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MEDICAL CODER E&M EDUCATOR

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Posting Details

Posting Details

Position Title MEDICAL CODER E&M EDUCATOR
Job Category Administrative
Posting Number 20172236
Position Status Active-Full-Time
Positions Supervised
Customer Service Statement

CUSTOMER SERVICE: Demonstrate adherence to the Group’s Customer Service Standards designed to support the mission of USF Health: enhancing life by improving health through research, education and healthcare. Our commitment is to improve the full spectrum of health, from the environment, to the community, to the individual. Together, through talent and innovation, USF Health is developing real-world solutions to reach our shared value – making life better.

Position Summary

Serve as Physician Practice E&M coding reviewer and documentation educator. Review USFPG physician’s practice and hospital E&M patient records to ensure that they contain proper documentation that supports an accurate and compliant E&M level in regards to CMS Documentation Guidelines for USFPG physician practices. Utilize review tools to monitor the accuracy of Physician E&M coding, documentation gaps and outpatient/inpatient billing. Analyze and report E&M review findings indicating recommendations and actions taken to improve documentation and coding accuracy. Identifies focus areas of improvement for each provider based on medical record reviews.

Hiring Range: $20.57 – negotiable depending on experience.

Position Requirements

Education: High School Diploma, Certificate of Attendance, Certificate of Completion, GED, or equivalent training or experience required. Approved AAPC and/or AHIMA certifications: Certified Professional Coder- CPC and/or Certified Coding Specialist-Physician- CCS-P and Certified Professional Medical Auditor- CPMA upon hired or must be completed within 1 year.

Experience: At least 2 years of professional coding experience with physician practice and 1 years of E&M education experience. Strong knowledge of Evaluation and Management (E&M) Coding and CMS Documentation Guidelines. Previous experience with performing accurate provider E&M medical record reviews, including data abstraction and analyze patient encounters for a focused review sample. Ability to interact professionally and effectively with faculty and staff. Team player.

Skills: Proficient in ICD10CM, CPT and HCPCS coding, policy and procedures based on physician practices. Knowledgeable with Medicare Billing and Coding guidelines and other official coding resources. Strong organizational skills and attention to detail. Ability to prioritize and manage provider medical record reviews and projects, as well as work independently with little or no supervision. Ability to provide excellent customer service. Excellent computer skills and proficient in Microsoft Office and generating reports. Travel and flexible time schedule is required. Communicates professionally, timely, and effectively with USFPG leadership, providers, and clinical staff. Strong desire for detail and accuracy. Ability to work under pressure independently and in a team environment in order to meet deadlines. Professional at all times. Strong interpersonal written and verbal communication skills. Must be fluent and able to conduct business in English, which includes reading, writing and speaking.

  • Requirements reflect the minimum level necessary to be eligible for this position. Equivalent combinations of education and experience may be considered.
Customer Service Performance

CUSTOMER SERVICE PERFORMANCE EXPECTATIONS: Courteous and helpful behavior towards patients, physicians, coworkers and external customers; professional and efficient verbal and written communications; accomplishing tasks through teamwork and initiative; and ensuring a timely and thorough response to complaints and/or critiques, and anticipating the needs of all you come in contact with.

Physical Demands
Special Instructions to Applicants
Location 17 DAVIS-DAVIS ISLAN
Department Name REV CYCLE OPERATIONS
Work Schedule Summary

Specific Duties and Responsibilities

Percentage 40
Duties

Review electronic health records and billing encounters in the EPIC system to ensure proper data elements are present including CPT code(s), ICD10 code(s) and proper modifiers. Provides education and feedback to the physicians and Clinical Support staff regarding documentation, completion and submission of electronic charges as appropriate. Makes recommendations to the EPIC team regarding making changes to the structured notes in order to get documentation to the highest level of accuracy and specificity.

Percentage 40
Duties

Provide extensive education and advice regarding Evaluation and Management and ICD-10 coding with emphasis on achieving the highest level of service and diagnosis acuity. Also provides education regarding proper coding of procedures done in the clinic areas.

Percentage 15
Duties

Abstraction of surgical procedures, ancillary services, injections and infusions performed in the clinic areas. Educate physicians regarding the importance of clear documentation so that CPT and ICD10 coding can be as accurate and to the highest level of specificity possible. Provide education to physicians regarding payable diagnosis/procedure relationships as published in LCDs and Third Party Carrier Medical Policy Bulletins.

Percentage 2
Duties

Provide cross training to other coding personnel within the Department as directed by Manager.

Percentage 2
Duties

Attend seminars and read education and training documents to keep abreast of coding rules and compliance requirements as well as acquire CEUs to maintain AAPC Certification.

Percentage 1
Duties

Other duties as required.

Posting Specific Questions

Required fields are indicated with an asterisk (*).

  1. * Do you have a High School Diploma or Equivalent?
    • Yes
    • No
  2. * Do you have experience using CPT and ICD-9 and/or ICD-10?
    • YES
    • NO
  3. * Are you a Certified Professional Coder through AAPC and/or AHIMA?
    • Yes
    • No
  4. * Do you have any subspeciality certifications?
    • Yes
    • No

Applicant Documents

Required Documents
  1. Resume
  2. License and Certification
Optional Documents