Coding Educator, Avenue North - Hybrid

Key Responsibilities

• Performs coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid Services (CMS) guidelines and provide ongoing feedback and analysis of the education needs for the providers and staff.
• Review and assess supporting documentation in patient medical records for appropriate ICD-10, CPT, HCPCS coding. Initiate follow-up activities verifying correction of errors.
• Identify coding and documentation error trends enabling targeted provider education.
• Assist with annual review of CPT/ICD - 10 updates and implementation of identified changes.
• Aid in annual CMS updates and implementation of identified changes, and maintain knowledge of Medicare and Medicaid billing practices, coding guidelines, laws, and regulations.
• Follows appropriate documentation and coding procedures based upon established guidelines.
• Lead contact for billing questions related to services within Service Line rendered within the practices/units.
• Facilitates education during time of on-boarding for all new clinicians regarding effective documentation, coding, and billing guidelines.

Position Qualifications

• A high school diploma or equivalent and/or Associate’s degree.
• A minimum of 4 years of coding experience.
• At least 2 years of physician auditing experience.

Special Requirements

• Certified Professional Coder (CPC) completed through American Academy of Professional Coder required.
• Certified Professional Medical Auditor (CPMA) completed through American Academy of Professional Coders preferred.