Acts as an internal resource for Lee Physician Group for professional service coding and documentation education. Performs medical record audits to ensure compliance with all applicable federal, state and local regulations, as well as with institutional/organizational standards, practices, policies and procedures.
Provides provider elbow to elbow coding and documentation support through ad hoc phone calls and site visits, the creation of specialty or individual provider tip sheets, virtual and onsite presentations. Provides guidance and advice for reporting policies mandated by government entities and other payers for completion of coded data including level of service, diagnosis, procedure and diagnostic code assignments. Analyzes data, communicates findings, and facilitates improvement efforts.
Independently develops and maintains educational materials and training programs. Works in conjunction with the clinical practice managers and coding leadership teams.
Additional experience requirements:
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Degree/Diploma ObtainedProgram of StudyRequired/
Minimum Years RequiredArea of ExperienceRequired/
Preferredand/or3 YearsPhysician/Professional Service CodingRequired
State of Florida Licensure Requirements
Preferredand/orCPC (Certified Professional Coder)RequiredCPMA (Certified Professional Medical Auditor) Preferred
CPMA preferred or must be obtained within two years of hire.
Must possess excellent written and verbal communication skills and the ability to deliver technical instruction to medical staff. Extensive knowledge of CPT and ICD-10 guidelines and principles.
Must have a firm understanding of medical terminology. Must possess an independent working knowledge of Microsoft office products inclusive of word, excel and PowerPoint.