Physician Coding Liaison II – Women’s Health

Physician Coding Liaison II – Women’s Health

Requirements

• Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA)
• Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA)
• Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA)
• Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA)
• Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC)
• Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC)
• Specialty Medical Coding Certification issued by the American Academy of Professional Coders (AAPC) needs to be obtained within 1 year
• Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist
• Typically requires 5 years of experience in expert-level professional coding and least 3 years educating/training licensed clinicians
• Specialty Medical Coding Certification must be held in the area(s) you will support
• Excellent communication (oral and written), adult education, and interpersonal skills
• Advanced computer skills including the use of Microsoft office products, electronic mail, video/web conferencing, including exposure or experience with electronic coding and EHR systems or applications
• Excellent/comprehensive skills in organization, prioritization, problem solving, facilitation skills as well as the ability to have meaningful, albeit, difficult conversations with CMOs/Physicians/APCs and/or Senior Director Administrators
• Highly proficient in critical thinking and analytical skills with an extensive 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)

Responsibilities

• 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/APCs
• 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/APCs, Senior Director Administrators across the organization
• Coordinates with PSA Liaisons to provide adequate Physician/APC and/or clinical team member support
• Conducts orientations for all Physicians/APCs, 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/APCs, 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/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 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/APCs and/or Clinic/Site Department 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/APC 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/APCs 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

Preferred Qualifications

No preferred qualifications provided.