Physician Coding Liaison I - General Surgery & Plastics

Department:

10395 Revenue Cycle - Coding & HIM Clinician Support

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

First Shift

This is a REMOTE opportunity

• Major Responsibilities:

  • Provides PSA coding and 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/APCs. Performs regular rounding (virtual or in-person, as requested) with Clinicians and departments to provide adequate coding support.
  • Conducts orientations for all Physicians/APCs, Locum Tenens, residents/students and/or clinical team members on coding and documentation related education. Performs new clinician documentation reviews for general coding, and documentation educational feedback.
  • Coordinates responses to Physician/APC, Locum Tenens, residents/student’s questions and feedback from various sources and partners, including but not limited to clinic leadership, Medical Group Compliance, Physician Compensation, Clinical Informatics/Clinical Informatics Educators, and/or Quality Improvement Coordinators (QIC).
  • Queries Physician/APC, Locum Tenens, residents/students when prompted by Professional Coding Department production coders to assist in resolving coding and documentation questions. Relays any coding changes, feedback, and education to Physician/APC, Locum Tenens, residents/students and/or clinic leadership, as appropriate.
  • Monitors and works to resolve charge sessions requiring additional information for assigned clinicians and/or PSA locations in the Epic work queues and/or other transfer work queues to ensure Clinicians are completing work timely to ensure proper supporting documentation for billing and timely filing.
  • Attends meetings, as requested and provides coding and documentation information to Physician/APC, Locum Tenens, residents/students, and/or clinic leadership at their department or meetings (virtual or in-person). Attends Physician/APC education that includes coding and/or documentation topics, such as Documentation Specialist clinician low-risk review meetings, HCC/RAPS meetings, and/or Medical Group Compliance reviews/meetings (virtual or in-person).
  • Reviews and provides coding and/or documentation guidance on Epic order entry, diagnosis, and charge capture preference lists as well as SmartSets and templates.
  • Develops Physician/APC monthly coding update reports to continually educate and communicate coding related updates. Communicates Physician/APC new services to Professional Coding Department Leadership.
  • Identifies and/or prompts documentation improvement as well as charge capture opportunities.
  • Maintains current knowledge of Medicare, Medicaid, and other regulatory requirements pertaining to nationally accepted coding policies and standards.

  
  Licensure, Registration, and/or Certification Required:

  • Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA), or
  • Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or
  • Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
  • Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or
  • Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC), or
  • Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC).

  
  Education Required:

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

  
  Experience Required:

  • Typically requires 4 years of experience in advanced-level professional coding and at least 1 year of experience educating/training licensed clinicians.

  
  Knowledge, Skills & Abilities Required:

  • Advanced knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines. Advanced knowledge of medical t