What are the responsibilities and job description for the Clinician Coding Liaison - Medical Specialties position at Aurora Health Care?
Major Responsibilities
Typically requires 4 years of experience in expert-level professional coding.
Knowledge, Skills & Abilities Required
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- Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.
- Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.
- Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.
- Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.
- Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.
- Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health—to enhance documentation practices and system optimization.
- Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.
- Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy.
- Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA’s Standards of Ethical Coding, while maintaining expert knowledge of evolving policies.
- Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.
- Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Additional specialty credential preferred.
- Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge. High school diploma or GED required.
Typically requires 4 years of experience in expert-level professional coding.
Knowledge, Skills & Abilities Required
- Advanced Coding Expertise: In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices.
- Medical Terminology & Anatomy: Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment.
- Epic & Reporting Solutions: Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies.
- Critical Thinking & Analytical Skills: Highly proficient in problem-solving and analytical thinking with strong attention to detail.
- Interpersonal Communication: Excellent verbal and written communication skills, with the ability to educate and collaborate effectively with physicians, APCs, clinical leadership, and coding teams.
- Advanced Computer Skills: Proficiency in Microsoft Office Suite, electronic coding applications, and email communication.
- Organizational & Prioritization Skills: Ability to efficiently manage multiple tasks, set priorities, and meet deadlines in a fast-paced environment.
- Independent Decision-Making: Ability to work independently, exercise sound judgment, and make informed decisions regarding coding and compliance.
- Collaboration & Initiative: Strong ability to take initiative, contribute to process improvements, and work collaboratively within a team environment.
- Follow organizational and divisional remote work policy and guidelines.
- Operates all equipment necessary to perform the job.
- Handles a fast paced and creative work environment moving independently from one task to another.
- Makes sound decisions within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively and effectively with others on an individual and team basis.
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Salary : $36 - $53