[Hiring] Physician Coding Educator @Children's Healthcare of Atlanta

Role Description

The Physician Coding Educator provides education in coding and billing compliance to physicians, physician assistants, nurse practitioners, and clinical service auxiliary providers to improve workflow and promote overall clinical documentation improvement. Key responsibilities include:

• Creating communication of important coding and billing information for administrative and finance leaders.
• Assisting in the development of evaluation and management and other billing code utilization reports for comparison to national and peer-to-peer data.
• Supporting the improvement of overall coding and billing practices of the physician professional services.
• Providing subject matter expertise related to documentation and coding requirements to support provider performance of appropriate and compliant charge capture for professional services.
• Developing and training Children’s practitioners on educational content related to coding, documentation, and charge capture.
• Monitoring ongoing coding and documentation needs of the organization and providing feedback to leadership.
• Collaborating with Physician Leaders, Practice Leaders, Compliance, Legal, and Finance on coding initiatives and goals.

Qualifications

• 5 years of experience in teaching professional coding education and compliance documentation.
• Advanced knowledge and experience in interpreting and applying federal/government regulations to ensure coding and documentation compliance.
• High school diploma or equivalent.
• Minimum of one of the following certifications: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist – Physician-based (CCS-P).

Requirements

• Strong knowledge base in complete and accurate clinical documentation in all healthcare settings and for all healthcare disciplines.
• Strong knowledge base of the conventions, rules, and guidelines for multiple classification and reimbursement systems (e.g., ICD-10, diagnosis-related group, and all patient refined diagnosis-related group).
• Demonstrated knowledge of medical terminology, anatomy and physiology, pharmacology, computers, and encoding software.
• Demonstrated strengths in teaching and presentation skills.
• Ability to work with physicians and senior leaders.
• Detail-oriented with strong analytical, organizational, and communication skills.

Job Responsibilities

• Provides continuous education and updates to physicians, advanced practice providers, and practice leadership regarding coding and billing practices to meet regulatory requirements.
• Provides appropriately messaged individual feedback and facilitates interventions to address educational gaps.
• Develops and implements educational content in compliance with industry standards in collaboration with Leaders, Compliance, Legal, and Providers.
• Works closely with internal or external vendors/departments to launch materials in live trainings and on a Web-Based platform.
• Collaborates with the Manager of Physician Documentation and Coding Education to develop strategy around design and delivery of all aspects of documentation and coding training.
• Provides input to Organization Leaders to ensure accuracy of missed opportunity reports and other identified reporting and data mining opportunities.
• Educates physicians and key healthcare providers regarding clinical documentation improvement.
• Educates assigned new physicians and advanced practice providers on coding needs specific to their specialty.
• Performs shadowing services for billing providers and administrative staff to gather information and provide constructive input.
• Monitors coding resources and payer updates for issues that impact professional billing.
• Anticipates and articulates emerging organizational needs and implements strategies for organizational improvement.
• Develops tools and training materials to assist providers, practice management, and office staff.
• Analyzes billing and denial information, claim error, and other data for potential coding and billing opportunities.
• Understands post-billing review findings and assists in relaying constructive education.
• Reviews and analyzes evaluation and management coding and other billing trend profiles.
• Reviews encounter forms, coding forms, or billing tool information at least annually.

Company Description

Children’s is one of the nation’s leading children’s hospitals. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always.