Physician Coding Liaison I - Medical Based Specialties REMOTE

Major Responsibilities:

• Provides PSA coding and documentation education and feedback related to coding changes (CPT including E&M, modifiers, ICD-10-CM and HCPCS), annual code updates, payer requirements, and payer rejection resolution to assigned Physicians/APCs. Performs regular rounding (virtual or in-person, as requested) with Clinicians and departments to provide adequate coding support.
• Conducts orientations for all Physicians/APCs, Locum Tenens, residents/students and/or clinical team members on coding and documentation related education. Performs new clinician documentation reviews for general coding, and documentation educational feedback.
• Coordinates responses to Physician/APC, Locum Tenens, residents/student’s questions and feedback from various sources and partners, including but not limited to clinic leadership, Medical Group Compliance, Physician Compensation, Clinical Informatics/Clinical Informatics Educators, and/or Quality Improvement Coordinators (QIC).
• Queries Physician/APC, Locum Tenens, residents/students when prompted by Professional Coding Department production coders to assist in resolving coding and documentation questions. Relays any coding changes, feedback, and education to Physician/APC, Locum Tenens, residents/students and/or clinic leadership, as appropriate.
• Monitors and works to resolve charge sessions requiring additional information for assigned clinicians and/or PSA locations in the Epic work queues and/or other transfer work queues to ensure Clinicians are completing work timely to ensure proper supporting documentation for billing and timely filing.
• Attends meetings, as requested and provides coding and documentation information to Physician/APC, Locum Tenens, residents/students, and/or clinic leadership at their department or meetings (virtual or in-person). Attends Physician/APC education that includes coding and/or documentation topics, such as Documentation Specialist clinician low-risk review meetings, HCC/RAPS meetings, and/or Medical Group Compliance reviews/meetings (virtual or in-person).
• Reviews and provides coding and/or documentation guidance on Epic order entry, diagnosis, and charge capture preference lists as well as SmartSets and templates.
• Develops Physician/APC monthly coding update reports to continually educate and communicate coding related updates. Communicates Physician/APC new services to Professional Coding Department Leadership.
• Identifies and/or prompts documentation improvement as well as charge capture opportunities.
• Maintains current knowledge of Medicare, Medicaid, and other regulatory requirements pertaining to nationally accepted coding policies and standards.

Licensure, Registration, and/or Certification Required:

• Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA), or
• Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or
• Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
• Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or
• Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC), or
• Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC).

Education Required:

• Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist.

Experience Required:

• Typically requires 4 years of experience in advanced-level professional coding and at least 1 year of experience educating/training licensed clinicians.

Knowledge, Skills & Abilities Required:

• Advanced knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology, and regulatory requirements.
• Excellent communication (oral and written), adult education, and interpersonal skills. Ability to develop rapport and maintain positive, professional relationships primarily with employed Physicians, Advanced Practice Clinicians (APCs), ancillary staff, clinic leaders, and professional coding team members.
• Above average computer skills including the use of Microsoft office products, video/web conferencing, electronic mail, including exposure or experience with electronic coding and EHR systems or applications.
• Above average skills in organization, prioritization, problem solving, facilitation skills as well as the ability to have meaningful, albeit, difficult conversations with Physicians/APCs.
• Excellent critical thinking and analytical skills with a high attention to detail.
• Ability to work independently and exercise independent judgment and decision making.
• Ability to meet deadlines while working in a fast-paced environment.
• Ability to work in multiple work environments (ie virtual, office, clinic/hospital, other).

Physical Requirements and Working Conditions:

• Exposed to normal office environment.
• Position requires travel which will result in exposure to road and weather hazards.
• Operates all equipment necessary to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.