Coding Education Specialist

About the role

The Coding Education Specialist is responsible for the development, delivery, and maintenance of high-quality educational audits, education materials, meetings and presentations focused on coding accuracy and documentation improvement for professional services.

Responsibilities

• Analyze complex guidelines from regulatory bodies (e.g., CMS, AMA, FCSO, OIG, etc.) and communicate findings in an understandable manner to Providers and LPG leadership via in-person or virtual presentation, on-demand videos, tip sheets, coding alerts, and newsletters.
• Curriculum is to be aligned with ICD-10-CM, CPT, HCPCS, and E/M guidelines.
• Support Physicians, Advanced Practice Providers (APPs), coders, and LPG practice leadership (practice managers and directors, system directors, medical directors) to ensure adherence to regulatory requirements and to optimize revenue integrity.
• Collaborate with the information systems team on Epic documentation enhancements.
• Collaborate with revenue integrity, coding and accounts receivables teams to ensure accurate claims reporting.
• Partner with compliance on various subjects based on compliance audits, internal audit findings, and/or regulatory updates/changes.

Requirements

• Education: Associate or bachelors degree preferred.
• Experience: Minimum of 3 years of professional coding experience required. Extensive knowledge and application of CPT, HCPCS, ICD-10, outpatient coding, E/M guidelines, and documentation standards required. Prior experience in coding education, training or leadership preferred. Prior experience in presenting to various audiences; strong public speaking skills preferred.
• Certification: CPC (Certified Professional Coder) required. CPMA (Certified Professional Medical Auditor) required within 2 years of hire.
• Licenses: N/A
• Other: Proficiency in Microsoft Office (Word, Excel, PowerPoint) preferred. Strong working knowledge of Epic preferred. Excellent written and verbal communication skills; the ability to deliver technical instruction to medical providers and various forms of leadership. Strong analytical and critical thinking skills. Ability to collaborate effectively across all levels of leadership. Sound independent professional judgment and purposeful planning. Adaptability and resilience in a dynamic, fast-paced environment. Highly organized, detail-oriented, self-motivated, disciplined, with a strong work ethic. Problem solving abilities; ability to work efficiently with minimal supervision. Ability to give and receive constructive feedback. Educational material creation abilities. Strong research and investigation skills. Demonstration and adherence to federal and state guidelines, with ability to translate into digestible education for audience.