Medical Coder Educator - USFTGP RCO

Job Summary: Serves as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. Analyze and report review findings indicating documentation gaps reimbursement and data interpretation, inpatient, outpatient and professional service coded. Report to compliance focused areas of improvements, recommendations and actions taken to improve medical staff knowledge and coding accuracy. Conduct individual and group coding and documentation support instructions as assigned and acts as an internal coding expert resource. Duties & Responsibilities Provides literacy and feedback to providers, coding and clinical support staff regarding documentation, completion and submission of electronic charges as appropriate. Develop curriculum and training materials including presentations & reference guides. Strive to ensure coding personnel and materials are current. Consults and coordinates with other departments across the system to assess, plan and implement, or evaluate coding training and literacy needs. Review electronic health records and billing encounters in the EPIC system to ensure proper data elements are present including CPT, ICD-10, and proper modifiers. Analyzes and evaluates highly complex clinical and operational systems relative to inpatient, outpatient and professional services reimbursement through chart review and other special study methods. Provides feedback to the coding management team and staff regarding highly complex coding and DRG/APC assignment & related clinical documentation to ensure complete billing and documentation. Provides orientation and training to coding staff to allow for proper preparation of team members. Performs revenue cycle coding reviews with appropriate feedback Required Skills: High School Diploma/GED Associate Degree - Preferred Certified Professional Coder (CPC) - Required OR Certified Coding Specialist (CCS-P) - Required OR Certified Medical Auditor (CPMA) - Required Technical Knowledge, Skills, and Abilities Knowledge of CPT, CPT-10-CM and HCPCS coding systems. Minimum 3 years of professional coding experience and 1 year of proven lead or training experience. Strong knowledge of coding and CMS documentation guidelines. Strong attention to detail and exceptional follow-up skills. Interpersonal, public speaking and presentation skills. Knowledge of Epic Experience in academic health setting Coders are held to a high standard; best practices are to achieve a greater than 95% accuracy rate during coding assessments.