Job Type
Full-time
Description
POSITION SUMMARY
The Billing & Coding Educational Liaison is responsible for the education and training of providers, residents, fellows & students rotating through the organization, and other necessary staff on coding requirements. This position works closely with the Manager Revenue Cycle, Billing Coding and Compliance, the coding team, management at each clinical location, and the Office of Clerkship. This position is a key role in supporting the organization’s compliance with federal, state and other guidelines including those related to the designation of a Federally Qualified Health Center (FQHC) and ensuring providers, residents, fellows, students, and other necessary staff are educated and well informed of coding requirements and relevant changes on a timely basis
REPORTING RELATIONSHIPS
The position reports to the Manager Revenue Cycle, Billing Coding and Compliance. No staff report to this position.
ESSENTIAL JOB DUTIES and FUNCTIONS
While living and demonstrating our Core Values, the Billing & Coding Educational Liaison will:
- Assist in the development, implementation and maintenance of billing and coding educational materials used in clinical provider and learner training, including the creation and ongoing maintenance of training protocol documents of the clinical workflow, including Medent usage
- In conjunction with the Manager of Coding, Compliance and Education, responsible for the rollout of education to providers, learners and other necessary staff through direct engagement
- Develop and implement standardized audit process to review sample charts and educate the providers/ learners based on findings
- Participate collaboratively with billing team to introduce coding and documentation during annual orientation of new learners
- Create an audit process to review the quality of the documentation and coding of providers / learners
- Conduct ongoing quality audits to review documentation and delivery of care plans/goals
- Member of the internal audit committee for CPT and documentation compliance
- Ensure ongoing compliance for all providers / learners on coding selection, and documentation to minimize any payer and governmental audit risk
- Educate providers / learners based on approved education schedule as well as feedback from billing team resulting from claims processing
- Develop a rotation schedule and ensuring a physical presence throughout clinical venues to field onsite questions and aid with coding and documentation
- Attend meetings such as weekly operations meetings, staff meetings, and others as required. Must have capacity to attend meetings during day/evening as needed within assigned areas
- Educate and train medical scribes on coding and documentation compliance
- Perform monthly chart audits of completed progress notes and orders and provide feedback to providers / learners. Communicate results including necessary information to billing team to appropriately reprocess claims for compliance and financial reporting
- Assist other members of the team with projects as needed
- Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations
- Other duties as assigned by management
Requirements
REQUIRED QUALIFICATION
- Bachelor or Associate degree in any Healthcare related field or equivalent experience
- Excellent customer service skills required
- Must possess team leadership skills and have a positive disposition
- Knowledge of Microsoft Office software
- Must be focused, self-directed, organized, and have demonstrated problem-solving abilities
- Accurate and precise attention to detail
- Excellent verbal and written communication skills
- Able to work both independently and as part of a team
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