Coding Compliance Educator
Coding Compliance Educator
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
CHI Memorial Mountain Management
CHI Memorial Medical Group (Mountain Management Services) now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.
We care about our employees well-being and offer benefits that complement work/life balance.
We offer the following benefits to support you and your family:
Free Membership to our program supporting any child care pet care or adult dependent needs
Employee Assistance Program (EAP) for you and your family
Health/Dental/Vision Insurance
Flexible spending accounts
Voluntary Protection: Group Accident Critical Illness and Identity Theft
Adoption Assistance
Paid Time Off (PTO)
Tuition Assistance for career growth and development
Matching Retirement Programs
Wellness Program
If you are passionate about the patient experience and ready to join our nationally recognized hospital connect with us today!
Responsibilities
The Documentation and Education Specialist is responsible for reviewing chart notes for proper coding with an emphasis on documentation coding improvement and revenue capture.Provides education to clinicians clinic staff and others as needed via face-to-face meetings classroom settings webinars and LEARN modules.Develops maintains and presents coding and compliance educational materials to staff and clinicians.Collaborates with the coding manager to support the needs of the coding department where coding expertise/education is needed.
Essential Function
Acts as documentation and coding liaison to clinicians to include review education and necessary follow-up to help ensure that clinical documentation and coding services meet government and organizational policies and procedures.
Analyzes and provides education on revenue capture clinical documentation including Electronic Health Record (EHR) requirements coding accuracy and denial management to clinicians and clinic staff.
Assists in determining educational needs based on documentation reviews provider/staff feedback data analysis (bell curves).
Performs a minimum of an annual review of each clinician and specialty to identify clinical documentation and coding areas that require improvement and additional education.
Reviews documentation and coding for new providers for accuracy and charge capture as per standard.
Prepares necessary reports and communicates results of audits to management clinicians and committees as appropriate.
Reports areas of risk directly to the Coding Integrity Manager/Supervisor.
Maintains a high level of competency related to clinical documentation and coding in assigned specialty and other areas and compliance with government regulations by attending appropriate workshops and seminars.
Working knowledge of concepts practices policies procedures standards systems and tools applicable to medical records coding; including documentation requirements and medical terminology.
Possess a strong work ethic with demonstrated ability to work independently or collaboratively as part of a team with multiple priorities and deadline constraints.
Maintain confidentiality of patient information.
Participate in departmental projects in order to enhance efficiency systems education patient care or personal growth.
Participates in special projects and completes other duties as assigned.
Qualifications
High School Diploma/GEDRequired
Licenses/Certifications
Certified Coding Specialist (CCS)
or
Certified Professional Coder (CPC)
or
Certified Professional Coder Hospital Apprentice (CPC-HA)
or
Certified Professional Coder Apprentice (CPCA)
Employment Type
Unclear
