What are the responsibilities and job description for the Coding Analyst and Educator position at Bayview Physicians Group?
Position: Coding Analyst and Educator
Key Responsibilities:
As a Coding Analyst and Educator, you will play a key role in improving coding accuracy and clean claims processing by:
Key Responsibilities:
As a Coding Analyst and Educator, you will play a key role in improving coding accuracy and clean claims processing by:
- Identifying trends in coding errors, supporting root cause analysis, and collaborating with coding and training staff to drive improvements.
- Staying up-to-date on regulations and guidelines to ensure accurate use of CPT codes and documentation.
- Demonstrating expertise in coding systems and medical record documentation requirements, with the ability to interpret clinical documentation for accuracy.
- Serve as a key point of contact for clinicians (Physicians and Advanced Practice Providers) regarding documentation and coding issues.
- Engage with clinicians one-on-one to identify opportunities for documentation improvement and collaborate with clinical and coding education teams to provide targeted training.
- Research and interpret coding guidelines and internal business rules to resolve coding inquiries and issues.
- Advise staff on quality improvement opportunities and help correct errors related to coding practices.
- Verify accurate code usage by consulting official coding resources, policies, and manuals, and work with payors to educate them on specific coding rules.
- Conduct Quality Assurance reviews of post-visit documentation and report quality concerns and coding errors to leadership.
- Identify potential missed coding opportunities within encounters.
- Address non-billable services at the provider level and ensure timely correction of documentation deficiencies, such as missing chief complaints or time for audio-only visits.
- Serve as a liaison between teams to ensure timely updates on documentation requirements and process changes.
- Collaborate with compliance and coding education specialists to create effective educational resources.
- Lead special projects and initiatives within the division/market as requested by leadership.
- Perform chart reviews to identify educational opportunities and conduct individual chart research when needed.
- Participate in payor calls and chart reviews, compiling findings and assisting with follow-up research.
- Engage in payor meetings to ensure accurate data submission and maintain relationships with payor representatives.
- Minimum of 5 years of coding experience in a multi-specialty healthcare setting.
- Certified Professional Coder (CPC) certification for at least 5 years.
- Advanced coding certifications preferred.
- Experience in training and educating providers, coders, and staff.
- Knowledge of EclinicalWorks preferred.
- Full-time position.
- Remote work opportunity available.
- Video chat required for meetings and collaboration.
- Excellent verbal and written communication skills are essential.
