- Provide coordination and planning for quality assurance reviews to assess comprehension of training efforts
- Meet department production and quality standards
- Meet due and deadlines for projects and daily assignments
- Research coding updates and coding inquiries
- Keep abreast of coding guidelines and billing knowledge to ensure appropriate application of ICD-10 and CPT codes are reported.
- Provides risk adjustment subject matter education, leading continuous evolution and innovation for medical coding improvement initiatives
- Coordination of clinician auditing in line with provider coding compliance for clinician documentation reviews; Including administrative tasks
- Provide analysis reporting of benchmarking profiles for CPT/Evaluation and Management code distribution and complexities for services performed
Skill Requirements/Preferences
- Expert knowledge of ICD-10-CM, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy, and physiology
- Knowledge in principles of adult learning concepts and capable of planning, coordinating, facilitating coding educational programs
- Proficient at incorporating adult learning principles, online and in person teaching methods to maximize learning and the application of that learning
- Superior organization, communication (verbal and written), interpersonal and oral engaging presentation skills
- Ability to comfortably speak to small/large groups, network, and build effective relationships
- Demonstrated adaptability/flexibility and the ability to coordinate multiple tasks.
- Ability to work independently and exercise independent judgment and decision making
Education Requirements
- Bachelor’s degree, or equivalent experience in applicable healthcare field may be substituted.
- 5 + years of medical coding and progressive experience in Professional Medical Coding
- Current AAPC Certified Professional Coder/CPC certification
- Certified Professional Medical Auditor/CPMA, preferred