Physician Coding Liaison II - Hospitalist

Base compensation listed within the listed pay range based on factors such as qualifications skills relevant experience and/or training

Premium pay such as shift on call and more based on a teammates job

Incentive pay for select positions

Opportunity for annual increases based on performance

Paid Time Off programs

Health and welfare benefits such as medical dental vision life andShort and LongTerm Disability

Flexible Spending Accounts for eligible health care and dependent care expenses

Family benefits such as adoption assistance and paid parental leave

Defined contribution retirement plans with employer match and other financial wellness programs

Educational Assistance Program

Job Summary

Serves as the systemwide key contact for service line/specialty specific coding and proactively educates coding/documentation guidelines and/or concepts within a specific specialty. Collaborates with Chief Medical Officer (CMO) Senior director administrators Production and Department support leaders for problem resolution and/or trends in payer specific rules/coverage. Educates Physicians Advanced Practice Providers (APPs) Medical Group and Clinic Leadership to improve coding and documentation. Knowledge sharing with Patient Service Area (PSA) Liaisons Production Coding and Department Support to improve coding documentation and charge capture opportunities. Due to the systemwide service line/specialty specific support the PCL Spec role is virtual. Note: For purposes of this document the term Clinicians represents all billing providers.

Essential Functions

Provides service line/specialty specific coding/documentation education and feedback related to coding changes (CPT including E&M modifiers ICD10CM and HCPCS) annual code updates payer requirements and payer rejection resolution to assigned Physicians/APPs. Partners with CMOs to standardize coding processes across a specific specialty. Shares and/or presents coding/documentation education presentations to Chief Medical Officers (CMOs) Physicians/APPs Senior Director Administrators across the organization. Coordinates with PSA Liaisons to provide adequate Physician/APP and/or clinical team member support.

Conducts orientations for all Physicians/APPs residents/students and clinical team members on specialty specific coding and documentation related education. Performs new clinician documentation reviews for specialty specific coding and documentation feedback as requested.

Coordinates responses to Physicians/APPs Locum Tenens residents/students questions and feedback from various sources and partners including Senior director administrators CMOs Medical Group Compliance Internal Audit Physician Compensation Clinical Informatics/Clinical Informatics Educators Quality Improvement Coordinators and/or other external partners.

Queries Physician/APP Locum Tenens residents/students when prompted by Professional Coding Department production coders to assist in resolving coding and documentation questions. Relays any coding changes feedback and education to Physician/APP Locum Tenens residents/students and/or clinic leadership as appropriate.

Monitors and works to resolve charge sessions requiring additional information for assigned clinicians and/or service line/specialty in the Epic work queues and/or other transfer work queues to ensure Clinicians are completing work timely to ensure proper supporting documentation for billing and timely filing.

Attends and provides service line/specialty specific coding and documentation information as requested to CMOs Physicians/APPs and/or Clinic/Site Department meetings. These may be virtually and/or inperson. Virtually attends Physician/APP education that include coding and/or documentation topics such as Documentation Specialist clinician low risk review meetings Risk Adjustment/HCC meetings and/or Medical Group Compliance reviews/meetings.

Collaborates with PSA Liaison to review and provide coding/documentation guidance on Epic order entry diagnosis and charge capture preference lists as well as SmartSets and templates.

Develops Physician/APP monthly service line/specialty newsletters to continually educate and communicate updates from various coding resources including specialty society organizations. Communicates new services performed by Physician/APPs to Professional Coding department leadership.

Identifies service line/specialty specific trending data and opportunities to capture revenue through documentation improvement. Attends service line/specialty specific coding and/or society conferences as requested to gain further knowledge that is uniquely relevant to that specialty and how coding documentation and billing are affected. Maintains expert knowledge of Medicare Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards

Education Experience and Certifications
License/Registration/Certification: Coding Associate (CCA) certification or Coding Specialist Physician (CCSP) certification or Health Information Administrator (RHIA) registration or Health Information Technician (RHIT) registration or Professional Coder (CPC) certification or Specialty Coding Professional (SCP) certification and Specialty Medical Coding Certification obtained within 1 year.

Issued by (Governing Body): American Health Information Management Association (AHIMA) American Academy of Professional Coders (AAPP) or Board of Medical Specialty Coding and Compliance (BMSC)

Level of Education: Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist.

Field of Study (if applicable): Medical coding or other related health field.

Years of Experience: Typically requires 5 years of experience in advancedlevel professional coding and at least 3 years of experience educating/training licensed clinicians.

Describe Type Experience: Typically requires 5 years of experience in advancedlevel professional coding and at least 3 years of experience educating/training licensed clinicians.

Job Summary

Serves as the systemwide key contact for service line/specialty specific coding and proactively educates coding/documentation guidelines and/or concepts within a specific specialty. Collaborates with Chief Medical Officer (CMO) Senior director administrators Production and Department support leaders for problem resolution and/or trends in payer specific rules/coverage. Educates Physicians Advanced Practice Providers (APPs) Medical Group and Clinic Leadership to improve coding and documentation. Knowledge sharing with Patient Service Area (PSA) Liaisons Production Coding and Department Support to improve coding documentation and charge capture opportunities. Due to the systemwide service line/specialty specific support the PCL Spec role is virtual. Note: For purposes of this document the term Clinicians represents all billing providers.

Essential Functions

Provides service line/specialty specific coding/documentation education and feedback related to coding changes (CPT including E&M modifiers ICD10CM and HCPCS) annual code updates payer requirements and payer rejection resolution to assigned Physicians/APPs. Partners with CMOs to standardize coding processes across a specific specialty. Shares and/or presents coding/documentation education presentations to Chief Medical Officers (CMOs) Physicians/APPs Senior Director Administrators across the organization. Coordinates with PSA Liaisons to provide adequate Physician/APP and/or clinical team member support.

Conducts orientations for all Physicians/APPs residents/students and clinical team members on specialty specific coding and documentation related education. Performs new clinician documentation reviews for specialty specific coding and documentation feedback as requested.

Coordinates responses to Physicians/APPs Locum Tenens residents/students questions and feedback from various sources and partners including Senior director administrators CMOs Medical Group Compliance Internal Audit Physician Compensation Clinical Informatics/Clinical Informatics Educators Quality Improvement Coordinators and/or other external partners.

Queries Physician/APP Locum Tenens residents/students when prompted by Professional Coding Department production coders to assist in resolving coding and documentation questions. Relays any coding changes feedback and education to Physician/APP Locum Tenens residents/students and/or clinic leadership as appropriate.

Monitors and works to resolve charge sessions requiring additional information for assigned clinicians and/or service line/specialty in the Epic work queues and/or other transfer work queues to ensure Clinicians are completing work timely to ensure proper supporting documentation for billing and timely filing.

Attends and provides service line/specialty specific coding and documentation information as requested to CMOs Physicians/APPs and/or Clinic/Site Department meetings. These may be virtually and/or inperson. Virtually attends Physician/APP education that include coding and/or documentation topics such as Documentation Specialist clinician low risk review meetings Risk Adjustment/HCC meetings and/or Medical Group Compliance reviews/meetings.

Collaborates with PSA Liaison to review and provide coding/documentation guidance on Epic order entry diagnosis and charge capture preference lists as well as SmartSets and templates.

Develops Physician/APP monthly service line/specialty newsletters to continually educate and communicate updates from various coding resources including specialty society organizations. Communicates new services performed by Physician/APPs to Professional Coding department leadership.

Identifies service line/specialty specific trending data and opportunities to capture revenue through documentation improvement. Attends service line/specialty specific coding and/or society conferences as requested to gain further knowledge that is uniquely relevant to that specialty and how coding documentation and billing are affected. Maintains expert knowledge of Medicare Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards

Education Experience and Certifications
License/Registration/Certification: Coding Associate (CCA) certification or Coding Specialist Physician (CCSP) certification or Health Information Administrator (RHIA) registration or Health Information Technician (RHIT) registration or Professional Coder (CPC) certification or Specialty Coding Professional (SCP) certification and Specialty Medical Coding Certification obtained within 1 year.

Issued by (Governing Body): American Health Information Management Association (AHIMA) American Academy of Professional Coders (AAPP) or Board of Medical Specialty Coding and Compliance (BMSC)

Level of Education: Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist.

Field of Study (if applicable): Medical coding or other related health field.

Years of Experience: Typically requires 5 years of experience in advancedlevel professional coding and at least 3 years of experience educating/training licensed clinicians.

Describe Type Experience: Typically requires 5 years of experience in advancedlevel professional coding and at least 3 years of experience educating/training licensed clinicians.