Physician Coding Educator

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 7:00 AM Shift End Time 4:00 PM Worker Sub-Type Regular Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s. Job Description Provides 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 and 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. The Documentation and Coding Physician Educator provides subject matter expertise related to documentation and coding requirements to support the Children’s Physician Group (CPG) and Center practitioner's performance of appropriate and compliant charge capture for professional services. This individual develops and trains Children’s practitioners on educational content related to coding, documentation and charge capture while monitoring the ongoing coding and documentation needs of the organization and providing feedback to Children’s leadership. Collaboration with the Physician Leaders, Practice Leaders, Compliance, Legal and Finance on coding initiatives and goals is key. This role also provides 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 and assists in the development of evaluation and management and other billing code utilization reports for comparison to national and peer-to-peer data. Experience 5 years of experience in coding Strong knowledge base and experience in interpreting and applying federal/government regulations to ensure coding and documentation compliance Preferred Qualifications Experience in physician practice coding Experience in physician- based settings such as physician office, group practice, mulit-specialty clinics Education Graduate of approved health information technology or health information management program Certification Summary Certified Professional Coder (CPC), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist- Physician-based (CCS-P), or ability to obtain within three months of employment Knowledge, Skills, and Abilities Strong knowledge base in complete and accurate clinical documentation in all healthcare settings and for all healthcare disciplines Strong knowledge base of the conventions, rules, and guidelines for multiple classification and reimbursement systems (e.g., ICD -10, diagnosis-related group, and all patient refined diagnosis-related group) Demonstrated knowledge of medical terminology, anatomy and physiology, pharmacology, computers, and encoding software Demonstrated strengths in teaching and presentation skills Ability to work will with physicians and senior leaders 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 Job Responsibilities Provides appropriately messaged individual feedback at all levels and facilitates interventions to address educational gaps manages all aspects of documentation and coding processes for CPG and Centers. Provides continuous education and updates to physicians, advanced practice providers, and practice leadership regarding coding and billing practices to meet regulatory requirements on local, state, federal and national level to capture appropriate revenue. Develops and implements educational content in compliance with industry standards in collaboration with CPG leaders, Compliance, Legal and Providers using appropriate adult education principles and strategies. Develops content that can be used in alternative learning (blended and e-learning); works closely with internal or external vendors/departments to launch the materials in live trainings and on a Web-Based platform; monitors and reports on practitioner participation in Web-Based and instructor-led training; and monitors and reports on "measured" learning outcomes. Collaborates with the Manager of Physician Documentation and Coding Educations to develop strategy around design and delivery of all aspects of documentation and coding training; implementing action plans for risk adjustment targets; and providing input to the Organization Leaders, to ensure accuracy of missed opportunity reports, complete coding reports, EPIC functionality and other identified reporting and data mining opportunities. Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record, working alongside CHOA Internal Coding Audit and Coding Operations to ensure the accuracy and completeness of coding reviews for CPG and Center providers; coordinates review of any open issues and monitors until resolved. Educates assigned new physicians and advanced practice providers on coding needs specific to their specialty as part of the onboarding experience. 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. Monitors coding resources and payer updates for issues that impact professional billing and reports to manager and practice leaders. Anticipates and articulates emerging organizational needs; and identifies and implements strategies for organizational improvement around coding, documentation, and charge capture. Identifies "gaps" in current documentation and coding processes and collaborates on the revision of design and implementation through the reporting of a coding needs assessment. Develops tools and training materials as assigned that will assist providers, practice management, and office staff to meet regulatory requirements and capture all appropriate revenue. 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. Understands post-billing review findings and assists in relaying constructive education for the purpose of improving deficiencies identified in the review. Reviews and analyzes evaluation and management coding and other billing trend profiles to identify patterns that may provide clues requiring focus for further analysis, support, and/or education. Reviews encounter forms, coding forms, or billing tool information at least annually, and recommends changes to codes and encounter form layout as necessary. Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address Used for remote worker assignment Job Family Coding Children’s Healthcare of Atlanta has been 100 percent committed 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, 20 neighborhood locations and a total of 673 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 recognized as a Fortune 100 Best Place to Work, a Best Place for Working Mothers, and as a top employer for diversity and millennials. 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 making kids better today and healthier tomorrow. Have questions about the recruitment process? Check out What to Expect. https://careers.choa.org/lp/What to Expect/2895392d3ba166e6/?locale=en_US