Department:

10395 Enterprise Revenue Cycle - Individualized Clinician Support Surg Hosp Based and Complex Specialties

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Standard working hours between 6am and 6pm EST

REMOTE

Preference in: Endocrinology (Endo) or strong E&M/Dx coding as will be supporting medical Specialties.

 

Pay Range

$34.90 - $52.35

Major Responsibilities:

• Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.

• Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.

• Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.

• Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.

• Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.

• Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health—to enhance documentation practices and system optimization.

• Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.

• Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy.

• Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA’s Standards of Ethical Coding, while maintaining expert knowledge of evolving policies. 

• Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance. 

Licensure, Registration, and/or Certification Required:

• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Additional credential preferred. 

Education Required:

• Completion of advanced training in revenue cycle management through a recognized or accredited program, equivalent in scope and rigor to post-secondary education. High school diploma or GED required. 

Experience Required:

• Typically requires 4 years of experience in expert-level professional coding. 

Knowledge, Skills & Abilities Required:

• Advanced Coding Expertise: In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices.

• Medical Terminology & Anatomy: Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment.

• Epic & Reporting Solutions: Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies.

• Critical Thinking & Analytical Skills: Highly proficient in problem-solving and analytical thinking with strong attention to detail.

• Interpersonal Communication: Excellent verbal and written communication skills, with the ability to educate and collaborate effectively with physicians, APCs, clinical leadership, and coding teams.

• Advanced Computer Skills: Proficiency in Microsoft Office Suite, electronic coding applications, and email communication.

• Organizational & Prioritization Skills: Ability to efficiently manage multiple tasks, set priorities, and meet deadlines in a fast-paced environment.

• Independent Decision-Making: Ability to work independently, exercise sound judgment, and make informed decisions regarding coding and compliance.

• Collaboration &