Conduct individual training and group education sessions on proper coding and documentation practices for physicians and staff consistent with industry standards and in compliance with coding guidelines
Provide new coder onboarding education and support
Review charts and query provider to address documentation reassessment opportunities and to prompt higher accuracy and/or specificity
Conduct post-encounter review sessions with providers either in person or virtual
Focused efforts for other identified performance outliers
Coach, facilitate, solve work problems and participate in the work of the team
Ensure compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines
Work with market to understand what payor audit/documentation requests require compliance review
Direct and timely provider remediation response to compliance audit plan results

High School Diploma or Equivalent required
Professional Coding Certification such as CRC, CCS, CPS required
A minimum of 5 years of experience in advanced professional coding
A minimum of 5 years of experience in coding training and/or education
Experience in a large, independent clinic organization or the ambulatory environment of a hospital or integrated delivery system (Primary Care Practice highly preferred)
Familiarity with Electronic Health Records documentation methodologies
Demonstrated achievement with change management and quality improvement initiatives
Proven success in building relationships and establishing credibility with doctors, nurses and other clinical staff
Exceptional communication skills
High level of emotional intelligence
Ability to navigate resistance to change and solve problems effectively
Ability to travel across assigned market(s) or region(s): 30%

Clinical Documentation Educator

Key skills