Develops, delivers, and maintains educational audits, materials, meetings, and presentations focused on coding accuracy and documentation improvement for professional services. Analyzes complex regulatory guidelines (CMS, AMA, FCSO, OIG) and communicates findings clearly to providers and leadership through presentations, videos, tip sheets, and newsletters.
Key responsibilities:
- Aligns curriculum with ICD-10-CM, CPT, HCPCS, and E/M guidelines
- Supports physicians, advanced practice providers, coders, and practice leadership on regulatory adherence and revenue integrity
- Partners with information systems on Epic documentation enhancements
- Collaborates with revenue integrity, coding, and accounts receivable teams on accurate claims reporting
- Works with compliance on audit findings and regulatory updates
Requirements:
- Associate's or bachelor's degree preferred
- Minimum 3 years of professional coding experience, with strong CPT/HCPCS/ICD-10/E&M knowledge
- CPC certification required; CPMA certification required within 2 years of hire
- Strong public speaking and presentation skills; prior coding education/training experience preferred
- Proficiency in Microsoft Office; strong working knowledge of Epic preferred