Overview
The individual in this role will serve as the key point of contact for coding and documentation information in the hospital and ASC setting, providing feedback, and charge capture resolution. Acts as a liaison between our Providers [Physician and/or CRNA) and the Physician Coding RCM Department. Coordinates communication and process information between Coding, Physicians/Providers, Medical Group Operations Leadership, Provider Compensation, Clinical Informatics, Compliance, and other partners.
This is a remote position; travel will be required.
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):
- Review and QA of professional coding accuracy and quality and educational feedback to coders and providers.
- Provide Clinical Documentation review and provider education to support correct coding and regulatory compliance.
- Provides on-site and or remote coding and documentation education and feedback related to anesthesia coding, payer requirements, performs regular rounding at sites and departments to provide adequate on-site support.
- Queries Physicians/Providers prompted by Physician Coding Department Coders to assist in resolving coding and documentation questions. Relays any coding changes, feedback, and education to Physicians/Providers as appropriate.
- Attends and provides coding and documentation information, as requested, to Physician/Provider and/or Clinic/Site Department meetings.
- Conducts Physician/Provider education that include coding and/or documentation topics, such as Documentation Specialist Provider on-line review meetings, and RCM division meetings.
- Reviews and provides coding and/or documentation guidance, diagnosis, and charge capture preference lists as well as EMR templates.
- Under the Direction of QA/Education -Develops Physician/Provider specialty monthly reports to continually educate and communicate updates.
- Communicates Physician/Provider new services to Physician Coding RCM Department Leadership.
- Identifies and/or prompts documentation improvement as well as charge capture opportunities.
- Maintains current knowledge of Medicare, Medicaid, and other regulatory requirements pertaining to nationally accepted coding policies and standards.
- Identifies and/or prompts documentation improvement as well as charge capture opportunities.
- Maintains current knowledge of Medicare, Medicaid, and other regulatory requirements pertaining to nationally accepted coding policies and standards.
- Other duties as assigned.
REPORTING TO THIS POSITION: No direct reports
Qualifications
JOB REQUIREMENTS (Knowledge, Skills and Abilities):
- Typically requires 5 years of experience in expert-level Anesthesia professional coding and billing experience and at least 3 years of experience in education/training of licensed providers.
- Experienced Client Services Professional a plus
- Experience with LMS content creation preferred.
Licenses & Certifications
(Required)
- Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC) or,
- Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA)
(Optional)
- Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or
- Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
- Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or
- (CHC) through the Healthcare Compliance Association (HCA)
EDUCATION/TRAINING/EXPERIENCE:
- High School Diploma required; Bachelor’s preferred, will consider a combination of education and work experience equivalent.
- Advanced training that includes the completion of an accredited or approved program.
- Clinical Licensing and experience welcomed.
PHYSICAL REQUIREMENTS:
- Requires prolonged sitting, some bending, stooping and stretching
- Must possess enough eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator and other office equipment
- Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations.
- Requires lifting papers and boxes weighing up to 35 pounds occasionally
- Requires dexterity to type at least 35 wpm.
WORKING CONDITIONS (environment and safety):
- Work performed in office environment
- Involves frequent contact with professional staff and managed care organizations
- Work may be stressful at times
- Interaction with others is frequent and often disruptive
disclaimer: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.
Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.
