Physician Coding Liaison II - Primary Care REMOTE

581 Advocate Aurora Health, Inc.
Windsor Dr,Oak Brook Support Center
Remote
Full-time

Department :

10395 Revenue Cycle - Coding & HIM Clinician Support

Status : Full time

Full time

Benefits Eligible : Hou rs Per Week :

Hou rs Per Week :

Schedule Details / Additional Information :

First Shift

This is a REMOTE opportunity

Major Responsibilities :

Provides service line / specialty specific coding / documentation education and feedback related to coding changes (CPT including E&M, modifiers, ICD-10-CM, and HCPCS), annual code updates, payer requirements, and payer rejection resolution to assigned Physicians / APCs.

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 / APCs, Senior Director Administrators across the organization.

Coordinates with PSA Liaisons to provide adequate Physician / APC and / or clinical team member support.

Conducts orientations for all Physicians / APCs, 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 / APCs, Locum Tenens, residents / student’s 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 / APC, 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 / APC, 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 / APCs and / or Clinic / Site Department meetings.

These may be virtually and / or in-person. Virtually attends Physician / APC 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 / APC 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 / APCs 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.

Licensure, Registration, and / or Certification Required :

  • Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA), or
  • Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or
  • Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
  • Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or
  • Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC), or
  • Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC), and
  • Specialty Medical Coding Certification issued by the American Academy of Professional Coders (AAPC) needs to be obtained within 1 year.

Education Required :

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

Experience Required :

Typically requires 5 years of experience in expert-level professional coding and least 3 years educating / training licensed clinicians.

Knowledge, Skills & Abilities Required :

  • Specialty Medical Coding Certification must be held in the area(s) you will support.
  • Excellent communication (oral and written), adult education, and interpersonal skills. Ability to develop rapport and maintain positive, professional partnerships primarily with employed Physicians, APCs, CMOs, Senior director administrators, Medical Group Operations, and physician coding team members.
  • Advanced computer skills including the use of Microsoft office products, electronic mail, video / web conferencing, including exposure or experience with electronic coding and EHR systems or applications.
  • Excellent / comprehensive skills in organization, prioritization, problem solving, facilitation skills as well as the ability to have meaningful, albeit, difficult conversations with CMOs / Physicians / APCs and / or Senior Director Administrators.
  • Highly proficient in critical thinking and analytical skills with an extensive attention to detail.
  • Ability to work independently and exercise independent judgment and decision making.
  • Ability to meet deadlines while working in a fast-paced environment.
  • Ability to work in multiple work environments (ie virtual, office, clinic / hospital, other).

Physical Requirements and Working Conditions :

  • Exposed to normal office environment.
  • Position requires travel which will result in exposure to road and weather hazards.
  • Operates all equipment necessary to perform the job.
  • 30+ days ago
Related jobs
Promoted
Loyola University Chicago
Maywood, Illinois

Primary Care Physician - North Riverside. Primary Care Physician - North Riverside (Faculty). Family Medicine, Internal Medicine, Internal Medicine-Pediatrics, and Pediatrics physicians to join the Loyola Primary Care Network at Loyola. The Loyola Primary Care facilities brings Loyola Medicine's exc...

Promoted
PRIMARY CARE SERVICES SC
Lombard, Illinois

At Primary Care Services, we prioritize your healthcare journey by ensuring easy access to timely information, care, and essential tools available 24/7. At Primary Care Services, we prioritize your healthcare journey by ensuring easy access to timely information, care, and essential tools available ...

Promoted
Medlead Careers
Elmhurst, Illinois

Are you a new grad looking for support and guidance as you step into your new career path Look no further! Sure Medical is seeking a talented Physician Assistant to join the team at our vibrant Primary Care clinic located in Elmhurst NY. As part of our industrious and dedicated team youll have the o...

Promoted
ChenMed
Carol Stream, Illinois

As an MD Primary Care Physician, you will be responsible for providing care for patients with acute and chronic illnesses, taking full accountability for patient care and outcomes, and engaging with a care team to deliver high-quality care. We are currently seeking a Primary Care Physician (PCP) to ...

Promoted
Doctor's Choice Placement Services, Inc
, IL, United States

Thriving Primary Care Practices in NW Illinois seek new Physicians!!. The hospital boasts a wide network of Primary Care providers and is respected in its communities for offering quality care to its patients. Hospital is currently seeking Family Medicine Physicians. It is an independent, integrated...

Promoted
ChenMed
Hines, Illinois

ChenMed, a physician-led and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be America's leading primary care provider, transforming care of the neediest population. The PCP leads their care ...

Endeavor Health
Naperville, Illinois

Access- We boast a robust Specialty Care Network that ensures timely treatment and enables seamless care coordination at every stage of a patient's journey. Endeavor Health, Edward Elmhurst market is seeking a BC/BE eligible Family Medicine Physician in the Western Suburbs of Chicago, in Naperville,...

Medlead Careers
Elmhurst, Illinois

Are you a new grad looking for support and guidance as you step into your new career path Look no further! Sure Medical is seeking a talented Physician Assistant to join the team at our vibrant Primary Care clinic located in Elmhurst NY. As part of our industrious and dedicated team youll have the o...

Oak Street Health
Streamwood, Illinois

The purpose of a Primary Care Physician at Oak Street Health is to provide equitable and effective value-based healthcare to local medicare patient populations at our innovative network of neighborhood primary care centers. Our Primary Care Physicians operate at a single medical center supported by ...

Oak Street Health
Berwyn, Illinois

The purpose of a Primary Care Physician at Oak Street Health is to provide equitable and effective value-based healthcare to local medicare patient populations at our innovative network of neighborhood primary care centers. Our Primary Care Physicians operate at a single medical center supported by ...