Coding Educator

Position: Coding Educator

Location: Skokie, IL

Full Time/Part Time: Full Time

Hours: Monday-Friday, during normal business hours

Ongoing growth and development from participation in events such as workshops, in-service programs and departmental meetings.

Provides care based on physical, psychological, educational and related criteria appropriate to the age and type of the patients/customers served in their area.

Acts as a coding resource for physicians, charge entry staff, other coders, and clinical staff.

Participates in continuing education and in-service programs to maintain coding and billing skills.

Communicates coding changes and updates physicians based on department standards.

Queries physician and/or staff regarding incomplete or missing documentation.

Works resolute charge review work queues with the purpose of correcting coding errors, reviewing documentation and applying coding guidelines to ensure the accurate and timely filing of charges.

Ensure service, procedure and diagnoses codes are accurately reported and linked.

Assigns CPT, ICD-10 and HCPCS codes based on coding guidelines.

Queries Physician/Provider when applicable

Maintains productivity and aging levels based on department standards.

Identifies trends in coding issues and works with manager to educate and implement solutions.

Work follow-up work queues with the purpose of reviewing denial codes and remarks and apply coding and billing guidelines for resubmission to obtain final adjudication of claim.

Use coding resources (NCCI manual, LCD's payor bulletins) to assist with correct resubmission.

Maintains productivity based on department standards.

Work account work queues with the purpose of resolving patient disputes by applying coding and billing guidelines.

Communicates with practice managers and/or physicians if applicable.

Maintains productivity based on department standards.

Consistently utilizes coding and billing resources and reference tools.

Reports identified or potential coding compliance issues to manager and/or Coding Compliance Department in accordance with established policy and procedures.

Implements findings to improve processes and workflows.

Education: High School Diploma, required

Certification: CCS, CCS-P, CPC, or RHIT, required

Experience: 3+ years of outpatient coding experience