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Stormont Vail Health

Clinic Coding Educator - Clinic Coding Services - FT - Day

RemoteUnited States only
Published
Experience
Senior
Employment
Full-time
Company size
Enterprise
Salary not disclosed
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Open to US only. Set where you work from to check your eligibility.

No BS summary

Full-time Clinic Coding Educator with 5+ years multi-specialty CPT/ICD-10 coding experience. Must hold CCS or AAPC CPC and AAPC CPMA certifications. Remote (Kansas) role requiring occasional travel (~10%) to provide education to providers and clinical teams.

Core skills

CPTICD-10medical coding education

Required skills

medical terminologyanatomycoding auditschart reviews

What you'll do

  • Provides CPT and ICD-10 codes for Professional outpatient services.
  • Provides ongoing Physician and Non-Physician Practitioner (NPP) coding and compliance education.
  • Performs audits and Physician and NPPs services.
  • Completes coding audits and education on a regular basis as assigned by leadership.
  • Presents group education on coding to providers, clinic staff and coders as appropriate.
  • Prepare coding materials per regulatory guidelines in a format understandable to providers and clinical teams.
  • Stay informed of most recent regulatory guidelines and educate appropriate teams.
  • Maintains a working knowledge of CPT-4 and ICD-10 coding principles, governmental regulations, protocols and third party requirements regarding documentation and billing for multiple specialties.
  • Serves as a resource with regard to rules and regulations for utilization to ensure compliant reimbursement.
  • Coordinates and conducts inpatient and outpatient chart reviews for professional services to ensure compliance with coding and documentation guidelines and all governmental rules and regulations.
  • Develops and maintains a close working relationship with the physicians, Advanced Practice Providers and staff to ensure understanding of documentation and coding guidelines.
  • Provides ongoing educational sessions as appropriate to providers, clinical and coding staff.
  • Code CPT and ICD-9/ICD-10 on assorted services as assigned by Director.
  • Review claim denials for trends and educate staff and providers on coding issues identified.
  • Responds to outside audit requests from 3rd party payors as assigned by Director.
  • Maintains audit schedules/findings for all professional audits.
  • Provides orientation of office and hospital coding and compliance regulations to all new Physician, APP and Clinical Staff.
  • Performs Coding audits for Professional Coding Staff and provides education as deemed appropriate.
  • Commitment to LEAN/Performance Excellence processes and identify process improvements.
  • Contributes to customer satisfaction and process improvements by adhering to Stormont Vail Health Small Moments, 10 Tenets and Cultural Transformation Initiatives.

What they require

  • High School Diploma / GED Required
  • 5 years Multi-Specialty Coding Experience Required
  • Thorough understanding of medical terminology, anatomy, CPT and ICD-10 coding with ability to apply regulatory coding guidelines across multiple specialties. (Required proficiency)
  • Certified Coding Specialist - CCS Required or Certified Professional Coder - AAPC Required
  • Certified Professional Medical Auditor - AAPC CPMA Required
  • Ability to prepare coding materials per regulatory guidelines
  • Must stay informed of most recent regulatory guidelines
  • Ability to travel ~10% to provide education

Benefits

  • Remote Work Guidelines (quiet workspace, minimum 25mb upload)
  • Travel reimbursement implied by travel requirement (10%)
  • Equal opportunity employer statement
HealthcareEnterprise
Salary not disclosed