Inpatient Coding Educator

1 day ago

Edgewood, United States Medix Full time
**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.Learn More

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