Sorry, this job is no longer available.

Coding Education Specialist - Marcus Autism Center


Work Schedule/Days:  Day / Monday - Friday
Employment Type:  Full-Time
Requisition #:  30392

JOB SUMMARY

Provides education in coding and billing compliance within Children’s Physician Group 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.

EDUCATION

  • Graduate of approved health information technology or health information management program

CERTIFICATION SUMMARY

  • Certified Professional Coder (CPC), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist- Physician-based (CCS-P), or ability to obtain within three months of employment

EXPERIENCE*

  • Five years of experience in coding
  • Strong knowledge base and experience in interpreting and applying federal/government regulations to ensure coding and documentation compliance

PREFERRED QUALIFICATIONS*

  • Experience in physician practice coding

KNOWLEDGE SKILLS & 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
  • Must be detail-oriented, possess good problem solving skills, and have legible handwriting
  • Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating within 30 days of employment

JOB RESPONSIBILITIES*

  1. Provides appropriately messaged and continuous education and updates to physicians, advanced practice providers, and practice leadership regarding coding and billing practices to meet regulatory requirements and capture appropriate revenue.
  2. Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.
  3. Educates assigned new physicians and advanced practice providers on coding needs specific to their specialty as part of the onboarding experience.
  4. Performs shadowing services for billing providers and administrative staff to gather information and provide constructive input to operations and the billing provider to become more efficient in daily workflow and accuracy in charge selection supported by their clinical documentation.
  5. Partners with Coding, Compliance, and other applicable departments on coding issues while coordinating review of open issues and monitoring until resolved.
  6. Monitors coding resources and payer updates for issues that impact professional billing and reports to manager.
  7. Develops tools as assigned that will assist providers, practice management, and office staff to meet regulatory requirements and capture all appropriate revenue.
  8. Analyzes billing and denial information, claim error, and other data for potential coding and billing opportunities.
  9. Summarizes and reports findings to manager and uses findings in educational trainings.
  10. Understands post-billing review findings and assists in relaying constructive education for the purpose of improving deficiencies identified in the review.
  11. Reviews and analyzes evaluation and management coding and other billing trend profiles to identify patterns that may provide clues requiring focus for further analysis, support, and/or education.
  12. Reviews encounter forms, coding forms, or billing tool information at least annually, and recommends changes to codes and encounter form layout as necessary.

SYSTEM RESPONSIBILITIES*

Safety: Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Responsible for the reporting of employee/patient/visitor injuries or accidents, or other safety issues to the supervisor and in the occurrence notification system.

 

Compliance: Monitors and ensures compliance with all regulatory requirements, organizational standards, and policies and procedures related to area of responsibility. Identifies potential risk areas within area of responsibility and supports problem resolution process. Maintains records of compliance activities and reports compliance activities to the Compliance Office.

 

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification.  They are not intended to be an exhaustive list of all job duties performed by the personnel so classified.

PHYSICAL DEMANDS*

Ability to lift up to 15 lbs independently not to exceed 50 lbs without assistance

Bending/Stooping - Occasionally (activity or condition exists up to 1/3 of time)

Climbing - Occasionally (activity or condition exists up to 1/3 of time)

Hearing/Speaking - Effective communication with employees, supervisors/managers and staff. Effective communications with patients and visitors, as required.

Lifting - Occasionally (activity or condition exists up to 1/3 of time)

Pushing/Pulling - Occasionally (activity or condition exists up to 1/3 of time)

Sitting - Constantly (activity or condition exists 2/3 or more of time)

Standing - Occasionally (activity or condition exists up to 1/3 of time)

Walking - Occasionally (activity or condition exists up to 1/3 of time)

WORKING CONDITIONS*

No potential for exposure to blood and body fluids

 

About Us:

Children’s Healthcare of Atlanta has been 100 percent committed to kids for more than 100 years. A not-for-profit organization, Children’s is dedicated to making kids better today and healthier tomorrow.

With 3 hospitals, 28 neighborhood locations and a total of 638 beds, Children’s is the largest healthcare provider for children in Georgia and one of the largest pediatric clinical care providers in the country. Children’s offers access to more than 70 pediatric specialties and programs and is ranked among the top children’s hospitals in the country by U.S. News & World Report.

Children’s has been ranked on Fortune magazine’s list of “100 Best Companies to Work For” for thirteen consecutive years and named one of the “100 Best Companies” by Working Mother magazine. We offer a comprehensive compensation and benefit package that supports our mission, vision and values. We are proud to offer an array of programs and services to our employees that have distinguished us as a best place to work in the country. Connect to our mission of making kids better today and healthier tomorrow. 

Have questions about the recruitment process?  Check out What to Expect.

Location:  Marcus Autism Center  -  1920 Briarcliff Road, Atlanta, GA  30329
Function:  Revenue Cycle - Coding