Ambulatory Coding Education & Audit Specialist

To perform diversified coding and auditing of coded medical records related to ICD-10-CM, CPT, and Evaluation & Management (E&M) coding.

Train and educate coding staff on department specific procedures, educates staff regarding coding guideline changes, as well as payer requirements when processes are affected by payer requirements.

Promotes teamwork and acts as a liaison with coders and other department such as Central Billing Office, Practice Managers, Compliance, etc.

Development of new procedures related to coding and implementation of systems that impact coding.

Research coding guidelines that help with understanding claim edits and denials by payers for coding reasons.

Serves as backup for coding and abstracting of all types of records as needed.

Participates with physician education regarding documentation needs that impact coding processes.

Bachelor degree with 2 years experience related to coding/auditing; Associate degree with 3-4 years experience coding/auditing experience; or high school diploma with 7+ years of coding/auditing experience. Requires at least one of these certifications: RHIA, RHIT, CCS, CCS-P, CCS-H, CPC, or CPMA. Knowledge of coding classification systems, including ICD-10-CM, CPT, E&M level of service, and HCPCS nomenclature, and the rules, guidelines, and coding conventions established by the American Medical Association, the Center for Medicare and Medicaid Services (CMS), and the American Hospital Association as the leading organizations that govern coding rules and reporting. Epic experience preferred. Familiarity with medical record documentation requirements and regulatory requirements for record content a plus for this job. Knowledge of performance improvement, teaching/learning principles helpful. Requires excellent written and oral communication skills and excellent organizational skills. Ability to adapt to change and handle multiple tasks in a complex environment. Ability to work independently as well as within a team environment. Applicant should have good computer skills and working knowledge of office applications to create/maintain spreadsheets, databases, and word processing functions.