Physician Coding Educator

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Work Shift
Day
Work Day(s)
Monday-Friday
Shift Start Time
8:00 AM
Shift End Time

5:00 PM
Worker Sub-Type

Regular
Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s.

Job Description

The Physician Coding Educator provides education in coding and billing compliance to physicians, physician assistants, nurse practitioners, and clinical service auxiliary providers to improve the workflow and promote overall clinical documentation improvement. Creates communication of important coding and billing information for administrative and finance leaders as it relates to their areas. Assists in the development of evaluation and management and other billing code utilization reports for comparison to national and peer-to-peer data. Supports the improvement of overall coding and billing practices of the physician professional services. In addition, the Physician Coding Educator provides subject matter expertise related to documentation and coding requirements to support provider’s performance of appropriate and compliant charge capture for professional services. This individual develops and trains Children’s practitioners on educational content related to coding, documentation and charge capture while monitoring the ongoing coding and documentation needs of the organization and providing feedback to Children’s leadership. Collaboration with the Physician Leaders, Practice Leaders, Compliance, Legal and Finance on coding initiatives and goals is key. Experience
- 5 years of experience in teaching professional coding education and compliance documentation. Advanced knowledge and experience in interpreting and applying federal/government regulations to ensure coding and documentation compliance

Preferred Qualifications
- Teaching or instructional design certificate

Education
- High school diploma or equivalent

Certification Summary
Minimum of one of the following:
- Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist – Physician-based (CCS-P)

Knowledge, Skills, and Abilities

- Strong knowledge base in complete and accurate clinical documentation in all healthcare settings and for all healthcare disciplines

- Strong knowledge base of the conventions, rules, and guidelines for multiple classification and reimbursement systems (e.g., ICD -10, diagnosis-related group, and all patient refined diagnosis-related group)

- Demonstrated knowledge of medical terminology, anatomy and physiology, pharmacology, computers, and encoding software

- Demonstrated strengths in teaching and presentation skills

- Ability to work with physicians and senior leaders

- Must be detail-oriented and have strong analytical, organizational and communication skills

Job Responsibilities

- Provides continuous education and updates to physicians, advanced practice providers, and practice leadership regarding coding and billing practices to meet regulatory requirements on local, state, federal and national level to capture appropriate revenue.

- Provides appropriately messaged individual feedback and facilitates interventions to address educational gaps and manages all aspects of documentation and coding processes.

- Develops and implements educational content in compliance with industry standards in collaboration with Leaders, Compliance, Legal and Providers using appropriate adult education principles and strategies. Develops content that can be