Job Description

Position: Physician Coding Education Specialist

Location: Hybrid 90% remote with occasional on-site visits required in St. Petersburg, FL

Schedule: M-F, Day Shift: 8:00am-5:00pm

Pay Rate: $27-$35/HR

Day to Day:

• The Physician Coding Education Specialist conducts internal audits and analyzes professional coding to identify inaccuracies and provide support.
• Their biggest responsibility is provider communication, making sure providers are on the right path, and performing compliance audits as needed.
• They develop and present educational programs to physicians and staff, ensuring accurate code assignment and compliance with guidelines.
• Reviewing medical records to ensure accurate code assignment and compliance with governmental and private payer guidelines is also part of the role.
• They solve complex coding issues, collaborate with the Central Business Office for coding accuracy, and provide statistical reports on efficiency.
• Maintaining a 90% coding accuracy rate and adhering to ethical standards is crucial.

Must Haves:

• Associate's degree.
• 5+ years of professional based coding experience (multiple specialties is desired: Inpatient, Outpatient, Bedside, Surgical, Office, Teaching & Physician extender provider coding).
• PAST EXPERIENCE AS AN EDUCATOR NOT REQUIRED, they should have extensive auditing experience and the ability to effectively communicate audit findings and provide education.
• Knowledgeable in Microsoft Office.
• Proficient in Excel.
• One of the following certifications: CPC, CCS, CCS-P, CMC, CPMA, CEMA.
• Expertise in coding principles (CPT-4, ICD-10-CM/PCS and HCPCS), regulations, and third-party payer requirements pertaining to billing, coding, and documentation.
• Knowledge of medical terminology.
• EMR system experience.
• 90% on coding skills assessment (thorough knowledge of official coding guidelines as per AMA, AHA, and CMS).
• Strong interpersonal skills: ability to work independently, strong verbal and written communication skills, willing to interact with others, time management.

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