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Coding Education Specialist

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Date: Sep 3, 2017

Location: Atlanta, GA, US, 30329

Company: Children's Healthcare of Atlanta

Requisition #:  16611     
Name of Location:   Office Park (1639)
Work Schedule:  Day
Employment Type:  Full-Time
Work Days:  Monday - Friday 

 

 

 

JOB SUMMARY

The Coding Education Specialist (CES) will provide education in coding and billing compliance within Children’s Physician Group to physicians, physician assistants, nurse practitioners, and clinical service auxiliary providers to improve the workflow and promote overall clinical documentation improvement. Creates communication of important coding and billing information for administrative and finance leaders as it relates to their areas.  Assists in the development of Evaluation & Management and other billing code utilization reports for comparison to national and peer-to-peer data. Supports the improvement of overall coding and billing practices of the physician professional services.  

QUALIFICATIONS

  • Graduate of an approved Health Information Technology/Management program with credentials of  CPC, CPC-P, CCS, CCS-P, or ability to obtain within three months of hire.
  • A health information management professional with at least 5 years of coding experience required.  Physician practice coding experience is preferred.
  • Strong knowledge base in complete and accurate clinical documentation in all healthcare settings and for all healthcare disciplines.
  • Strong knowledge base and experience in interpreting and applying federal/government regulations to ensure coding and documentation compliance
  • Strong knowledge base of the conventions, rules and guidelines for multiple classification and reimbursement systems (i.e. ICD -10, DRGs, APR-DRGs, etc).
  • Ability to establish rapport with physicians and other healthcare practitioners.
  • Demonstrated knowledge of medical terminology, anatomy and physiology, pharmacology, computers, and encoding software. 
  • Demonstrated interpersonal, critical thinking, and time management skills.
  • Demonstrated strengths in communication, teaching and presentation skills; must be detail oriented, possess good problem solving skills, and have legible handwriting.
  • Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating within 30 days of date of hire.

RESPONSIBILITIES

  1. Provides appropriately messaged and continuous education and updates to physicians, advanced practice providers (APPs), and practice leadership regarding coding and billing practices to meet regulatory requirements and to capture appropriate revenue.  Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.
  2. As part of the on boarding process, will educate assigned new physicians and APPs on coding needs specific to their specialty.
  3. Performs shadowing services for billing providers and administrative staff to gather information and provide constructive input to operations and the billing provider to become more efficient in daily workflow and accuracy in charge selection supported by their clinical documentation.  Summarizes and reports findings to manager and other CPG leadership.
  4. Partners with Coding, Compliance, and other applicable departments on coding issues while coordinating review of open issues and monitoring until resolved.
  5. Communicates compliance and review concerns to manager; helps to develop action plans to address.
  6. Attends and prepares content for other department leadership meetings as assigned that will help progress any revenue related issues.
  7. Monitors coding resources and payer updates for issues that impact professional billing; report to manager.
  8. Develops tools as assigned that will assist providers, practice management, and office staff to meet regulatory requirements and in capturing all appropriate revenue.
  9.  Analyzes billing and denial information, claim error and other data for potential coding and billing opportunities.  Summarizes and reports findings to manager and uses findings in educational trainings.
  10. Understands post billing review findings and have the ability to assist in relaying any constructive education for the purpose of improving deficiencies identified in the review.
  11. Reviews and analyzes E/M coding and other billing trend profiles to identify patterns that may provide clues requiring focus for further analysis, support and/or education.
  12. Reviews encounter forms, coding forms, or billing tool information, at least annually, and recommend changes to codes and encounter form layout as necessary.
  13. Supports and participates in the continuous assessment and improvement of the quality of services provided.

 

 

Location Address:  1639 Tullie Circle, Atlanta, GA  30329
Function:  Revenue Cycle - Coding

 

 

Overview:

Children’s Healthcare of Atlanta has been 100 percent dedicated to kids for more than 100 years. A not-for-profit organization, Children’s is dedicated to making kids better today and healthier tomorrow.

With 3 hospitals, 27 neighborhood locations and a total of 575 beds, Children’s is the largest healthcare provider for children in Georgia and one of the largest pediatric clinical care providers in the country. Children’s offers access to more than 60 pediatric specialties and programs and is ranked among the top children’s hospitals in the country by U.S. News & World Report.

Children’s has been ranked on Fortune magazine’s list of “100 Best Companies to Work For” for eleven consecutive years and named one of the “100 Best Companies” by Working Mother magazine. We offer a comprehensive compensation and benefit package that supports our mission, vision and values. We are proud to offer an array of programs and services to our employees that have distinguished us as a best place to work in the country.  Connect to our mission of being Dedicated to All Better and impact the lives of hundreds of thousands of patients and their families each year.


Nearest Major Market: Atlanta

Job Segment: Medical, Physiology, Medical Coding, Pediatric, Healthcare