Ambulatory Coding Education & Audit Specialist

About the role

Perform diversified coding and auditing of coded medical records related to ICD-10-CM, CPT, and Evaluation & Management (E&M) coding. Train and educate coding staff on department-specific procedures, coding guideline changes, and payer requirements. Promote teamwork and act as a liaison with coders and other departments, such as Central Billing Office, Practice Managers, and Compliance. Develop new procedures related to coding and implement systems that impact coding. Research coding guidelines to help understand claim edits and denials by payers for coding reasons. Serve as backup for coding and abstracting of all types of records as needed. Participate in physician education regarding documentation needs that impact coding processes.

Requirements

• Bachelor's degree with 2 years of experience related to coding/auditing; an Associate's degree with 3–4 years' experience; or a high school diploma with 7+ years of coding/auditing experience.
• At least one of these certifications: RHIA, RHIT, CCS, CCS-P, CCS-H, CPC, or CPMA.
• Knowledge of coding classification systems, including ICD-10-CM, CPT, E&M level of service, and HCPCS nomenclature, and the rules, guidelines, and coding conventions established by the American Medical Association, the Center for Medicare and Medicaid Services (CMS), and the American Hospital Association.
• Epic experience preferred.
• Familiarity with medical record documentation requirements and regulatory requirements for record content is a plus.
• Knowledge of performance improvement and teaching/learning principles is helpful.
• Excellent written and oral communication skills and strong organizational skills.
• Ability to adapt to change and handle multiple tasks in a complex environment.
• Ability to work independently as well as within a team environment.
• Good computer skills and working knowledge of office applications to create/maintain spreadsheets, databases, and word processing functions.