Role Description
This is a remote position. Superlanet is seeking a Coding Education Specialist for our healthcare client in Florida. This position requires a unique combination of strong professional coding expertise, auditing capabilities, and exceptional communication and presentation skills.
The Coding Education Specialist will serve as a professional coding subject matter expert, auditor, and educator, working directly with physicians, Advanced Practice Providers (APPs), coders, and practice leadership to improve:
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Coding accuracy
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Clinical documentation
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Regulatory compliance
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Revenue integrity
The Specialist will analyze complex coding and regulatory requirements and translate them into practical, easy-to-understand education for providers and operational leaders.
Responsibilities
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Perform educational audits of physician and provider documentation and professional coding to identify coding, documentation, compliance, and reimbursement opportunities.
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Educate physicians, APPs, coders, and practice leadership on ICD-10-CM, CPT, HCPCS, E/M guidelines, medical decision-making, diagnosis specificity, medical necessity, and documentation requirements.
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Analyze regulatory guidance and updates from organizations including CMS, AMA, FCSO, OIG, and other governing bodies.
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Translate complex coding and regulatory requirements into practical guidance for clinical and operational audiences.
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Develop and maintain educational materials, including presentations, coding alerts, tip sheets, newsletters, one-page bulletins, on-demand videos, and case-based education.
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Deliver engaging education through virtual and in-person meetings, presentations, individual coaching, and group training.
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Identify trends through coding audits, denials, compliance findings, regulatory changes, and internal reviews and develop targeted education to address identified gaps.
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Support coding and documentation education for a provider population.
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Build strong relationships with physicians and APPs and effectively influence coding and documentation practices without direct authority.
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Partner with Information Systems and Epic teams on documentation enhancements and workflow improvements that support accurate coding and claims submission.
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Collaborate with Revenue Integrity, Coding, Accounts Receivable, Compliance, and operational leadership to improve claims accuracy and revenue cycle performance.
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Partner with Compliance on education resulting from compliance audits, internal findings, and regulatory updates.
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Remain current on changes to coding guidelines, payer requirements, and regulatory standards and communicate those changes throughout the organization.
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Participate as a coding subject matter expert within an education team of approximately 11 professionals.
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Adapt to changing organizational priorities and manage multiple educational, auditing, and compliance initiatives simultaneously.
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Occasionally accommodate early morning, afternoon, or evening education sessions based on provider availability, with advance notice.
Qualifications
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Education: Associate or Bachelor's degree preferred.
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Experience: Minimum 3 years of professional coding experience required.
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Extensive knowledge and practical application of CPT, HCPCS, ICD-10-CM, outpatient professional coding, E/M guidelines, and documentation standards required.
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Experience conducting coding and/or documentation audits strongly preferred.
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Previous coding education, training, or leadership experience preferred.
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Demonstrated ability to educate and communicate effectively with physicians, APPs, coders, and operational leadership.
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Previous experience delivering presentations to varied professional audiences strongly preferred.
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Strong public speaking, presentation, and interpersonal communication skills.
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Experience analyzing coding trends, denials, audit findings, or compliance issues and translating findings into education preferred.
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Healthcare Revenue Cycle, Compliance, Revenue Integrity, and/or Epic experience is beneficial.
Requirements
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CPC (Certified Professional Coder) required.
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CPMA (Certified Professional Medical Auditor) required within two years of hire.
Benefits
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Salary range based on qualifications and experience: $70,000 - $85,000.