Job Details

POSITION SUMMARY

Provides training, audit, and billing education services to providers. Ensures medical service documentation and coding conforms to guidelines and regulations. Responsible for handling high level assignments such as auditing of coding, compliance and provides education to physicians and other qualified health care providers regarding coding and documentation.

ACCOUNTABILITIES

1. Develop and coordinate an educational plan that encompasses accurate documentation, coding and billing procedures based on specialty.

2. Provide regular audits of provider documentation/coding accuracy; summarize information and make suggestions to improve process.

3. Recognize inaccurate dictation and documentation trends and issues of both physicians and clinical staff and collaborates with the office manager/operations director, physicians and staff to correct.

4. Provides scheduled educational seminars regarding coding/billing updates and changes.

5. Works with providers one-on-one to facilitate accurate documentation and coding.

6. Provides coding education to billing staff, as needed.

7. Works with billing manager in the coordination of appeals to obtain appropriate and/or additional reimbursement.

8. Communicates and maintains effective interpersonal relationships with Billing manager, operations director, physicians and staff.

9. Other duties as assigned.

REQUIRED QUALIFICATIONS

Education: Associate degree in related field

Skills: Must be able to understand directions, communicate and respond to inquiries; requires

strong commitment to customer service and effective interpersonal skills. Must be detail oriented

and have the ability to work independently. Extensive experience with ICD-10 and CPT coding.

Requires excellent verbal and written communication skills.

Years of Experience: Minimum of 3 years coding experience with physicians coding. Experience

performing physician coding audits.

Certification: CPC, RHIT, RHIA, CPMA, CEMC or CCC

ProMedica is a mission-based, not-for-profit integrated healthcare organization headquartered in Toledo, Ohio.  For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org

Equal Opportunity Employer/Drug-Free Workplace