Clinician Coding Liaison - Ophthalmology and Optometry

Department:

10395 Enterprise Revenue Cycle - Individualized Clinician Support Surg Hosp Based and Complex Specialties Status:

Full time Benefits Eligible:

Yes Hou rs Per Week:

40 Schedule Details/Additional Information:

Desired Experience:

- Desired experience in ENT/ Audiology

Schedule:

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Will support enterprise - Monday - Friday 1st shift 6:00 am EST – 6:30pm CST 40 hours a week.

Certification required:

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Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or

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Coding Specialist (CCS) certification, or

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Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or

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Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC).

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Additional specialty credential preferred.

Remote opportunity:

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Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY

Pay Range:
$35.50 - $53.25 Major Responsibilities:

- Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.

- Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.

- Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.

- Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.

- Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.

- Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health—to enhance documentation practices and system optimization.

- Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.

- Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy.

- Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA’s Standards of Ethical Coding, while maintaining expert knowledge of evolving policies.

- Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.

Licensure, Registration, and/or Certification Required:

- Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or

- Coding Specialist (CCS) certification, or

- Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or

- Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC).

- Additionalspecialty credential preferred.

Education Required:
- Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge. High school diploma or GED required.

Experience Required:

Typically requires 4 years of experience in expert-level professional coding.
Knowledge, Skills & Abilities Required:

- Advanced Coding Expertise: In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices.

- Medical Terminology & Anatomy: Strong understanding of medical terminology, anatomy, and p