Develops and coordinates the delivery of coding educational programs. Promotes consistency and accuracy of coding and documentation practices. Acts as a liaison for coding questions and concerns between providers, coding, corporate responsibilities, and educational departments.
Job Responsibilities and Requirements :
PRIMARY RESPONSIBILITIES
Drives optimal clinical and financial outcomes through thorough assessment of provider documentation and coding competency, identification of improvement opportunities. Develops and delivers training and education of all coding processes. Stays abreast of regulatory changes and works with leadership to ensure compliance and revenue integrity.
Act as subject matter expert for providers and coders while providing guidance and clarification on issues which present in their daily account processing.
Establishes and coordinates internal quality review processes and corresponding training for providers and coders.
Evaluates provider documentation for clarity, completeness and consistency to ensure optimal code selection. Provides education to providers on coding guidelines, practices and documentation techniques.
Performs audits of provider documentation to identify opportunities or risks. Develops provider education based on findings and needs.
Maintains clear and consistent communication with coding and corporate responsibility around education and directions provided to both providers and coders.
Performs other duties as assigned.
EDUCATION
Bachelor's degree in business, healthcare or related field, or equivalent years of experience and education