American Physician Partners Hiring for Coding Quality and Education Coordinator-Physician at Brentwood, TN Full Time

POSITION SUMMARY:

The Coding Quality and Education professional will provide retrospective health record reviews for key characteristics of high-quality clinical documentation for Hospital Medicine.

PRIMARY DUTIES AND RESPONSIBILITIES (The below listed duties are not all inclusive. This position must also perform other duties as assigned.):

Essential Functions

1. Perform retrospective health record reviews to identify gaps within the clinical documentation and educate providers.

2. Demonstrate proficiency in hospital medicine documentation regulatory requirements to include but not limited to: Coding guidelines for professional fee-based coding: Evaluation and Management services, Procedures, and Diagnosis(es)

3. Serve as coding liaison in a professional manner with billing partners and revenue cycle team

4. Communicate documentation issues as it relates to acuity and coding opportunities

5. Review and resolve billing exceptions as it relates to Evaluation and Management level of service, Procedures, Modifiers

6. Follow and remain compliant with all policies and procedures, including continuing education requirements as it relates to query of clinical documentation 10

JOB SPECIFICATIONS:

What specialized, technical, or practical knowledge, skills, experience, or abilities are needed to perform the job. (Include degrees, certificates, licenses, or other bona fide job qualifications.)

A. KNOWLEDGE/EDUCATION AND EXPERIENCE REQUIRED:

 Licensure /Certification in coding (CPC, CCS-P, CCS, RHIA, RHIT) required

 Demonstrate knowledge of 1995 and 1997 Evaluation and Management Documentation Guidelines and other professional documentation requirements

 Minimum of 2-3 years of experience auditing medical charts and coding required

 Demonstrate advance knowledge of hospital medicine coding and/or auditing

B. SKILLS REQUIRED: Must be able to pass E&M skills test

 Job Knowledge: Understands the expectations of the position and consistently meets the objective of the role

 Computer experience in word processing and excel

C. ABILITIES REQUIRED (work characteristics, behaviors, leadership abilities, etc.):

 Productive: Completes assigned charts and reports correctly and within time allowed

Communication: Keeps team informed and promotes open communication

 Problem Solving/Decision Making: Uses sound judgement to gather and analyze information in accordance with American Physician Partners Policies

PHYSICAL DEMANDS/REQUIREMENTS:

 Travel – light as needed to local facility; remote  Ability to sit for long periods of time throughout day.

 Ability to work at a computer for 8+ hours. I have received and read my job description and understand the requirements of the job.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

Work Location: One location