Coding Provider Liaison

Coding Provider LiaisonThe Coding Provider Liaison (Professional Coding Auditor & Educator) works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services.Responsibilities:Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submissionWorks as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these chargesCollaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and completeIdentifies inconsistencies in medical reports and works with healthcare staff to improve charge capture and error correctionMeets daily production standardsAudits providers on documentation and assigning accurate CPT and ICD-10 codesMinimum Qualifications:High School diploma or equivalentActive CPC or CCS Certification from AAPC or AHIMA required3+ years of hands-on auditing experience (not just coding) requiredProfessional billing experience in an urgent care or multi-specialty environment requiredDirect experience educating physicians/providers on documentation and coding requirements requiredExperience using coding resources/tools (e.g., AMA guidelines, payer policies, online resources) to support audit decisions requiredEnergy, enthusiasm, and the ability to work under pressure in a high volume, fast paced environment with high growthKey Attributes that will Promote Success in this Role:Knowledge of insurance payers, the AR/revenue billing lifecycle and appealing denied claimsStrong critical thinkingExperience in billing software and EMR systems, Epic experience a plusExtremely organized with a strong attention to detailMotivated, dependable, and flexible with the ability to handle periods of stress and pressureStay up to date on coding changes and updatesAbility to work within a team environment and maintain a positive attitudeEqual Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.