Coding Specialist

• Perform educational audits of physician and provider documentation and professional coding
• Educate physicians, APPs, coders, and practice leadership on ICD-10-CM, CPT, HCPCS, E/M guidelines, medical decision-making, diagnosis specificity, medical necessity, and documentation requirements
• Analyze regulatory guidance and updates from CMS, AMA, FCSO, OIG, and other governing bodies
• Translate complex coding and regulatory requirements into practical guidance for clinical and operational audiences
• Develop and maintain educational materials, including presentations, coding alerts, tip sheets, newsletters, one-page bulletins, on-demand videos, and case-based education
• Deliver education through virtual and in-person meetings, presentations, individual coaching, and group training
• Identify trends through coding audits, denials, compliance findings, regulatory changes, and internal reviews, then develop targeted education
• Support coding and documentation education for a provider population
• Build relationships with physicians and APPs and influence coding and documentation practices
• Partner with Information Systems and Epic teams on documentation enhancements and workflow improvements
• Collaborate with Revenue Integrity, Coding, Accounts Receivable, Compliance, and operational leadership to improve claims accuracy and revenue cycle performance
• Partner with Compliance on education resulting from compliance audits, internal findings, and regulatory updates
• Remain current on coding guidelines, payer requirements, and regulatory standards and communicate changes throughout the organization
• Participate as a coding subject matter expert within an education team of approximately 11 professionals
• Adapt to changing priorities and manage multiple educational, auditing, and compliance initiatives simultaneously
• Occasionally accommodate early morning, afternoon, or evening education sessions based on provider availability

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