but will need to go onsite occassionally to meet with providers.
MUST LIVE WITHIN 50 MILES OF ORLANDO, FL OR ST PETE, FL
Medix is acting as an Employment Agency in relation to this vacancy.