Coding Compliance Coordinator - Medical Coding

Must be CPC, CCS or CCP coding certified.

CPMA preferred.

Provides professional services: auditing, training, consultation, audit, and feedback to clinicians on their documentation and coding to ensure VC receives appropriate reimbursement and conforms to applicable guidelines and regulations.

Advocates compliance with all third-party billing and reimbursement requirements including, but not limited to, the requirements of Medicare and Medicaid programs.

Serves as the coding subject matter expert for the clinicians.

Hiring Range: $28.35/hr to $39/hr.

commensurate with experience and professional certification.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:


* Performs audits utilizing an in-depth knowledge of ICD-10, CPT and HCPCS coding, Correct Coding Initiatives (CCI) and documentation guidelines.


* Provides training for all New and Established Providers to ensure correct documentation and coding of procedures and diagnoses.


* Provides coding and documentation education and training for clinicians.


* Performs coding reviews for providers based on areas of deficiency and also to support CMS required annual audits.


* Provides ad-hoc audits of Providers when requested by Department Managers and Department Chairs to address areas of concern.


* Supports the development of documentation and coding policies and procedures.


* Utilizes understanding of Practice Management system to recommend Master File changes to facilitate correct claims coding per carrier specifications.


* Ongoing dissemination of information to Providers, Clinical Coders, and Clinic Managers to inform about coding policies via email, memos and periodic meetings.


* Monitoring of Clinical Coders' coding knowledge via audits and other mechanisms, keeping Operational Support Supervisor informed and soliciting intervention if deficiencies are identified.


* Provides coding workshops and training sessions for medical billing charge entry staff as requested.


* Participates in projects to enhance coding and charge entry functions clinic-wide


* Works with Patient Financial Services to enhance the effectiveness of software including the Practice Management system.

SKILLS AND ABILITIES:


* Working knowledge of ICD-9, ICD-10, CPT, and HCPCS coding and Correct Coding Initiatives (CCI)


* Ability to train and audit new and established clinicians.


* Knowledge of medical terminology and anatomy and ancillary tests/procedures.


* Excellent organizational skills and strong attention to detail required.


* Strong oral presentation skills.


* Must have demonstrated competence with computer systems including electronic health records, Microsoft Office Suite.


* Typing skill of 40 wpm.

EDUCATION AND EXPERIENCE:


* High school diploma or equivalent required.


* Current CCS or CPC certification or equivalent required.


* At least two years of CPT, ICD-9 coding systems and chart auditing experience require...