Senior Professional Coding and Documentation Improvement Specialist - FT - Day - Physician Professional Coders Remote

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Additional Information

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time). Pay Range: $31.07 - $40.60 Scheduled Weekly Hours: 40 Position Overview Responsible for leading complex coding reviews, optimizing provider documentation, and improving coding accuracy and compliance. Provides assistance and support to manager as it relates to time management, delegation of workflow tasks and responsibilities, knowledge of industry guidelines, laws and regulations. Assists in analysis and reporting of record review findings in order to monitor trends and outcomes. Responsible for coordinating physician education sessions, correspondence with physicians, and maintenance of Capital Health Medical Group (CHMG) educational website. Responsible for coordination and provision of large group education sessions for all CHMG providers. MINIMUM REQUIREMENTS Education: High School Diploma or equivalent. Associate's degree in health information management preferred. Certified Professional Coder (CPC) or Certified Coding Specialist-Physician-based (CCS-P) required. Physician coding and Training certification. Experience: Three years' experience in professional coding role with monitoring and education experience required. ICD-10-CM, CPT, CM, and HCPCS coding experience. Other Credentials: Knowledge and Skills: Excellent verbal and written communication skills. Knowledge of pathophysiology and disease processes. Strong knowledge of industry guidelines and laws for physician coding and reimbursement. Possesses research and analysis skills. Special Training: Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint. Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge. Ability to develop, implement and deliver, and assess coding education plans using a variety of methods to individual providers or provider groups. Mental, Behavioral and Emotional Abilities: Ability to work in environment using multiple EMR systems. Ability to learn and develop auditing and education skills to perform physician education. Ability to work collaboratively with others as well as independently. Usual Work Day: 8 Hours Reporting Relationships Does this position formally supervise employees? No If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager. ESSENTIAL FUNCTIONS Assists manager with ongoing monitoring and education process by assuming responsibility for coordination and scheduling, as well as research, design and delivery of large group education sessions to ensure accurate and compliant physician documentation and coding. Researches and provides up-to-date information to departmental staff to promote compliance with industry and government regulations. Research coding and reimbursement issues and reports findings to manager, physicians, and staff. Develops and coordinates education and training programs on coding and documentation for department staff, physicians, and ancillary departments. Performs analysis and trending of record review results to achieve optimal coding accuracy and compliance of CHMG providers. Develops and disseminates customized education programs to educate CHMG providers regarding documentation requirements needed for accurate code assignments. Monitors provider selected E&M codes on a routine and focused basis to ensure documentation supports medical necessity, code specificity, and compliance to promote the highest coding accuracy. Support external audit responses and mitigation efforts. Meets or exceeds departmental accuracy and productivity standards. Fosters teamwork and collaboration. Proactively troubleshoots documentation or communication problems and appropriately escalates to senior level. Maintains a level of expertise by attending continuing education programs. Adapts to changing department demands required for higher department efficiency. Assists manager in the training of new employees in an effort to maintain a productive workforce and env