Physician Coding Liaison II - Neurology

Charlotte, NC, United States

Job ID : 133186

Job Family : Medical Records Services

Status : Full Time

Shift : Day

Job Type : Regular

Department Name : 21041017241270-Charge Capture - Surgery / Medical Education

Advocate Health offers a comprehensive suite of Total Rewards : benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including :

Compensation

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and / or training.

Premium pay such as shift, on call, and more based on a teammate's job.

Incentive pay for select positions.

Opportunity for annual increases based on performance.

Benefits and more

Paid Time Off programs.

Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability.

Flexible Spending Accounts for eligible health care and dependent care expenses.

Family benefits such as adoption assistance and paid parental leave.

Defined contribution retirement plans with employer match and other financial wellness programs.

Educational Assistance Program.

Job Summary

Serves as the system-wide key contact for service line / specialty specific coding and proactively educates coding / documentation guidelines and / or concepts within a specific specialty. Collaborates with Chief Medical Officer (CMO), Senior director administrators, Production and Department support leaders for problem resolution and / or trends in payer specific rules / coverage. Educates Physicians, Advanced Practice Providers (APPs), Medical Group and Clinic Leadership to improve coding and documentation. Knowledge sharing with Patient Service Area (PSA) Liaisons, Production Coding, and Department Support to improve coding, documentation, and charge capture opportunities. Due to the system-wide service line / specialty specific support, the PCL Spec role is virtual. Note : For purposes of this document, the term Clinicians represents all billing providers.

Essential Functions

• Provides service line / specialty specific coding / 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 / APPs. Partners with CMOs to standardize coding processes across a specific specialty. Shares and / or presents coding / documentation education presentations to Chief Medical Officers (CMOs), Physicians / APPs, Senior Director Administrators across the organization. Coordinates with PSA Liaisons to provide adequate Physician / APP and / or clinical team member support.
• Conducts orientations for all Physicians / APPs, residents / students and clinical team members on specialty specific coding and documentation related education. Performs new clinician documentation reviews for specialty specific coding, and documentation feedback, as requested.
• Coordinates responses to Physicians / APPs, Locum Tenens, residents / student’s questions and feedback from various sources and partners, including Senior director administrators, CMOs, Medical Group Compliance, Internal Audit, Physician Compensation, Clinical Informatics / Clinical Informatics Educators, Quality Improvement Coordinators, and / or other external partners.
• Queries Physician / APP, 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 / APP, 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 service line / specialty 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 and provides service line / specialty specific coding and documentation information, as requested, to CMOs, Physicians / APPs and / or Clinic / Site Department meetings. These may be virtually and / or in-person. Virtually attends Physician / APP education that include coding and / or documentation topics, such as Documentation Specialist clinician low risk review meetings, Risk Adjustment / HCC meetings, and / or Medical Group Compliance reviews / meetings.
• Collaborates with PSA Liaison to review and provide coding / documentation guidance on Epic order entry, diagnosis, and charge capture preference lists as well as SmartSets and templates.
• Develops Physician / APP monthly service line / specialty newsletters to continually educate and communicate updates from various coding resources including specialty society organizations. Communicates new services performed by Physician / APPs to Professional Coding department leadership.
• Identifies service line / specialty specific trending data and opportunities to capture revenue through documentation improvement. Attends service line / specialty specific coding and / or society conferences, as requested, to gain further knowledge that is uniquely relevant to that specialty and how coding, documentation, and billing are affected. Maintains expert knowledge of Medicare, Medicaid, and other regulatory requirements pertaining to nationally accepted coding policies and standards.

Education, Experience and Certifications

License / Registration / Certification : Coding Associate (CCA) certification, or Coding Specialist - Physician (CCS-P) certification, or Health Information Administrator (RHIA) registration or Health Information Technician (RHIT) registration, or Professional Coder (CPC) certification, or Specialty Coding Professional (SCP) certification, and Specialty Medical Coding Certification obtained within 1 year.

Issued by (Governing Body) : American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPP), or Board of Medical Specialty Coding and Compliance (BMSC).

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

Field of Study (if applicable) : Medical coding or other related health field.

Years of Experience : Typically requires 5 years of experience in advanced-level professional coding and at least 3 years of experience educating / training licensed clinicians.

Describe Type Experience : Typically requires 5 years of experience in advanced-level professional coding and at least 3 years of experience educating / training licensed clinicians.

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